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Abnormal Psychology Practice Set I
Instruction: Choose the letter of the best answer.
1. Which is not true about abnormal psychology?
a) It is concerned with describing the abnormal and then coming up with psychodiagnosis.
b) It is concerned with developing new theories about the relationship of behavior and mind.
c) It is concerned with explaining human nature using different theoretical perspectives.
d) It is concerned with the future outcome of abnormal behavior.
2. Which of the following is not true about abnormal behavior?
a) Deviation from the optimal is one criterion for abnormality.
b) The statistical criterion defines abnormality as those behaviors that are frequent.
c) Both are correct
d) None is correct
3. Which of the following is true about the multicultural perspectives of abnormality?
a) All normal behaviors but not abnormal behaviors originate from a cultural context.
b) It is reflected in the two cultural perspectives for explaining abnormality: cultural
universality, and cultural relativism.
c) All behaviors, both normal and abnormal, originate from cultural context.
d) Biological origins of behavior are given more importance than interpersonal factors.
4. They are trained in much the same way as clinical psychologists, but they treat less serious
problems.
a) Social workers
b) Psychometricians
c) Psychiatrists
d) Counseling psychologists
5. Edward avoids interacting with other people for fear of being criticized, embarrassed, or
humiliated. He is a Law student so this trait is giving him a lot of problems. What disorder does
Edward possibly have?
a) Social Phobia
b) Specific Phobia
c) PTSD
d) GAD
6. For the past eight months Emily has been unrealistically worrying about so many things, even
little trivial things in her daily routine. She is anxious all day, from the time she wakes up until
she is about to sleep. What disorder does Emily possibly have?
a) Social Phobia
b) Specific Phobia
c) PTSD
d) GAD
pg. 1 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
7. Which of the following is not true regarding the causation of PTSD?
a) Social Theory states that PTSD is caused by fears acquired from the brutality of social
catastrophes.
b) The behavioral model proposes that conditioning and avoidance learning play roles in the
acquisition and maintenance of PTSD.
c) Biological explanations of PTSD explain that a permanent impact on the nervous system
occurs after a life-threatening experience.
d) Cognitive-behavioral approaches believe that PTSD is caused by negative, maladaptive, and
pessimistic thoughts.
8. These mental health professionals have medical degrees and can prescribe medications.
a) Social workers
b) Psychometricians
c) Psychiatrists
d) Counseling psychologists
9. Which of the following is not a goal of epidemiology?
a) Determine the clinical manifestation of a disorder
b) Determine the prevalence of a disorder
c) Determine the incidence of a disorder
d) Spot the changing trends in the manifestation of a disorder
10. Which is not a myth about psychological disorders?
a) Mental disorders cannot be cured.
b) Mental disorders stem from a lack of willpower.
c) Mental disorders is not always inherited.
d) Mentally disturbed people can be readily spotted.
11. Maggie’s third prominent symptom is the fact that she laughs when there is no reason to laugh
and cries when there is no reason to cry. What is this symptom?
a) Inappropriate affect
b) Flattened affect
c) Blunted affect
d) Stupor
12. Which of the following is true about the age of onset of schizophrenia?
a) It usually starts in adolescence in females.
b) When onset occurs after 65, it is considered late-onset.
c) It typically starts at the 4th decade for males.
d) It typically starts later in females than in males.
13. All of the following are gestational etiological factors for Schizophrenia except…
a) Rhesus factor incompatibility
b) Developmental fixation in the establishment of the ego
c) Excess of winter births
d) Maternal starvation during pregnancy
pg. 2 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
14. Which of the following is not true regarding the neurostructural basis of Schizophrenia?
a) Decrease in size of amygdala
b) Enlargement of lateral and third ventricles
c) Decrease in size in lateral and third ventricles
d) Decrease in size of parahippocampal gyrus
15. The Dopamine Hypothesis states that…
a) Schizophrenia results from too much dopamine activity.
b) Schizophrenia is a result of presence of dopamine.
c) Schizophrenia is a result of absence of dopamine.
