QUESTION 1
1. Which of the following statements about paraphilia is false?
The presence of a paraphilia does not always justify clinical intervention.
Most paraphilias can be divided into those that involve unusual activity and those that involve an
unusual target.
Paraphilias may coexist with normophilic sexual interests.
It is rare for an individual to manifest more than one paraphilia.
1 points
QUESTION 2
1. What is the hallmark feature of caffeine withdrawal?
Vomiting.
Drowsiness.
Flu-like symptoms.
Headache.
1 points
QUESTION 3
1. People with schizophrenia almost universally show which of the following?
Rigid posturing and bizarre facial grimaces
Poor self-care involving hygiene and health
Perfectionistic thinking
Visual and olfactory hallucinations
1 points
QUESTION 4
1. A 65-year-old man with systemic lupus erythematosus who is being treated with corticosteroids
witnesses a serious motor vehicle accident. He begins to have disorganized speech, which lasts
for several days before resolving. What diagnosis best fits this clinical picture?
Schizophrenia
Psychotic disorder associated with systemic lupus erythematosus
Steroid-induced psychosis
Brief psychotic disorder, with marked stressor.
1 points
QUESTION 5
1. A 19 year old man presents to the clinic complaining of headaches, irritability, emotional liability,
and difficulty concentrating. He is accompanied by his mother, who tells you that her son has had
nervios since childhood. Which of the following statements about nervios is false?
Unlike ataque de nervios, which is a syndrome, nerviios is a cultural idiom of distress implying a
state of vulnerability to stressful experiences.
The term nervios is used only when the individual has serious loss of functionality or intense
symptoms.
Nervios can manifest with emotional symptoms, somatic
function.
disturbances, and an inability, to
Nervios can be rated to both trait characteristics of an individual and episodic psychiatric
symptoms such as depression and dissociative episodes.
1 points
QUESTION 6
1. A 3-year-old boy has rather severe temper tantrums that have occurred at least weekly for a 6week period. Although the tantrums can sometimes be associated with defiant behavior, they
often result from a change in routine, fatigue, or hunger, and he only rarely does anything
destructive. He is generally well behaved in nursery school and during periods between his
tantrums. Which of the following conclusions best fits this child’s presentation?
The boy does not meet criteria for oppositional defiant disorder (ODD).
The boy meets criteria formODD because of the presence of tantrums and defiant behavior.
The boy could be diagnosed with ODD as long as it does not appear that his home environment
is harsh, neglectful, or inconsistent.
The boy’s symptoms more likely represent intermittent explosive disorder than ODD.
1 points
QUESTION 7
1. The diagnostic criteria for substance abuse, substance dependence, substance intoxication, and
substance withdrawal were not equally applicable to all substances in DSM-IV. In DSM-5, this
remains true, although substance use
disorder now replaces the diagnoses of substance
abuse and substance dependence. For which of the following substance classes is there
adequate evidence to support diagnostic criteria in DSM-5 for the three major categories of
use disorder, intoxication, and withdrawal?
Caffeine
Cannabis
Tobacco
Hallucinogen
1 points
QUESTION 8
1. Which of the following is the only non-substance-related disorder to be included in the DSM-5
chapter “Substance-Related and Addictive Disorders”?
Gambling disorder.
Internet gaming disorder.
Electronic communication addiction disorder.
Compulsive shopping
1 points
QUESTION 9
1. A 50-year-old man with a history of a prior depressive episode is given an antidepressant by his
family doctor to help with his depressive symptoms. Two weeks later, his doctor contacts you for
a consultation because the patient now is euphoric, has increased energy, racing thoughts,
psychomotor agitation, poor concentration and attention, pressured speech, and a decreased
need to sleep. These symptoms began with the initiation of the patient’s new medication. The
patient stopped the medication after 2 days, as he no longer felt depressed; however, the
symptoms have continued ever since. What is the patient’s diagnosis?
Substance/medication-induced bipolar and related disorder.
Bipolar I disorder
Cyclothymic disorder
Major depressive disorder.
1 points
QUESTION 10
1. Which of the following symptoms is a recognized consequence of the abrupt termination of daily
or near-daily cannabis use?
Delusions.
Hallucinations.
Hunger.
Irritability.
1 points
QUESTION 11
1. The Criterion A symptoms listed for other hallucinogen use disorder are the same as those listed
for use disorders of most other substance classes, with one exception. Which of the following is
not a recognized symptom associated with hallucinogen use?
Tolerance.
A persistent desire or unsuccessful efforts to cut down or control use of the substance.
Recurrent use of the substance in situations in which it is physically hazardous.
