Behave Anxiety Somatoform Disorder

24 Questions | Total Attempts: 688

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Anxiety Quizzes & Trivia

Somatoform disorder is any mental disorder, which manifests as physical symptoms that suggest illness or injury, but which cannot be explained fully by a general medical condition. Issues such as anxiety disorders can cause this disorder. Take up this quiz and see how much you know about behavior when it comes to anxiety somatoform disorder.


Questions and Answers
  • 1. 
    Questions 1-3 A 23-year-old medical student comes to the emergency room with increased heart rate, sweating, and shortness of breath. The student is convinced that she is having an asthma attack and that she will suffocate. The symptoms started suddenly during a car ride to school. The student has had episodes such as this on at least three previous occasions over the past 2 weeks. She has no history of asthma and, other than an increased pulse rate, physical findings are unremarkable.   Which of the following disorders best fits this clinical picture?
    • A. 

      Hypochondriasis

    • B. 

      Obsessive-compulsive disorder

    • C. 

      Panic disorder

    • D. 

      Generalized anxiety disorder

    • E. 

      Acute stress disorder

  • 2. 
    Questions 1-3 A 23-year-old medical student comes to the emergency room with increased heart rate, sweating, and shortness of breath. The student is convinced that she is having an asthma attack and that she will suffocate. The symptoms started suddenly during a car ride to school. The student has had episodes such as this on at least three previous occasions over the past 2 weeks. She has no history of asthma and, other than an increased pulse rate, physical findings are unremarkable.   Of the following, the most effective immediate treatment for this patient is
    • A. 

      An antidepressant

    • B. 

      A support group

    • C. 

      A benzodiazepine

    • D. 

      Buspirone

    • E. 

      A β-blocker

  • 3. 
    Questions 1-3 A 23-year-old medical student comes to the emergency room with increased heart rate, sweating, and shortness of breath. The student is convinced that she is having an asthma attack and that she will suffocate. The symptoms started suddenly during a car ride to school. The student has had episodes such as this on at least three previous occasions over the past 2 weeks. She has no history of asthma and, other than an increased pulse rate, physical findings are unremarkable.   Of the following, the most effective long-term treatment for this patient is
    • A. 

      An antidepressant

    • B. 

      A support group

    • C. 

      A benzodiazepine

    • D. 

      Buspirone

    • E. 

      A β-blocker

  • 4. 
    Questions 4 and 5 A 35-year-old woman who was raped 5 years ago has recurrent vivid memories of the incident accompanied by intense anxiety. These memories frequently intrude during her daily activities, and nightmares about the event often wake her. Her symptoms intensified when a coworker was raped 2 months ago.   This patient's symptoms most closely suggest
    • A. 

      Post-traumatic stress disorder

    • B. 

      Panic disorder

    • C. 

      Adjustment disorder

    • D. 

      Acute stress disorder

    • E. 

      Malingering

  • 5. 
    Questions 4 and 5 A 35-year-old woman who was raped 5 years ago has recurrent vivid memories of the incident accompanied by intense anxiety. These memories frequently intrude during her daily activities, and nightmares about the event often wake her. Her symptoms intensified when a coworker was raped 2 months ago. Of the following, the most effective long-term treatment for this patient is
    • A. 

      An antidepressant

    • B. 

      A support group

    • C. 

      A benzodiazepine

    • D. 

      Buspirone

    • E. 

      A β-blocker

  • 6. 
    Questions 6-8 A 45-year-old woman says that she frequently feels "nervous" and often has an "upset stomach," which includes heartburn, indigestion, and diarrhea. She has had this problem since she was 25 years of age and notes that other family members also are "tense and nervous."   Which of the following disorders best fits this clinical picture?
    • A. 

      Hypochondriasis

    • B. 

      Obsessive-compulsive disorder

    • C. 

      Panic disorder

    • D. 

      Generalized anxiety disorder

    • E. 

      Acute stress disorder

  • 7. 
    Questions 6-8 A 45-year-old woman says that she frequently feels "nervous" and often has an "upset stomach," which includes heartburn, indigestion, and diarrhea. She has had this problem since she was 25 years of age and notes that other family members also are "tense and nervous."   Which of the following additional signs or symptoms is this patient most likely to show?
    • A. 

