DSM-5 Module 1

10 Questions | By Hmhi | Last updated: Jul 23, 2016 | Total Attempts: 679

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Questions and Answers

1.

A. The individual presents himself or herself to others as ill, impaired or injured.B. The deceptive behavior is evident even in the absence of obvious external rewards.C. The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.D. Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.

Discuss
- A.
  
  Illness Anxiety Disorder
- B.
  
  Conversion Disorder
- C.
  
  Psychological Factors Affecting Other Medical Conditions
- D.
  
  Factitious Disorder
2.

A. One or more symptoms of altered voluntary motor or sensory function.B. Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions.C. The symptom or deficit is not better explained by another medical or mental disorder.D. The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.

Discuss
- A.
  
  Factitious Disorder
- B.
  
  Conversion Disorder
- C.
  
  Illness Anxiety Disorder
- D.
  
  Somatic Symptom Disorder
3.

A. At least one of the three following symptoms must be experienced on almost all or all (approximately 75% - 100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts):1. Marked difficulty in obtaining an erection during sexual activity.2. Marked difficulty in maintaining an erection until the completion of sexual activity.3. Marked decrease in erectile rigidity.B. The symptoms in Criterion A have persisted for a minimum duration of approximately 6 months.C. The symptoms in Criterion A cause clinically significant distress in the individual.D. The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other significant stressors and is not attributable to he effects of substance/medication or another medical condition .
- A.
  
  Erectile Disorder
- B.
  
  Delayed Ejaculation
- C.
  
  Female Orgasmic Disorder
- D.
  
  Female Sexual Interest/Arousal Disorder
4.

A. Excessive reference to others for self-definition and self-esteem regulation; exaggerated self-appraisal inflated or deflated, or vacillating between extremes; emotional regulation mirrors fluctuations in self-esteem.B. Goal setting based on gaining approval from others; personal standards unreasonably high in order to see oneself as exceptional, or too low based on a sense of entitlement; often unaware of own motivations.C. Impaired ability to recognize or identify with the feelings and needs of others; excessively attuned to reactions of others, but only if perceived as relevant to self; over- or underestimate of own effect on others.D. Relationships largely superficial and exist to serve self-esteem regulation; mutually constrained by little genuine interest in others' experiences and pre-dominance of a need for personal gain.
- A.
  
  Obsessive-Compulsive Personality Disorder
- B.
  
  Narcissistic Personality Disorder
- C.
  
  Borderline Personality Disorder
- D.
  
  Avoidant Personality Disorder
5.

A. Confused boundaries between self and others; distorted self-concept; emotional expression often not congruent with the context or internal experience.B. Unrealistic or incoherent goals; no clear set of internal standards.C. Pronounced difficulty understanding impact of own behaviors on others; frequent misinterpretations of others' motivation and behaviors.D. Marked impairments in developing close relationships, associated with mistrust and anxiety.
- A.
  
  Schizotypal Personality Disorder
- B.
  
  Antisocial Personality Disorder
- C.
  
  Avoidant Personality Disorder
- D.
  
  Narcissistic Personality Disorder
6.

A. Egocentrism; self-esteem derived from personal gain, power, or pleasure.B. Goal setting based on personal gratification; absence of prosocial internal standards, associated with failure to conform to lawful or culturally normative ethical behavior.C. Lack of concern for feelings, needs, or suffering or others; lack of remorse after hurting or mistreating another.D. Incapacity for mutually intimate relationships, as exploitation is a primary means of relating to others, including by deceit and coercion; use of dominance or intimidation to control others.

Discuss
- A.
  
  Narcissistic Personality Disorder
- B.
  
  Avoidant Personality Disorder
- C.
  
  Borderline Personality Disorder
- D.
  
  Antisocial Personality Disorder
7.

Exposure to actual or threatened death, serious injury, or sexual violation in one (or more) of the following ways:1. Directly experiencing the traumatic event(s)2. Witnessing, in person, the event(s) as it occurred to others.3. Learning that the event(s) occurred to a close family member or close friend. Note: In cases of actual death or threatened death of a family member of friend, the event(s) must have been violent or accidental.4. Experiencing repeated or extreme exposure to aversive details of the traumatic event(s) (e.g., first responders collecting human remains, police officers repeatedly exposed to details of child abuse).

Discuss
- A.
  
  Posttraumatic Stress Disorder
- B.
  
  Other Specified Trauma- and Stressor Related Disorder
- C.
  
  Adjustment Disorder
- D.
  
  Acute Stress Disorder
8.

A. Recurrent pulling out one's hair, resulting in hair loss.B. Repeated attempts to decrease or stop hair pulling.C. The hair pulling causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.D. The hair pulling is not better explained by the symptoms of another mental disorder (e.g., attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder).
- A.
  
  Excoriation
- B.
  
  Substance/Medication-Induced Obsessive-Compulsive
- C.
  
  Trichotillomania
- D.
  
  Body Dysmorphic Disorder
9.

Presence of one (or more) of the following symptoms. At least one of these must be (1), (2) or (3):1. Delusions2. Hallucinations3. Disorganized speech (e.g., frequent derailment or incoherence).4. Grossly disorganized or catatonic behavior.NOTE: Do not include a symptom if it is a culturally sanctioned response.B. Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning.C. The disturbance is not better explained by major depressive or bipolar disorder with psychotic features or another psychotic disorder such as schizophrenia or catatonia, and is not attributable to the physiological effects of a substance (e.g., a drug abuse, medication) or another medical condition.

Discuss
- A.
  
  Schizoaffective Disorder
- B.
  
  Brief Psychotic Disorder
- C.
  
  Schizophreniform Disorder
- D.
  
  Schizophrenia
10.

A. Repeated passage of feces into inappropriate places (e.g., clothing, floor), whether involuntary or intentional.B. At least one such event occurs each month for at least 3 months.C. Chronological age is at least 4 years (or equivalent developmental level).D. The behavior is not attributable to the physiological effects of a substance (e.g., laxatives) or another medical condition except through a mechanism involving constipation.
- A.
  
  Chronic Diarrhea
- B.
  
  Other Specified Elimination Disorder
- C.
  
  Enuresis
- D.
  
  Encopresis

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