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Psychiatry · Substance use
Sample itemWhich drug class is used to manage alcohol withdrawal?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Benzodiazepines
Benzodiazepines such as chlordiazepoxide, diazepam or lorazepam reduce autonomic hyperactivity, seizures and delirium tremens in withdrawal. Thiamine is given before glucose to prevent Wernicke encephalopathy. Naltrexone and disulfiram are used for relapse prevention.
Option by option
A. Disulfiram
Disulfiram causes an unpleasant reaction to alcohol to prevent relapse.
B. Benzodiazepines (correct)
Correct. They prevent seizures and delirium tremens.
C. Antipsychotics alone
Antipsychotics alone lower the seizure threshold and do not prevent seizures.
D. Naltrexone
Naltrexone reduces craving after detoxification.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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