      Flight of ideas

    • B. 

      Hallucinations

    • C. 

      Tingling in the extremities

    • D. 

      Ideas of reference

    • E. 

      Neologisms

  • 8. 
    Questions 6-8 A 45-year-old woman says that she frequently feels "nervous" and often has an "upset stomach," which includes heartburn, indigestion, and diarrhea. She has had this problem since she was 25 years of age and notes that other family members also are "tense and nervous."   Of the following, the most effective long-term treatment for this patient is
    • A. 

      Alprazolam (Xanax)

    • B. 

      Psychotherapy

    • C. 

      Propranolol (Inderal)

    • D. 

      Buspirone (BuSpar)

    • E. 

      Diazepam (Valium)

  • 9. 
    A 39-year-old woman claims that she injured her hand at work. She asserts that the pain caused by her injury prevents her from working. She has no further hand problems after she receives a $30,000 workers' compensation settlement. This clinical presentation is an example of
    • A. 

      Factitious disorder

    • B. 

      Conversion disorder

    • C. 

      Factitious disorder by proxy

    • D. 

      Somatization disorder

    • E. 

      Somatoform pain disorder

    • F. 

      Malingering

  • 10. 
    Which of the following events is most likely to result in post-traumatic stress disorder (PTSD)?
    • A. 

      Divorce

    • B. 

      Bankruptcy

    • C. 

      Diagnosis of diabetes mellitus

    • D. 

      Changing residence

    • E. 

      Robbery at knifepoint

  • 11. 
    Questions 11 and 12 A 39-year-old woman takes her 6-year-old son to a physician's office. She says that the child often experiences episodes of breathing problems and abdominal pain. The child's medical record shows many office visits and four abdominal surgical procedures, although no abnormalities were ever found. Physical examination and laboratory studies are unremarkable. When the doctor confronts the mother with the suspicion that she is fabricating the illness in the child, the mother angrily grabs the child and leaves the office immediately.   This clinical presentation is an example of
    • A. 

      Factitious disorder

    • B. 

      Conversion disorder

    • C. 

      Factitious disorder by proxy

    • D. 

      Somatization disorder

    • E. 

      Somatoform pain disorder

    • F. 

      Malingering

  • 12. 
    Questions 11 and 12 A 39-year-old woman takes her 6-year-old son to a physician's office. She says that the child often experiences episodes of breathing problems and abdominal pain. The child's medical record shows many office visits and four abdominal surgical procedures, although no abnormalities were ever found. Physical examination and laboratory studies are unremarkable. When the doctor confronts the mother with the suspicion that she is fabricating the illness in the child, the mother angrily grabs the child and leaves the office immediately.   In this situation, what is the first thing the physician should do?
    • A. 

      Take the child aside and ask him how he feels

    • B. 

      Call a pediatric pulmonologist to determine the cause of the dyspnea.

    • C. 

      Call a pediatric gastroenterologist to determine the cause of the abdominal pain.

    • D. 

      Notify the appropriate state social service agency to report the physician's suspicions.

    • E. 

      Wait until the child's next visit before taking any action

  • 13. 
    A 45-year-old woman has a 20-year history of vague physical complaints including nausea, painful menses, and loss of feeling in her legs. Physical examination and laboratory workup are unremarkable. She says that she has always had physical problems but that her doctors never seem to identify their cause. Which disorder best fits this clinical picture?
    • A. 

      Post-traumatic stress disorder

    • B. 

      Hypochondriasis

    • C. 

      Obsessive-compulsive disorder

    • D. 

      Panic disorder

    • E. 

      Somatization disorder

    • F. 

      Generalized anxiety disorder

    • G. 

      Body dysmorphic disorder

    • H. 

      Conversion disorder

    • I. 

      Specific phobia

    • J. 

      Social phobia

    • K. 

      Adjustment disorder

    • L. 