Craving, or a strong desire or urge to use the substance
1 points
QUESTION 12
1. Which of the following does not represent a negative symptom of schizophrenia?
Sadness over loss of functionality
Affective flattening
Decreased motivation
Impoverished thought processes
1 points
QUESTION 13
1. Which of the following statements about prevalence/course of and risk factors for oppositional
defiant disorder (ODD) is false?
ODD is more prevalent in boys than in girls by a ratio of 1.4:1
Harsh, inconsistent, or neglectful child-rearing practices are common in the families of
individuals with ODD
ODD tends to be moderately stable across childhood and adolescence.
Biological factors such as lower heart rate and skin conductance reactivity, reduced basal
cortisol reactivity, and abnormalities in the prefrontal cortex and the amygdala have been
associated with ODD and can be used diagnostically.
1 points
QUESTION 14
1. A 25-year-old medical student presents to the student health service at 7 A.M. complaining of
having a “panic attack.” He reports that he stayed up all night studying for his final gross anatomy
exam, which starts in an hour, but he feels too anxious to go. He reports vomiting twice. The
patient is restless and appears flushed, with visible muscle twitching. He is urinating excessively,
has tachycardia, and his electrocardiogram shows premature ventricular complexes. His thoughts
and speech appear to be rambling in nature. His urine toxicology screen is negative. What is the
most likely diagnosis?
Panic disorder.
Amphetamine intoxication, amphetamine-like substance.
Caffeine intoxication.
Cocaine intoxication.
1 points
QUESTION 15
1. Which of the following biological markers is associated with intermittent ex- plosive disorder
(IED)?
Serotonergic abnormalities globally and in the limbic system and orbito-frontal cortex.
Reduced amygdala responses to anger stimuli during functional magnetic resonance imaging
(fMRI) scanning.
Atrophy of the cerebral cortex.
Increased urinary catecholamines.
1 points
QUESTION 16
1. Because opioid withdrawal and sedative, hypnotic, or anxiolytic withdrawal can involve very
similar symptoms, distinguishing between the two can be difficult. Which of the following
presenting symptoms would aid in making the correct diagnosis?
Nausea or vomiting
Anxiety.
Yawning.
Restlessness or agitation.
1 points
QUESTION 17
1. What is the most common co-occurring psychiatric diagnosis among individuals with a history of
significant prenatal alcohol exposure?
Major depressive disorder.
Generalized anxiety disorder.
Attention-deficit/hyperactivity disorder.
Oppositional defiant disorder.
1 points
QUESTION 18
1. A 10-year-old boy with a history of dyslexia, who is otherwise developmentally normal, is in a
skateboarding accident in which he experiences severe traumatic brain injury. This results in
significant global intellectual impairment (with a persistent reading deficit that is more pronounced
than his other newly acquired but stable deficits, along with a full-scale IQ of 75). There is mild
impairment in his adaptive functioning such that he requires support in some areas of functioning.
He is also displaying anxious and depressive symptoms in response to his accident and
hospitalization. What is the least likely diagnosis?
Intellectual disability (intellectual developmental disorder).
Traumatic brain injury.
Specific learning disorder.
Major neurocognitive disorder due to traumatic brain injury.
1 points
QUESTION 19
1. Imagine that you are in the last half of the middle ages. A large group of people in one town is
jumping and going through convulsion. You would be witnessing
Lycanthropy
Phrenitis
Exorcism
St Vitus’s Dance
1 points
QUESTION 20
1. A 7-year-old boy who has speech delays presents with long-standing, repetitive hand waving,
arm flapping, and finger wiggling. His mother reports that she first noticed these symptoms when
he was a toddler and wonders whether they are tics. She says that he tends to flap more when he
is engrossed in activities, such as while watching his favorite television program, but will stop
when called or distracted. Based on the mother's report, which of the following conditions would
be highest on your list of possible diagnoses?
Provisional tic disorder.
Persistent (chronic) motor or vocal tic disorder.
Dystonia
Motor stereotypies.
1 points
QUESTION 21
1. A 55-year-old man with a known history of alcohol dependence and schizophrenia is brought to
the emergency department because of frank delusions and visual hallucinations. Which of the
following would not be a diagnostic possibility for inclusion in the differential diagnosis?
Schizophrenia.
Substance/medication-induced psychotic disorder
Borderline personality disorder with psychotic features
Psychotic disorder due to another medical condition
1 points
QUESTION 22
1. The DSM-5 diagnosis of intellectual developmental disorder includes severity specifiers—Mild, Moderate, Severe, and
Profound—with which to indicate the level of supports required in various domains of adaptive functioning. Which of
the following features would not be characteristic of an individual with a "Severe" level of impairment?
The individual generally has little understanding of written language or of concepts involving numbers, quantity, time,
and money.
In adulthood, the individual may be able to sustain competitive employment in a job that does
not emphasize conceptual skills.