16. Schizophrenia increases levels of dopamine.
This answers the question in a given period of time how much of a given disorder occurred.
a) Epidemiology
b) Incidence
c) Prognosis
d) Prevalence
17. Inability to perform one’s work and personal responsibilities is an example of this criterion of
abnormality.
a) Dysfunction
b) Deviance
c) Discomfort
d) Danger
18. When a person has a significant tendency to commit suicide, it is an example of this criterion of
abnormality.
a) Dysfunction
b) Deviance
c) Discomfort
d) Danger
19. This perspective may claim that mourning about the death of a family member for one whole
year may be normal in some societies but not in others.
a) Cultural ethnocentrism
b) Cultural relativism
c) Cultural universality
d) Cultural temporocentrism
20. This perspective will consider a person’s neural conditions, unconscious motivations, and
interpersonal conflicts when understanding the beginnings and development of a
psychopathology.
a) Psychodynamic perspective
b) Cultural perspective
c) Cognitive Perspective
d) Integrated Perspective
pg. 3 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
21. Which of the following is not a characteristic of abnormality according to DSM-IV-TR?
a) Distress
b) Risk of harm
c) Executive Functions
d) Loss of freedom
22. Which of the following is true about the conception of abnormality?
a) Deviation both from the average and the optimum has been considered as criteria for
abnormality.
b) It is always accompanied by a damage in the person’s brain.
c) The presence of insight about one’s disorder is a sign that it is very severe.
d) Biology is always a more important etiological factor of psychopathology than culture.
23. Which of the following is not a domain in the Integrative definition of abnormality?
a) Biological domain
b) Psychological domain
c) Sociocultural domain
d) Spiritual domain
24. They are chronic, rigid, and maladaptive patterns of behavior.
a) Mood disorders
b) Anxiety disorders
c) Personality disorders
d) Psychotic Disorders
25. This disorder involves the symptoms of paranoia, in which the individual is distressful,
suspicious, guarded and vigilant toward other people.
a) Paranoid Personality Disorder
b) Passive Aggressive Personality Disorder
c) Narcissistic Personality Disorder
d) Defiant Personality Disorder
26. People with this condition are very theatrical, extroverted and enjoy being the center of
attention. They are also typically flirtatious, seductive and vain.
a) Paranoid Personality Disorder
b) Passive Aggressive Personality Disorder
c) Narcissistic Personality Disorder
d) Histrionic Personality Disorder
27. People with this disorder rely excessively on other people, and so they lack the skills and abilities
to handle problems and life tasks on their own.
a) Paranoid Personality Disorder
b) Passive Aggressive Personality Disorder
c) Dependent Personality Disorder
d) Histrionic Personality Disorder
pg. 4 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
28. People from this cluster of personality disorders are avoidant of social relationships, peculiar but
not psychotic.
a) Cluster A
b) Cluster B
c) Cluster C
d) Cluster D
29. Which statement is true regarding the causation of Narcissistic Personality Disorder?
a) The Biological perspective claims that there is a neurotransmitter overproduction.
b) Behavioral theory claims that it originates from a traumatic event during childhood.
c) Ego Psychology says that it stems from an overuse of defense mechanisms.
d) Psychodynamic theory claims that they have unresolved conflicts around sexuality.
30. Which statement is not true regarding the causation of Antisocial Personality Disorder?
a) They grew up in homes with inconsistent discipline.
b) They had impoverished standard of living.
c) One or both of the parents was/were absent in their life.
d) They grew up having homosexual parents.
31. Which statement is true regarding the causation of Dependent Personality Disorder?
a) Social theory claims that they grew up financially dependent from a distant relative.
b) Psychodynamic theory believes that there was a disturbance in the individual’s early
attachment patterns with caregivers.
c) They grew up in a politically chaotic community.
d) They had a traumatic experience during their puberty.
32. Which statement is true about the causation of Borderline Personality Disorder?
a) There is usually significant neglect and abuse during childhood.
b) Social theory claims that they grew up financially dependent from a distant relative.
c) Psychodynamic theory believes that there was a disturbance in the individual’s early
attachment patterns with caregivers.
d) They grew up in a politically chaotic community.