      Masked depression

  • 14. 
    Three months after moving, a teenager who was formerly outgoing and a good student seems sad, loses interest in making friends, and begins to do poor work in school. His appetite is normal and there is no evidence of suicidal ideation. Which disorder best fits this clinical picture?
    • A. 

      Post-traumatic stress disorder

    • B. 

      Hypochondriasis

    • C. 

      Obsessive-compulsive disorder

    • D. 

      Panic disorder

    • E. 

      Somatization disorder

    • F. 

      Generalized anxiety disorder

    • G. 

      Body dysmorphic disorder

    • H. 

      Conversion disorder

    • I. 

      Specific phobia

    • J. 

      Social phobia

    • K. 

      Adjustment disorder

    • L. 

      Masked depression

  • 15. 
    A 29-year-old man experiences a sudden hemiparesis, but appears unconcerned. He reports that just before the onset of paralysis, he saw his girlfriend with another man. Physical examination fails to reveal evidence of a medical problem. Which disorder best fits this clinical picture?
    • A. 

      Post-traumatic stress disorder

    • B. 

      Hypochondriasis

    • C. 

      Obsessive-compulsive disorder

    • D. 

      Panic disorder

    • E. 

      Somatization disorder

    • F. 

      Generalized anxiety disorder

    • G. 

      Body dysmorphic disorder

    • H. 

      Conversion disorder

    • I. 

      Specific phobia

    • J. 

      Social phobia

    • K. 

      Adjustment disorder

    • L. 

      Masked depression

  • 16. 
    A 41-year-old man says that he has been "sickly" for most of his life. He has seen many doctors but is angry with most of them because they ultimately referred him for psychological help. He now fears that he has stomach cancer because his stomach makes noises after he eats. Physical examination is unremarkable and body weight is normal. Which disorder best fits this clinical picture?
    • A. 

      Post-traumatic stress disorder

    • B. 

      Hypochondriasis

    • C. 

      Obsessive-compulsive disorder

    • D. 

      Panic disorder

    • E. 

      Somatization disorder

    • F. 

      Generalized anxiety disorder

    • G. 

      Body dysmorphic disorder

    • H. 

      Conversion disorder

    • I. 

      Specific phobia

    • J. 

      Social phobia

    • K. 

      Adjustment disorder

    • L. 

      Masked depression

  • 17. 
    A 41-year-old man says that he has been "sickly" for the past 3 months. He fears that he has stomach cancer. The patient is unshaven and appears thin and slowed down. Physical examination, including a gastrointestinal workup, is unremarkable except that the patient has lost 15 pounds since his last visit 1 year ago. Which disorder best fits this clinical picture?
    • A. 

      Post-traumatic stress disorder

    • B. 

      Hypochondriasis

    • C. 

      Obsessive-compulsive disorder

    • D. 

      Panic disorder

    • E. 

      Somatization disorder

    • F. 

      Generalized anxiety disorder

    • G. 

      Body dysmorphic disorder

    • H. 

      Conversion disorder

    • I. 

      Specific phobia

    • J. 

      Social phobia

    • K. 

      Adjustment disorder

    • L. 

      Masked depression

  • 18. 
    A 28-year-old woman seeks facial reconstructive surgery for her "sagging" eyelids. She rarely goes out in the daytime because she believes that this characteristic makes her look "like a grandmother." On physical examination, her eyelids appear completely normal. Which disorder best fits this clinical picture?
    • A. 

      Post-traumatic stress disorder

    • B. 

      Hypochondriasis

    • C. 

      Obsessive-compulsive disorder

    • D. 

      Panic disorder

    • E. 

      Somatization disorder

    • F. 

      Generalized anxiety disorder

    • G. 

      Body dysmorphic disorder

    • H. 

      Conversion disorder

    • I. 

      Specific phobia

    • J. 

      Social phobia

    • K. 

      Adjustment disorder

    • L. 

      Masked depression

  • 19. 
    A 29-year-old man is upset because he must take a client to dinner in a restaurant. Although he knows the client well, he is so afraid of making a mess while eating that he says he is not hungry and sips from a glass of water instead of ordering a meal. Which disorder best fits this clinical picture?
    • A. 

