American Society of Addiction Medicine (ASAM) Assessment 2026 – 400 Free Practice Questions to Pass the Exam

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Which of the following is an adverse effect of anabolic steroids?

Increased libido

Cholestatic jaundice

Cholestatic jaundice is an adverse effect associated with the use of anabolic steroids. This condition occurs when there is an accumulation of bile acids in the liver, leading to liver dysfunction. Anabolic steroids can induce hepatotoxicity, resulting in liver damage and cholestasis, which might be reflected in symptoms such as jaundice—characterized by a yellowing of the skin and eyes due to elevated levels of bilirubin.

While increased libido and improved mood stability can occasionally be effects of anabolic steroids, they do not constitute adverse effects. Decreased heart rate does not align with typical steroid effects either; in fact, anabolic steroid usage can potentially lead to cardiovascular issues, including changes in heart rate and rhythm. Thus, the only selection that directly indicates a harmful outcome of anabolic steroid use is cholestatic jaundice.

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Decreased heart rate

Improved mood stability

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