33. Which statement is not true regarding the treatment of Borderline Personality Disorder?
a) Treatment of BDP is difficult and challenging.
b) It includes changing the neurotransmitter concentration in the nervous system.
c) There is debate about whether to focus more on confrontational or supportive approaches.
d) Most clinicians believe that therapy should focus on helping the client become more
emotionally stable and predictable.
34. Kelly does not trust any person in her life. She is always vigilant and suspicious about the actions
of other people. She also often blames others for her own faults and shortcomings. What PD
does Kelly possibly have?
a) Dependent Personality Disorder
b) Schizotypal Personality Disorder
c) Paranoid Personality Disorder
d) Avoidant Personality Disorder
pg. 5 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
35. Which is not a recommended treatment for Agoraphobia?
a) Introspection
b) Relaxation training
c) Systematic Desensitization
d) Modelling
36. For the past 6 and a half months, Melinda has been hearing voices inside her head almost all day
everyday. She also claims that ancestors from another galaxy are on their way to fetch her soon
and that she must be ready for a long travel ahead. What disorder does Melinda possibly have?
a) Schizoid
b) Schizophrenia
c) Schizophreniform
d) Schizotypal
37. Gary has been strongly believing that the coffee he drinks in the morning has poison, and he’s
been seriously claiming this everyday for the past 5 weeks.What disorder does Garry possibly
have?
a) Delusional Disorder
b) Shared Psychotic Disorder
c) Caffeine Intoxication
d) Brief Psychotic Disorder
38. Gary’s wife Anna has also started believing that Gary’s morning coffee is poisoned. Of course,
both of their beliefs are without any substantial evidence or reason to support them. What
disorder does Anna possibly have?
a) Delusional Disorder
b) Shared Psychotic Disorder
c) Caffeine Intoxication
d) Brief Psychotic Disorder
39. It is a false sensory perception occurring in the absence of any relevant external stimulus.
a) Illusion
b) Percept
c) Delusion
d) Hallucination
40. Which of the following symptoms responds well to anti-psychotic medication?
a) Alogia
b) Anhedonia
c) Avolition
d) Delusion
41. Maggie, a patient from the psychiatric ward, is so difficult to talk to. When she responds to your
questions, her responses are totally unrelated. She is showing what symptom?
a) Derailment
b) Tangetiality
c) Perseveration
d) Word Salad
pg. 6 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
42. Maggie also believes that people are removing thoughts from her mind. What is this symptom?
a) Idea of reference
b) Thought withdrawal
c) Thought insertion
d) Thought evolution
43. In this condition there is physical malfunction without any physical or organic pathology, and it
can be accompanied by la belle indifference.
a) Conversion Disorder
b) Psychosomatic condition
c) Somatization disorder
d) Pain disorder
44. The predominant disturbance in this disorder is sudden unexpected travel away from home or
one's customary place of work with inability to recall one's past.
a) Dissociative Amnesia
b) Dissociative Fugue
c) Dissociative Identity Disorder
d) Depersonalization Disorder
45. The predominant disturbance in this disorder is persistent or recurrent experiences of feeling
detached from, and as if one is an outside observer of one's mental processes or body.
a) Dissociative Amnesia
b) Dissociative Fugue
c) Dissociative Identity Disorder
d) Depersonalization Disorder
46. This symptom is the disruption in the usually integrated functions of consciousness, memory,
identity,perception.
a) Dissociation
b) Depersonalization
c) Disidentification
d) Daydreaming
47. Which statement is true regarding the role of serotonin in Schizophrenia?
a) Elevated levels of serotonin contributes to the emergence of negative, but not positive,
symptoms of schizophrenia.
b) Elevated levels of serotonin contributes to the emergence of both negative and positive
symptoms of schizophrenia.
c) Decreased levels of serotonin contributes to the emergence of negative, but not positive,
symptoms of schizophrenia.
d) Decreased levels of serotonin contributes to the emergence of both negative and positive
symptoms of schizophrenia.
pg. 7 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
48. Which is not true regarding the etiology of Schizophrenia according to the Psychoanalytical
perspective?
a) It is due to ego decompensation.
b) Defect in ego alters interpretation of reality and control of inner drives
c) Defect in ego causes natural regulation in defense mechanism usage.
d) There is excessivePrimary Process thinking.