The individual's spoken language is quite limited in terms of vocabulary and grammar.
The individual requires support for all activities of daily living, including meals, dressing, bathing,
and toileting.
1 points
QUESTION 23
1. A previously well-behaved 13-year-old girl begins to display extremely defiant and oppositional
behavior, with vindictiveness. She is angry, argumentative, and refuses to accept responsibility
for her behavior, which is affecting both her home life and school life in a significant way. What is
the least likely diagnosis?
Major depressive disorder.
Bipolar disorder.
Adjustment disorder.
Oppositional defiant disorder
1 points
QUESTION 24
1. A 22 year old an from Zimbabwe presents to a clinic with a complaint of anxiety and pain in his
chest. He tells the clinician that the cause of his symptoms is kufungisisa, or “thinking too much.”
Which of the following statements about kufungisisa is true?
In cultures in which kufungisisa is a shared concept, thinking a lot about troubling issues is
considered to be a helpful way of dealing with them.
The term kufungisisa is used as both a cultural explanation and a cultural idiom of distress.
Kufungisisa involves concerns about bodily deformity.
Kufungisisa is related to schizophrenia.
1 points
QUESTION 25
1. While intoxicated at a Mardi Gras celebration, a 19 year old woman lifts her blouse and bra as a
float goes by to get beads. The event appears on a cable news program watched by friends of
her parents, who inform her parents. They insist that she get a psychiatric evaluation. She denies
any other similar events in her life but admits that the experience was “sort of sexy.” She is
currently extremely anxious and distressed – to the point of being unable to focus on her work at
college – about her parents’ anger at her and their refusal to allow her to attend parties or go
away on vacation. What is the most appropriate diagnosis?
Exhibitionistic disorder
Frotteuristic disorder
Voyeuristic disorder
Adjustment disorder
1 points
QUESTION 26
1. Which of the following statements about the differential diagnosis of conduct disorder (CD) and
oppositional defiant disorder (ODD) is true?
In both diagnoses, individuals tend to have conflict with authority figures
In both diagnoses, individuals display significant emotional dysregulation.
In both diagnoses, individuals display aggression toward people or animals.
In both diagnoses, individuals destroy property, steal, or lie.
1 points
QUESTION 27
1. There is a requirement for a major depressive episode or a manic episode to be part of the
symptom picture for a DSM-5 diagnosis of schizoaffective disorder. In order to separate
schizoaffective disorder from depressive or bipolar disorder with psychotic features, which of the
following symptoms must be present for at least 2 weeks in the absence of a major mood episode
at some point during the lifetime duration of the illness?
Delusions or hallucinations
Regressed behavior.
Projective identification
Binge eating
1 points
QUESTION 28
1. According to the DSM’s definition of mental disorder, impairment in one or more areas of
functioning (disability)
Must be present in order to make a diagnosis.
Maybe present but is not necessary condition for making a diagnosis
Is one of the less important features of a mental disorder
Must be present for at least six months to be considered a true disability
1 points
QUESTION 29
1. Which of the following statements about the developmental course of intellectual disability
(intellectual developmental disorder) is true?
Delayed motor, language, and social milestones are not identifiable until after the first 2 years of life.
Intellectual disability caused by an illness (e.g., encephalitis) or by head trauma occurring during the developmental
period would be diagnosed as a neurocognitive disorder, not as intellectual disability (intellectual developmental
disorder).
Intellectual disability is always non-progressive.
Major neurocognitive disorder may co-occur with intellectual developmental disorder.
1 points
QUESTION 30
1. A 15-year-old girl with a history of cruelty to animals, stealing, school truancy, and running away
from home shows no remorse when caught, or when she is confronted with how her behavior is
affecting the rest of her family. She disregards he feelings of others and seems to not care that
her conduct is compromising her school performance. The behavior has been present for over a
year and in multiple relationships and settings. Which of the following components of the “With
limited prosocial emotions” specifier is absent in this clinical picture?
Lack of remorse or guilt.
Callous—lack of empathy.
Lack of concern about performance.
Shallow or deficient affect.
1 points
QUESTION 31
1. Which of the following is not a commonly recognized type of delusion?
Persecutory.
Erotomanic.
Alien abduction
Grandiose
1 points
QUESTION 32
1. A 35 year old woman tells her therapist that she has recently become intensely aroused while
watching movies in which people are tortured and that she regularly fantasizes about torturing
people while masturbating. She is not distressed by these thoughts and denies ever having acted
on these new fantasies, though she fantasizes about these activities several times a day. Which
of the following best summarizes the diagnostic implications of this patient’s presentation.
She meets all of the criteria for sexual sadism disorder.
She does not meet the criteria for sexual sadism disorder because the fantasies are not sexual
in nature.
She does not meet the criteria for sexual sadism disorder because she has never acted on
these fantasies.