      Post-traumatic stress disorder

    • B. 

      Hypochondriasis

    • C. 

      Obsessive-compulsive disorder

    • D. 

      Panic disorder

    • E. 

      Somatization disorder

    • F. 

      Generalized anxiety disorder

    • G. 

      Body dysmorphic disorder

    • H. 

      Conversion disorder

    • I. 

      Specific phobia

    • J. 

      Social phobia

    • K. 

      Adjustment disorder

    • L. 

      Masked depression

  • 20. 
    A 35-year-old nurse is brought to the emergency room after fainting outside of a patient's room. The nurse notes that she has had fainting episodes before and that she often feels weak and shaky. Laboratory studies reveal hypoglycemia, very high insulin level, and suppressed plasma C peptide. Which of the following best fits this clinical picture?
    • A. 

      A sleep disorder

    • B. 

      A seizure disorder

    • C. 

      A somatoform disorder

    • D. 

      Malingering

    • E. 

      An endocrine disorder

    • F. 

      A factitious disorder

  • 21. 
    A 22-year-old man is brought into the emergency room by the police. The policeman tells the physician that the man was caught while attempting to rob a bank. When the police told him to freeze and drop his gun, the man dropped to the floor and could not speak, but remained conscious. When the doctor attempts to interview him, the patient repeatedly falls asleep. The history reveals that the patient's brother has narcolepsy. Which of the following best fits this clinical picture?
    • A. 

      A sleep disorder

    • B. 

      A seizure disorder

    • C. 

      A somatoform disorder

    • D. 

      Malingering

    • E. 

      An endocrine disorder

    • F. 

      A factitious disorder

  • 22. 
    Questions 22 and 23 A 12-year-old boy is admitted to the hospital with a diagnosis of "pain of unknown origin." His parents tell the physician that the child has complained about pain in his legs for about 1 month. Neurologic and orthopedic examinations fail to identify any pathology. The history reveals that the child was hospitalized on two previous occasions for other pain symptoms for which no cause was found. After 4 days in the hospital, the nurse reports that the child shows little evidence of pain and seems "remarkably content." She also reports that she found a medical textbook in the boy's bedside table with a bookmark in the section entitled "skeletal pain of unknown origin."     Which of the following best fits this clinical picture?
    • A. 

      A sleep disorder

    • B. 

      A seizure disorder

    • C. 

      A somatoform disorder

    • D. 

      Malingering

    • E. 

      An endocrine disorder

    • F. 

      A factitious disorder

  • 23. 
    Questions 22 and 23 A 12-year-old boy is admitted to the hospital with a diagnosis of "pain of unknown origin." His parents tell the physician that the child has complained about pain in his legs for about 1 month. Neurologic and orthopedic examinations fail to identify any pathology. The history reveals that the child was hospitalized on two previous occasions for other pain symptoms for which no cause was found. After 4 days in the hospital, the nurse reports that the child shows little evidence of pain and seems "remarkably content." She also reports that she found a medical textbook in the boy's bedside table with a bookmark in the section entitled "skeletal pain of unknown origin."     Which of the following best describes symptom production and motivation in this case?
    • A. 

      Symptom production conscious, motivation primarily conscious

    • B. 

      Symptom production unconscious, motivation primarily conscious

    • C. 

      Symptom production conscious, motivation primarily unconscious

    • D. 

      Symptom production unconscious, motivation primarily unconscious

  • 24. 
    A 40-year-old man tells his physician that he is often late for work because he has difficulty waking up on time. He attributes this problem to the fact that he gets out of bed repeatedly during the night to recheck the locks on the doors and to be sure the gas jets on the stove are turned off. His lateness is exacerbated by his need to count all of the traffic lights along the route. If he suspects that he missed a light, he becomes quite anxious and must then go back and recount them all. Physical examination and laboratory studies are unremarkable. Of the following, the most effective long-term treatment for this patient is most likely to be
    • A. 

      An antidepressant

    • B. 

      An antipsychotic

    • C. 

      A benzodiazepine

    • D. 

      Buspirone

    • E. 

      A β-blocker

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