Adult Psychopathology Part 1
- 1.Which of the following is NOT a limitation of the DSM-IV?
- A.
Problems related to ethnic/culture differences
- B.
Limited research for how well diagnosis criteria apply to children
- C.
If a patient only meets 4 out of 5 of the necessary symptoms you can't diagnose them with anything
- D.
A disease-based model over-emphasizes within-person traits and minimizes contextual influence
- 2.Which of the following does not match correctly?
- A.
Axis I: Clinical Disorders
- B.
Axis II: Personality Disorders
- C.
Axis III: General Medical Conditions & Intellectual Disabilities
- D.
Axis IV: Psychosocial Factors & Environmental Factors
- E.
Axis V: Global Assessment of Functioning
- 3.Which of the following describes the time-line of the prodormal stage of a disorder?
- A.
Days, months or years prior to the active stage
- B.
The time right before the active stage (aka the antecedent)
- C.
The actual active stage
- D.
The symptoms that continue to occur after the active stage subsides
- 4.Which of the following affect descriptions doesn't match up?
- A.
Flat - lacking in expression
- B.
Blunt - limited repertoire of emotion expressions but with sharp sudden onset
- C.
Labile - rapidly shifting and intense emotion expressions
- D.
Inappropriate - laughing during a funeral
- E.
Restricted - specific range of affect shown (like smiling but never laughing)
- 5.Which of the following delusions does not match up?
- A.
Somatic - there's something wrong with my body
- B.
Persecutory - someone is after me
- C.
Grandiose - I'm God
- D.
Jealousy - related to martial infidelity
- E.
Erotomania - related to sexuality (Koro is a cultural example)
- 6.Which of the following is true:
- A.
The hypnagogic state occurs as we're falling asleep and hallucinations that occur during this state are not clinically significant.
- B.
The hypnopompic state occurs as we're falling asleep and hallucinations that occur during this state are not clinically significant.
- C.
The hypnagogic state occurs as we're falling asleep and hallucinations that occur during this state are clinically significant.
- D.
The hypnopompic state occurs as we're falling asleep and hallucinations that occur during this state are clinically significant.
- 7.Which of the following is true?
- A.
A person with initial insomnia will generally awaken in the first third of the night
- B.
A person with late insomnia will generally fall asleep very late
- C.
A person with middle insomnia will often wake up in the middle of the night AND have difficulty falling back asleep
- D.
A person with late insomnia will often have difficulty getting to work on time
- 8.You could reasonably expect to work on idealization & devaluation of intimate partners with a client diagnosed with _______________.
- A.
Dependent Personality Disorder
- B.
Borderline Personality Disorder
- C.
Schizoid Personality Disorder
- D.
Schizotypal Personality Disorder
- 9.An individual has had recurrent substance-related legal problems as well as recurrent substance abuse in situations in which it is physically hazardous. In addition, the individual reports experiencing both tolerance and withdrawal to alcohol and has had numerous failed attempts to stop drinking so much. Based on this, which of the following would the client be diagnosed with?
- A.
Substance Abuse
- B.
Substance Dependence
- C.
Both Substance Abuse and Substance Dependence
- D.
Neither Disorder
- 10.A client believes that the government has a plot to make sure he is never happy. He believes cameras monitor his every motion and if he displays any positive emotional expression, they will make sure the rest of his day is bad. As a result, he displays no emotional expressions. Under the diagnostic criteria for schizophrenia, this qualifies as a 'negative symptom' (affective flattening).
- A.
True
- B.
False
- 11.Which of the following regarding psychotic and mood time-lines is not true?
- A.
If the mood symptoms only occur during the active psychotic stage, and vice versa, then the individual may have Mood Disorder with Psychotic Features
- B.
If the mood symptoms only occur during the active psychotic stage, but the active psychotic symptoms occur in the absence of mood symptoms, the individual may have Schizoaffective Disorder
- C.
If the mood symptoms only occur during the active psychotic stage, and take up a large part of the psychotic episode, the individual may have Schizophrenia
- D.
If the mood symptoms only occur during the residual psychotic stage and do not occur during a large part of the psychotic episode, the individual may have Schizophrenia
- 12.If a client with schizophrenia experiences catatonic behaviors, disorganized speech & behavior, hallucinations, and delusions, their Schizophrenia subtype is:
- A.
Paranoid
- B.
Disorganized
- C.
Catatonic
- D.
Undifferentiated
- E.
Residual
- 13.A client could NOT be diagnosed with:
- A.
Delusional Disorder & Paranoid Personality Disorder
- B.
Delusional Disorder & Schizotypal Personality Disorder
- C.