She does not meet the criteria for sexual sadism disorder because he interests and arousal
began after age 35.
1 points
QUESTION 33
1. Mental Health epidemiology is
The study of epidemics in mental disorders among the general population
The study of organic brain diseases among different ethnic populations of a defined geographic
region
A sociological study of psychological disorders
The study of the distribution of mental disorders in a given population
1 points
QUESTION 34
1. Whereas in DSM-IV, there were 11 recognized substance classes, DSM-5 has only 10, because
certain related substances have been combined into a single class. Which of the following pairs
of drugs falls into a single class in DSM-5?
Cocaine and phencyclidine (PCP).
Cocaine and methamphetamine.
3,4-Methylenedioxymethamphetamine (MDMA [Ecstasy]) and methamphetamine.
Lorazepam and oxycodone
1 points
QUESTION 35
1. A 32-year-old man reports 1 week of feeling unusually irritable. During this time, he has increased
energy and activity, sleeps less, and finds it difficult to sit still. He also is more talkative than usual
and is easily distractible, to the point of finding it difficult to complete his work assignments. A
physical examination and laboratory workup are negative for any medical cause of his symptoms
and he takes no medications. What diagnosis best fits this clinical picture?
Bipolar I disorder, with mixed features
Manic episode
Hypomanic episode.
Cyclothymic disorder.
1 points
QUESTION 36
1. Formal thought disorder refers to
Disturbances in thought content, such as a belief that one’s private thoughts are being
broadcast to others
A withdrawal from reality
Alogia, the absence of speech
Disturbance in language and communication
1 points
QUESTION 37
1. Which personality disorder has the highest prevalence among individuals with cannabis use
disorder?
Obsessive-compulsive personality disorder.
Paranoid personality disorder.
Schizotypal personality disorder.
Antisocial personality disorder
1 points
QUESTION 38
1. Mario frequently has auditory hallucinations (he hears voices that no one else hears). He lives in
a religious community where those who hallucinate are believed to be blessed by God with
special gift. According to DSM, Mario
Should not be considered as having mental disorder because he is exhibiting a culturally
sanctioned behavior
Should be given a diagnosis of a mental disorder because auditory hallucinations are known to
be hallmark feature of mental illness
Should be given a diagnosis of mental disorder because bizarre religious behavior is a sign of
dysfunction
1 points
QUESTION 39
1. The Solarists are a cult whose members believe that they control the movements of the sun with
special hand gestures. What would the DSM say about this group
The group suffers from Shared Delusion Psychosis
0.
Because
1.
a group of person shares a belief, however strange, the group must be considered
emotionally healthy
While some of this group’s individual members may meet criteria for a DSM diagnosis, the DSM
does not diagnose groups.
None of the choice
1 points
QUESTION 40
1. Which of the following is not a recognized alcohol-related disorder in DSM-5?
Alcohol dependence.
Alcohol use disorder.
Alcohol intoxication.
Alcohol withdrawal.
1 points
QUESTION 41
1. Chester’s behavior indicates positive syndrome schizophrenia. We can expect that he
Is often withdrawn , unexpressive and unresponsive to events
Is unusually upbeat, grandiose and happy
Is agitated, delusional and hallucination
Demonstrates such classic symptoms that we can be positive he has schizophrenia
1 points
QUESTION 42
1. A 15-year-old male student in private school, without known psychiatric history, has been caught
stealing other students’ laptops and cell phones, even though he comes from a wealthy family
and his parents continue to purchase the newest electronics for him in an effort to deter him from
stealing. Which of the following would raise your clinical suspicion that he may have kleptomania?
He demonstrates recurrent failure to resist impulses to steal objects that are not needed for
personal use or for their monetary value.
He demonstrates recurrent failure to resist impulses to steal objects during periods of
detachment or boredom.
He experiences increased tension before committing the theft but does not experience relief,
pleasure, or gratification while committing the theft.
He has a strong family history for antisocial personality disorder and conduct disorder.
1 points
QUESTION 43
1. Marian becomes sexually aroused during sexual intercourse with her husband, but she is
distressed that she is unable to have an orgasm with him. Marian suffers from
Female orgasmic disorder
Female sexual interest/arousal disorder
Genito-Pelvic Pain/Penetration Disorder
Premature lubrication
1 points
QUESTION 44
1. A patient with a history of bipolar I disorder presents with a new-onset manic episode and is
successfully treated with medication adjustment. He notes chronic depressive symptoms that, on
reflection, long preceded his manic episodes. He describes these symptoms as “feeling down,”
having decreased energy, and more often than not having no motivation. He denies other
depressive symptoms but feels that these alone have been sufficient to negatively affect his
marriage. Which diagnosis best fits this presentation?
