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Evaluation, Staging, and Monitoring of Chronic Hepatitis C

Initial Evaluation of Persons with Chronic HCV

Activity 1C. Determining AUDIT-C Score

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Learning Objective Performance Indicators

  • Describe key aspects of the medical history to obtain in a new evaluation of persons with HCV infection
  • Identify key abnormal physical examination findings that may be present in a person with HCV and cirrhosis
  • Summarize recommended laboratory studies to obtain for a person with HCV at the initial evaluation visit
  • List immunizations that should be administered to persons with chronic HCV infection
  • Discuss the evaluation of secondary causes of liver disease in persons with chronic HCV infection
During an initial evaluation of a 51-year-old woman with genotype 1 chronic hepatitis C virus (HCV) infection an alcohol history reveals she drinks alcohol 4 or 5 nights per week, and she never drinks during the day. On the nights she drinks alcohol, she typically has 3 or 4 drinks. She states never has more than 6 drinks per night.

Instructions

The Alcohol Use Disorders Identification Test (AUDIT) is a questionnaire that was developed to identify hazardous drinking; the version utilized here is a 3-question modification of the original AUDIT questionnaire and is referred to as the AUDIT-C Questionnaire.
  1. Complete the AUDIT-C Questionnaire based on the information given in the patient's history.
  2. Answer the Activity Question based on this patient's AUDIT-C Score.

Alcohol Use Disorders Identification Test (AUDIT-C)

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PointsQuestions

How often do you have a drink containing alcohol?


How many drinks containing alcohol do you have on a typical day when you are drinking?


How often do you have six or more drinks on one occasion?


AUDIT-C score

0 points

Interpretation:

  • Men, a score of 4 or more is considered positive, optimal for identifying hazardous drinking or active alcohol use disorders.
  • Women, a score of 3 or more is considered positive, optimal for identifying hazardous drinking or active alcohol use disorders.
  • NOTE: If all points are from Question 1, assume the patient is drinking below recommended limits and the medical provider should review the patient’s alcohol intake during the past few months.

Sources

National Institute on Alcohol Abuse and Alcoholism.

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Activity Question

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You must answer all of the questions before checking your work.

What is the AUDIT-C Score for this 51-year-old woman and what is the significance of this score?

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