Schizotypal Personality Disorder & Paranoid Personality Disorder
- D.
Delusional Disorder & Paranoid Personality Disorder & Schizotypal Personality Disorder
- E.
All of these are valid sets of diagnoses
- 14.When considering diagnosing Schizoaffective Disorder, a patient's lack of eating due to a delusion that people are poisoning his food should not count as a symptom of mood disorder.
- A.
True
- B.
False
- 15.An individual has been having a non-bizarre delusion for six weeks and has been diagnosed with Delusional Disorder. The individual is now experiencing a concurrent Major Depressive Episode (with depressed mood) in addition to the delusion. Since the individual experienced psychotic symptoms with and without a mood disorder for sufficient time, they should be rediagnosed as Schizoaffective Disorder.
- A.
True
- B.
False
- 16.Hypochondriasis and Delusional Disorder, Somatic Type both share a preoccupation with fear of contracting or having a serious disease. The way to differentiate them is based on:
- A.
Duration of symptom presentation
- B.
Presence of other psychotic symptoms
- C.
Intensity of belief
- D.
None, in this situation Delusional Disorder always preempts Hypochondriasis
- 17.An individual has a sudden onset of psychotic symptoms (hallucinations and delusions) and mood symptoms (meeting criteria for a Major Depressive Episode), These concurrent symptoms last three weeks and then become completely resolved.What is the diagnosis?
- A.
Brief Psychotic Disorder and Mood Disorder with Psychotic Features
- B.
Brief Psychotic Disorder and Mood Disorder NOS
- C.
Mood Disorder with Psychotic Features
- D.
Brief Psychotic Disorder
- 18.An individual experienced a Major Depressive Episode, but has a full remission lasting three months. After this, the individual begins to experience depressed mood for most of the day along with overeating and low self-esteem for the next two years. Since three months separated the Major Depressive Episode from the onset of the new symptoms, there is a diagnosis of Dysthymic Disorder.
- A.
True
- B.
False
- 19.An individual had a Major Depressive Episode four years ago. Starting two years ago, the individual experienced recurrent periods of depressive symptoms (none meeting Major Depressive Episode criteria) and hypomanic symptoms (only half of which meet criteria for Hypomanic Episodes) for two years. What may the diagnosis be?
- A.
Dysthymic Disorder
- B.
Cyclothymic Disorder
- C.
Bipolar I Disorder
- D.
Bipolar II Disorder
- 20.How many episodes does Rapid Cycling require per year?
- A.
2
- B.
4
- C.
8
- D.
12
- 21.After serving in the Vietnam War, an individual develops PTSD and is diagnosed and treated for it. Years later, he seeks a therapist because he's experienced panic attacks and doesn't understand why. Although they feel unexpected to the client, the therapist recognizes they're situationally bound to anytime the client hears planes flying overhead (because of his PTSD). What type of panic attack is this therefore?
- A.
Unexpected
- B.
Situationally predisposed
- C.
Situationally bound
- D.
It depends on the client's reaction when the therapist tells him
- 22.Specific Phobia IS TO Hypochondriasis AS _____________ IS TO ______________.
- A.
Fear of currently having a disease; fear of contracting a disease
- B.
Fear of currently having a disease; fear of spreading disease
- C.
Fear of contracting disease; fear of currently having a disease
- D.
Fear of contracting disease; fear of spreading disease
- 23.A person with _________________ is likely to be concerned about their quality of performance when there are observers, whereas a person with ________________ is likely to be concerned about the quality of their performance regardless of observers.
- A.
Social Phobia; Generalized Anxiety Disorder
- B.
Generalized Anxiety Disorder; Social Phobia
- C.
Generalized Anxiety Disorder; Agoraphobia
- D.
Social Phobia; Avoidant Personality Disorder
- 24.Which of the following is true?
- A.
If an individual meets all of the criteria for PTSD in response to a non-extreme stressor, they may meet the criteria for an Adjustment Disorder
- B.
If an individual meets almost all of the criteria for PTSD in response to an extreme stressor, they may meet the criteria for an Adjustment Disorder
- C.
Both A & B are true
- D.
Nothing about diagnostic criteria regarding PTSD relates to Adjustment Disorder
- 25.Brief Psychotic Disorder IS TO Schizophreniform Disorder AS ______________ IS TO ___________.
- A.
Acute Stress Disorder; Posttraumatic Stress Disorder
- B.
Adjustment Disorder; Posttraumatic Stress Disorder
- C.
Acute Stress Disorder; Adjustment Disorder
- D.
Acute Stress Disorder; Anxiety Disorder NOS
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