Other specified bipolar and related disorder
Bipolar I disorder, current or most recent episode depressed.
Cyclothymic disorder.
Bipolar I disorder and persistent depressive disorder (dysthymia).
1 points
QUESTION 45
1. Norepinephrine, dopamine, serotonin and GABA are all
hormones that affect behavior
neurotransmitters that are involved in psychopathology
cathelamines that inhibit impulses
forms of neurotransmitters that causes damage
1 points
QUESTION 46
1. Which of the following statements about the development and course of autism spectrum disorder
(ASD) is false?
Symptoms of ASD are typically recognized during the second year of life (12-24 months of age).
Symptoms of ASD are usually not noticeable until 5-6 years of age or later.
First symptoms frequently involve delayed language development, often accompanied by lack of
social interest or unusual social interactions.
ASD is not a degenerative disorder, and it is typical for learning and compensation to continue
throughout life.
1 points
QUESTION 47
1. A 16-year-old boy with a long history of defiant behavior toward authority figures also has a
history of aggression toward peers (gets into fights at school), toward his parents, and toward
objects (punching holes in walls, breaking doors). He frequently lies, and he has recently begun
to steal merchandise from stores and money and jewelry from his parents. He does not seem
pervasively irritable or depressed, and he has no sleep disturbance or psychotic symptoms. What
is the most likely diagnosis?
Oppositional defiant disorder (ODD).
Conduct disorder.
Attention-deficit/hyperactivity disorder (ADHD)
Major depressive disorder.
1 points
QUESTION 48
1. Which of the following is a key component of the DSM definition of mental disorder?
There is a conflict between individual’s behavior and social expectations
The person’s behavior must produce a biological, behavioral or psychological dysfunction
The person’s behavior must be caused by dysfunction in his/her family
The behavior must be characterized by deviant political, religious or sexual behavior
1 points
QUESTION 49
1. Which of the following is an example of a negative symptom?
Hallucination
Emotional unresponsiveness
Emotional turmoil
Delusions
1 points
QUESTION 50
1. A 15-year-old boy has a history of episodic violent behavior that is out of proportion to the
precipitant. During a typical episode, which will escalate rapidly, he will become extremely angry,
punching holes in walls or destroying furniture in the home. There seems to be no specific
purpose or gain associated with the outbursts, and within 30 minutes he is calm and “back to
himself,” a state that is not associated with any predominant mood disturbance. What diagnosis
best fits this clinical picture?
Bipolar disorder.
Disruptive mood dysregulation disorder (DMDD).
Intermittent explosive disorder (IED)
QUESTION 1
1. Beth shows delusional thinking and hallucinations. Joey shows hallucinations and formal thought
disorder. According to DSM they
Could be both classified as schizophrenic
Would be given different diagnoses
Probably have different etiologies
Should get different treatments
1 points
QUESTION 2
1. Koro and Taijin Kyofusho are disorders that ____
indicate that OCD have similar features regardless of cultural differences
show the influence of genetics rather than direct experience or learning
are culture related anxiety disorder
tend to disprove the preparedness viewpoint on anxiety disorders
1 points
QUESTION 3
1. A 17-year-old boy with a history of bullying and initiating fights using bats and knives has also
stolen from others, set fires, destroyed property, broken into homes, and “conned” others. This
pattern of disturbed conduct covers all of the Criterion A behavior categories EXCEPT
Aggression to people and animals.
Destruction of property.
Deceitfulness or theft.
Serious violations of rules.
1 points
QUESTION 4
1. Plato argued that people who were not responsible for their actions should not be punished in the
same way as normal person. This is similar to our modern concept of
Insanity
Unconscious motivation
Hysteria
Moral treatment
1 points
QUESTION 5
1. A young Haitian man from a prominent family becomes severely depressed after his first
semester of university studies. The family brings the young man to a clinician and states that
maladi moun has caused his problems. Which of the following statements about maladi moun
is false?
It is similar to Mediterranean concepts of the “evil eye,” in which a person’s good fortune is
envied by others who in turn cause misfortune to the individual.
It can present with a wide variety of symptoms, from anxiety to psychosis.
It is based on a share social assumption that “rising tides lift all boats.”
0.
.
It is a Haitian cultural explanation for a diverse set of medical and
emotional presentations
1 points
QUESTION 6
1. A 19 year old man presents to the clinic complaining of headaches, irritability, emotional liability,
and difficulty concentrating. He is accompanied by his mother, who tells you that her son has had
nervios since childhood. Which of the following statements about nervios is false?
Unlike ataque de nervios, which is a syndrome, nerviios is a cultural idiom of distress implying a
state of vulnerability to stressful experiences.
The term nervios is used only when the individual has serious loss of functionality or intense
symptoms.
0.
.
