Continuing Medical Education Questions: June 2026

Article Title: Barriers and Facilitators of Alcohol Use Disorder Treatment for Alcohol-Associated Liver Disease: A Systematic Review LEARNING OBJECTIVE After this activity, the participant will be able to recognize specific barriers and facilitators to alcohol use disorder (AUD) treatment in patients at different stages of their alcohol-related liver disease (ALD) and apply evidence-based strategies to improve the overall treatment engagement success through timely recognition, initiation, and continuation of care. QUESTION 1 Which of the following is best described as a key barrier to recognize the need for AUD treatment in patients with ALD? Patients are more likely than providers to initiate discussions around AUD when feeling asymptomatic Discordance exists where patients do recognize the need for AUD treatment during symptomatic ALD while providers tend to defer discussions during the symptomatic phase of ALD is over Routine use of standardized screening tools like AUDIT-C tend to lead to overdiagnosis of ALD Providers tend to prioritize AUD treatment during acute liver decompensation QUESTION 2 Which factor most commonly hinders the initiation of AUD treatment in patients undergoing liver transplant (LT) evaluation or patients receiving post LT care? Inconsistent rates of prescribing medications for alcohol use disorder (MAUD) and complexity of prescribing logistics Poor provider-patient communication Lack of access to behavioral therapy programs Patient's fear of disqualification or shame related to AUD QUESTION 3 A 47-year-old man with alcohol related hepatitis is referred for AUD treatment. He attends 2 counseling sessions but does not return for further treatment sessions citing a busy work schedule as a main reason. He was not sure about his knowledge or intent in engaging with pharmacologic therapy. He expressed his interest in trying again to see if better options were to be available. Which of the following would be the most appropriate next step? Emphasize the importance of strict adherence to the original treatment plan Recommend inpatient rehabilitation as a more effective treatment option Delay treatment until the patient demonstrates stronger motivation and commitment Offer a range of treatment options including virtual options and in-depth discussion of the available medication options