49. Who claimed that schizophrenia is due to distortions in the reciprocal relationship of infant and
mother?
a) Harry Stack Sullivan
b) Sigmund Freud
c) Henry Murray
d) Margaret Mahler
50. Who linked Schizophrenia to schisms and skewed families?
a) Harry Stack Sullivan
b) Lyman Wynne
c) Henry Murray
d) Theodore Lidz
51. Which of the following is not part of the biological therapy in Schizophrenia?
a) Electroconvulsive Therapy
b) Psychosocial therapy
c) Pharmacological therapy
d) Antipsychotic drugs
52. Which is not part of the options of treatment in Schizophrenia?
a) Imaginal flooding
b) Psychosocial rehabilitation
c) Psychotherapy
d) Pharmacological treatment
53. It is subaverage intellectual functioning: an IQ of approximately 79 or below on an individually
administered IQ test.
a) ADHD
b) MR
c) Asperger’s
d) Dementia
54. Failure to use developmentally expected speech sounds that are appropriate for age and dialect.
a) ADHD
b) Phonological Disorder
c) Asperger’s
d) Dementia
pg. 8 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
55. Gina is a 6-year-old boy who was observed to have no eye contact when being talked to. In fact
he is still not able to utter clear words at his age. He also has interesting preoccupations with the
keyboards of laptops playing with them for hours sometimes. What possible disorder does Lordy
have?
a) ADHD
b) Phonological Disorder
c) Autistic Disorder
d) Dementia
56. What is true regarding the difference between Autistic Disorder and Asperger’s Syndrome?
a) There psychotic symptoms in Autistic Disorder but there is none in Asperger’s Syndrome.
b) There is language delay in Autistic Disorder but there is none in Asperger’s Syndrome.
c) There is impairment in social function in Autistic Disorder but there is none in Asperger’s
Syndrome.
57. Angelo is 5 years old. His mom complains that he is so energetic and seem to enjoy running
around and destroying the arrangement of things in there house most of the time. He also
forgets to tie his shoes and button his shirt a lot of times. When being scolded, Angelo always
don’t listen. What possible disorder does Angelo have?
a) ADHD
b) Phonological Disorder
c) Autistic Disorder
d) Dementia
58. The following are linked to the causation of Learning Disorder except…
a) Lead Poisoning
b) Fetal Alcohol Syndrome
c) Fragile X Syndrome
d) Traumatic event in childhood
59. The following are hereditary causation factors of Mental Retardation except…
a) Inherited errors of metabolism
b) Single gene abnormalities
c) Chromosomal aberrations
d) Lead poisoning
60. George does not like social interactions with anyone. He likes doing things alone and he also
seems to show no emotion. He also does not enjoy any activity or hobby. What PD does George
possibly have?
a) Dependent Personality Disorder
b) Schizotypal Personality Disorder
c) Schizoid Personality Disorder
d) Avoidant Personality Disorder
61. This disorder is characterized by repeated Panic Attacks.
a) Agoraphobia
b) Phobia
c) Anxiety Disorder
d) Panic Disorder
pg. 9 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
62. Which of the following is not true regarding the causation or age of onset of OCD?
a) Cognitive-behavioral theory explains that OCD is a learned association between anxietycausing thoughts and the anxiety-relieving acts.
b) Strong evidence supports a biological explanation of the disorder, associating it to an excess
of serotonin.
c) OCD is found to be due to an excessive usage of one’s executive functions at a very early
age.
d) The onset of the disorder is usually during childhood or adolescence.