Nervios can manifest with emotional symptoms, somatic
function.
disturbances, and an inability, to
Nervios can be rated to both trait characteristics of an individual and episodic psychiatric
symptoms such as depression and dissociative episodes.
1 points
QUESTION 7
1. All of the following are considered as psychotic symptoms EXCEPT:
Delusions
Hallucinations
Disorganized speech
Depression
1 points
QUESTION 8
1. Sheena looks normal but is obsessively preoccupied with some imagined defect in appearance.
She is experiencing
Trichotillomania
Hoarding disorder
Obsessive compulsive disorder
Body dysmorphic disorder
1 points
QUESTION 9
1. As observed, Rene, several times keeps on returning home even he is fully dressed and ready
enough for work. He is returning because he wanted to double-check the doors, windows and
other parts of the house. This might be a reason of
Safety
Overt behavior
Consciousness
Obsession
1 points
QUESTION 10
1. A 22-year-old university student presents to his primary care physician complaining of
progressive worsening of numbness, tingling, and weakness in both of his legs over the past
several weeks. His gait is unsteady, and he has difficulty grasping objects in his hands. He did
not use any substances on the day of presentation but admits that over the past 3 months he has
been consistently using one particular substance on a daily basis. Which substance use disorder
most likely accounts for this patient’s symptoms?
Cannabis use disorder.
Other hallucinogen use disorder.
Inhalant use disorder.
Other (or unknown) substance use disorder
1 points
QUESTION 11
1. According to the DSM’s definition of mental disorder, impairment in one or more areas of
functioning (disability)
Must be present in order to make a diagnosis.
Maybe present but is not necessary condition for making a diagnosis
Is one of the less important features of a mental disorder
Must be present for at least six months to be considered a true disability
1 points
QUESTION 12
1. In contrast to compulsions, obsession concerns on
Thoughts
People
Objects
Rituals
1 points
QUESTION 13
1. The Solarists are a cult whose members believe that they control the movements of the sun with
special hand gestures. What would the DSM say about this group
The group suffers from Shared Delusion Psychosis
Because a group of person shares a belief, however strange, the group must be considered
emotionally healthy
While some of this group’s individual members may meet criteria for a DSM diagnosis, the DSM
does not diagnose groups
None of the choice
1 points
QUESTION 14
1. A 3-year-old boy has rather severe temper tantrums that have occurred at least weekly for a 6week period. Although the tantrums can sometimes be associated with defiant behavior, they
often result from a change in routine, fatigue, or hunger, and he only rarely does anything
destructive. He is generally well behaved in nursery school and during periods between his
tantrums. Which of the following conclusions best fits this child’s presentation?
The boy does not meet criteria for oppositional defiant disorder (ODD).
The boy meets criteria formODD because of the presence of tantrums and defiant behavior.
The boy could be diagnosed with ODD as long as it does not appear that his home environment
is harsh, neglectful, or inconsistent.
The boy’s symptoms more likely represent intermittent explosive disorder than ODD
1 points
QUESTION 15
1. An individual diagnosed with posttraumatic stress disorder must have experienced an intensely
threatening event prior to showing symptoms. In this case, a traumatic event is ___ cause of the
disorder.
Reinforcing
sufficient
Necessary
etiological
1 points
QUESTION 16
1. Formal thought disorder refers to
Disturbances in thought content, such as a belief that one’s private thoughts are being
broadcast to others
A withdrawal from reality
Alogia, the absence of speech
Disturbance in language and communication
1 points
QUESTION 17
1. Which of the following is a key component of the DSM definition of mental disorder?
There is a conflict between individual’s behavior and social expectations
The person’s behavior must produce a biological, behavioral or psychological dysfunction
The person’s behavior must be caused by dysfunction in his/her family
The behavior must be characterized by deviant political, religious or sexual behavior
1 points
QUESTION 18
1. A 15-year-old male student in private school, without known psychiatric history, has been caught
stealing other students’ laptops and cell phones, even though he comes from a wealthy family
and his parents continue to purchase the newest electronics for him in an effort to deter him from
stealing. Which of the following would raise your clinical suspicion that he may have kleptomania?
He demonstrates recurrent failure to resist impulses to steal objects that are not needed for
personal use or for their monetary value.
He demonstrates recurrent failure to resist impulses to steal objects during periods of
detachment or boredom.
He experiences increased tension before committing the theft but does not experience relief,
pleasure, or gratification while committing the theft.
He has a strong family history for antisocial personality disorder and conduct disorder.
1 points
QUESTION 19
1. Which of the following is not a recognized alcohol-related disorder in DSM-5?
Alcohol dependence.
Alcohol use disorder.
Alcohol intoxication.
Alcohol withdrawal.
