Which item is NOT typically included in routine labs for opioid detox assessment?

• A. HIV test
• B. CBC with differential
• C. UDS
• D. Syphilis screen

Answer: (B)

The main idea is that detox baseline labs focus on safety and identifying factors that can influence treatment. HIV testing and syphilis screening are routinely done because infections can co-occur with opioid use and knowing status guides care and prevention. A urine drug screen is also standard to detect other substances that could complicate withdrawal or safety during detox. A CBC with differential, while useful for general health, does not typically impact the detox protocol itself and isn’t needed as part of routine detox labs unless there are specific medical concerns (like symptoms suggesting infection or anemia). So the item not typically included in routine labs for opioid detox assessment is the complete blood count with differential.