1 points
QUESTION 20
1. A 35 year old woman tells her therapist that she has recently become intensely aroused while
watching movies in which people are tortured and that she regularly fantasizes about torturing
people while masturbating. She is not distressed by these thoughts and denies ever having acted
on these new fantasies, though she fantasizes about these activities several times a day. Which
of the following best summarizes the diagnostic implications of this patient’s presentation.
She meets all of the criteria for sexual sadism disorder.
She does not meet the criteria for sexual sadism disorder because the fantasies are not sexual
in nature.
She does not meet the criteria for sexual sadism disorder because she has never acted on
these fantasies.
She does not meet the criteria for sexual sadism disorder because he interests and arousal
began after age 35.
1 points
QUESTION 21
1. A condition which an individual’s sense of personal identity is temporarily lost.
depersonalization
derealisation
fugue
.
amnesia
1 points
QUESTION 22
1. Which of the following does not qualify as aggressive behavior under Criterion A definitions for
the diagnosis of conduct disorder?
Cyberbullying.
Forcing some one into sexual activity.
Stealing while confronting a victim.
Aggression in the context of a mood disorder.
1 points
QUESTION 23
1. The discovery of syphilis as the cause of general paresis was important because it
Clearly showed the importance of genetics in the origins of mental disorder
Quickly lead to a cure for mental disorder
Gave strong support for a biological explanation for mental disorder
.
Rejected the Victorian idea that neurasthenia is a function of sexual repression
1 points
QUESTION 24
1. An inability to initiate and do things.
Avolition
Apraxia
Arrhythmia
Anhedonia
1 points
QUESTION 25
1. Which of the following statements about individuals who qualify for the “With limited prosocial
emotions” specifier for conduct disorder is true?
These individuals are more likely to have the childhood-onset type of conduct disorder.
These individuals generally display personality features such as risk avoidance, fearfulness, and
extreme sensitivity to punishment.
These individuals are less likely than other individuals with conduct disorder to engage in
aggression that is planned for instrumental gain.
These individuals generally exert more effort in their activities compared with other individuals
with conduct disorder, and consequently are more successful.
1 points
QUESTION 26
1. Which of the following is NOT one of the situations where agoraphobics have fear of?
Inside buses
Standing in line
Walking on bridges
Being inside the house
1 points
QUESTION 27
1. A person with schizophrenia believes that he is dead. The belief is called:
Cotard’s syndrome
Capgras syndrome
Delusion of persecution
Delusion of grandeur
1 points
QUESTION 28
1. A person who is described inhibited and emotionally withdrawn and unable to form attachment
with caregivers may be diagnosed with
Disinhibited social engagement disorder
Obsessive compulsive disorder
Obsessive compulsive personality disorder
Reactive attachment disorder
1 points
QUESTION 29
1. Fear and anxiety are similar in that both ____.
can be adaptive response
involve the activation of the fight or flight response
contain physiological and behavioral components
contain certain physiological and cognitive/subjective components
1 points
QUESTION 30
1. These are those for which there is no obvious cue or trigger at the time of occurrence
Limited symptoms attacks
Expected panic attacks
Unexpected panic attacks
Nocturnal panic attacks
1 points
QUESTION 31
1. Floy and Jundy had so much fun during their food trip. After they got home, Floy directly go to
bed and fall asleep. However, Jundy is so distressed because he feels diarrhea. What can be
concluded with the situation?
Nothing is wrong with the two.
.
Floy is normal, Jundy has hypochondriasis
Both are hypochondriatic
Floy is using denial as defense, while Jundy is having hypochondriasis
1 points
QUESTION 32
1. The following are not considerations for a person to diagnose with depression, except.
Distractibility
Feeling of hopelessness
Increased energy
Euphoria
1 points
QUESTION 33
1. A previously well-behaved 13-year-old girl begins to display extremely defiant and oppositional
behavior, with vindictiveness. She is angry, argumentative, and refuses to accept responsibility
for her behavior, which is affecting both her home life and school life in a significant way. What is
the least likely diagnosis?
Major depressive disorder.
Bipolar disorder.
Oppositional defiant disorder.
Adjustment disorder.
1 points
QUESTION 34
1. While intoxicated at a Mardi Gras celebration, a 19 year old woman lifts her blouse and bra as a
float goes by to get beads. The event appears on a cable news program watched by friends of
her parents, who inform her parents. They insist that she get a psychiatric evaluation. She denies
any other similar events in her life but admits that the experience was “sort of sexy.” She is
currently extremely anxious and distressed – to the point of being unable to focus on her work at
college – about her parents’ anger at her and their refusal to allow her to attend parties or go
away on vacation. What is the most appropriate diagnosis?
0.
Exhibitionistic disorder
Frotteuristic disorder
Voyeuristic disorder
Adjustment disorder
1 points
QUESTION 35
1. Diego ran out of the house when he saw a mouse. This is an example of the ___ component of
fear response.
Physiological
Behavioral
Subjective
Cognitive
1 points
QUESTION 36
1. An act which professionalize psychology in the Philippines.
RA 10329
RA 10029
RA 11027
RA 10037
1 points
QUESTION 37
1.
0. Which of the following statements about risk factors in conduct disorder is false?
.
A difficult under controlled
a.
infant temperament and lower-than-average verbal IQ are risk factors
for conduct disorder.
Family-based risk factors include parental rejection and neglect, inconsistent child-rearing
practices, harsh discipline, physical or sexual abuse, lack of supervision, early institutional living,
frequent changes of caregivers, large family size, and substance-related disorders.
Parental history of attention-deficit/hyperactivity disorder (ADHD) does not constitute a risk
factor for conduct disorder in offspring.
The risk of conduct disorder is increased in children who have a biological or adoptive parent or
sibling with conduct disorder.
1 points
QUESTION 38
1. Which of the following symptoms is a recognized consequence of the abrupt termination of daily
or near-daily cannabis use?
Hallucinations.
Delusions.
Hunger.
Irritability.
1 points
QUESTION 39
1. Which organ system or anatomical function is most commonly affected by chronic use of 3,4methylenedioxymethamphetamine (MDMA [Ecstasy])?
Neurological.
Respiratory.
Cardiopulmonary
Oral cavity.
1 points
QUESTION 40
1. If you are a clinician, you must be guided by the code of ethics in diagnosing clients. Which of the
choices is an example of correct labelling?
A difficult client
Person with schizophrenia
Beautiful girl
No specific rule for labelling diagnosis
1 points
QUESTION 41
1. When anxiety becomes chronic and severe, it is
0.
A fear response
Maladaptive
Often adaptive in helping an individual plan for potential threats
No longer possible to extinguish
1 points
QUESTION 42
1. Sissy was asked by the therapist, “How are you? She simply smiled and answer my mother is out
of town. However, after a minute, she said, “I am okay”. This is an example of
Tangentiality
Circumstantiality
Flight of ideas
Word salad
1 points
QUESTION 43
1. A crucial aspect of developmental psychopathology is understanding individual maladaptation
As a phenomenon no different in children than in adults
As a disease process
In the context of normal developmental changes
In a cultural context that determine what is acceptable behavior
1 points
QUESTION 44
1. The diagnostic criteria for oppositional defiant disorder (ODD) include specifiers for indicating
severity of the disorder as manifested by pervasiveness of symptoms across settings and
relationships. Which of the following specifiers would be appropriate for an 11-year-old boy who
meets Criterion A symptoms in two settings?
Mild.
Moderate.
Severe.
Extreme.
1 points
QUESTION 45
1. A 22 year old an from Zimbabwe presents to a clinic with a complaint of anxiety and pain in his
chest. He tells the clinician that the cause of his symptoms is kufungisisa, or “thinking too much.”
Which of the following statements about kufungisisa is true?
In cultures in which kufungisisa is a shared concept, thinking a lot about troubling issues is
considered to be a helpful way of dealing with them.
The term kufungisisa is used as both a cultural explanation and a cultural idiom of distress.
Kufungisisa involves concerns about bodily deformity.
Kufungisisa is related to schizophrenia
1 points
QUESTION 46
1. The diagnostic criteria for substance abuse, substance dependence, substance intoxication, and
substance withdrawal were not equally applicable to all substances in DSM-IV. In DSM-5, this
remains true, although substance use disorder now replaces the diagnoses of substance
abuse and substance dependence. For which of the following substance classes is there
adequate evidence to support diagnostic criteria in DSM-5 for the three major categories of
use disorder, intoxication, and withdrawal?
Caffeine
Cannabis
0.
Tobacco
Inhalant
1 points
QUESTION 47
1. A person who is extremely afraid or irrationally afraid of clowns is suffering from which specific
type of phobia
Animal
Natural environment
Situational
Others
1 points
QUESTION 48
1. Norepinephrine, dopamine, serotonin and GABA are all ______.
hormones that affect behavior
neurotransmitters that are involved in psychopathology
cathelamines that inhibit impulses
forms of neurotransmitters that causes damage
1 points
QUESTION 49
1. Daisy’s grandmother Diary has Alzheimer’s disease. She can no longer recognize objects as well
as the faces of her grandchildren. Based on this, Diary is suffering
from what symptom of dementia?
Apraxia
Aphasia
Agnosia
Anhedonia
1 points
QUESTION 50
1. A mother deliberately fakes her child’s sickness to gain attention and benefits from something. It
is considered as
Personality disorder
Munchausen syndrome by proxy
Illness anxiety disorder
Ataque de nervosa