63. It is characterized by developmentally inappropriate and excessive anxiety concerning
separation from home or from those to whom the child is attached.
a) Social Anxiety Disorder
b) Separation Anxiety Disorder
c) Selective Anxiety Disorder
d) Selective Mutism
64. It is characterized by a consistent failure to speak in specific social situations despite speaking in
other situations.
a) Social Anxiety Disorder
b) Separation Anxiety Disorder
c) Selective Anxiety Disorder
d) Selective Mutism
65. This disorder may be manifested by marked delays in achieving motor milestones, dropping
things, clumsiness, poor performance in sports, or poor handwriting.
a) Motor Skills Disorder
b) Motor Ability Disorder
c) Mental Retardation
d) Separation Retardation
66. This condition is characterized by the presence of a cluster of cognitive, behavioral, and
physiological symptoms indicating the individual’s continuous use of the substance despite
significant substance-related problems.
a) Substance intoxication
b) Substance Withdrawal
c) Substance Dependence
d) Substance Use
67. Kevin has recently stopped drinking alcohol like he used to. However he has worsen. is very
anxious at the same time that he is vomiting often and having difficulty falling asleep. What is
the possible condition that Kevin has?
a) Alcohol Intoxication
b) Alcohol Dependence
c) Alcohol Abuse
d) Alcohol Withdrawal
pg. 10 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
68. Benedict ran into trouble with the police, because he was reported to have started a fight with
many of his neighbors early this morning. He wanted to punch everybody in the face. He was
very angry and vigilant of possible attacks from birds from the sky. What substance did he
possible ingest?
a) Cocaine
b) Amphetamine
c) Any of A and B
d) Alcohol
69. Jane came from a meeting at work. They all had coffee, and after the meeting she stated feeling
nervous, a bit excited and restless. Her heart beat was elevated, she had to urinate 5 times in
two hours and she is now having difficulty falling asleep. How much coffee do you think she
drank?
a) 1 cup
b) Half a cup
c) 3 cups
d) 15 cups
70. What is the appropriate diagnosis for Jane?
a) Caffeine Abuse
b) Caffeine Nervousness
c) Caffeine Intoxication
d) Caffeine Withdrawal
71. Caffeine Withdrawal
a) Delirium
b) Amnesia
c) Dementia
d) Dystonia
72. Five years ago his wife lola Venus was also brought to the doctor because of fading memory,
difficulty speaking and recognizing close family members. What possible condition is lola Venus
suffering from?
a) Delirium
b) Amnesia
c) Dementia
d) Dystonia
73. One of her other symptoms was the inability to recognize her personal belongings such as her
purse, eyeglasses, and shoes. What is this symptom?
a) Apraxia
b) Aphasia
c) Avolition
d) Agosia
pg. 11 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
74. This is the type of amnesia wherein the person cannot remember past events.
a) Retrograde amnesia
b) Anterograde amnesia
c) Organic Amnesia
d) Apraxia
75. Robert, a67- year-old male patient, was recently diagnosed with dementia. What specific
feature of his case indicates that it is a vascular dementia?
a) Amnesia
b) Agnosia
c) His age
d) Weakness in his arms
76. Which is not known as a neurostructural basis of Alzheimer’s Disease?
a) Enlarged frontal lobe
b) Flattened cortical sulci
c) Enlarged cerebral ventricles
d) Diffuse atrophy in parietal and temporal lobes
77. Which is not a common pathological finding in Alzheimer’s Disease?
a) Microtubule overproduction
b) Amyloid plaques
c) Neurofibrillary tangles
d) Protein fragments
78. Examples of this type of memory are tying your shoelace, playing the guitar, typing-writing.
a) Declarative memory
b) Sematic memory
c) Short-term memory
d) Procedural memory
79. This is the ability of the brain to receive and interpret sensory stimuli.
a) Cognition
b) Consciousness
c) Sensorium
d) Executive function
80. Which is correct regarding the etiology of delirium?
a) Increased acetylcholine appears to play a role in the delirium.
b) Decreased acetylcholine appears to play a role in the delirium.
c) It is a sign that any other medical condition that the patient has is improving already.
d) It is always caused by a dysfunctional family.
81. Which of the following is true regarding gender and schizophrenia?
a) Males have better social functioning prior to the onset of the disease.
b) Females have more negative symptoms.
c) Males have more negative symptoms
d) Males have more positive symptoms.
pg. 12 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
82. Which of the following is true regarding gender and Personality Disorders?
a) More females are diagnosed with Borderline and Histrionic Personality Disorders.
b) More males are diagnosed with Borderline and Histrionic Personality Disorders.
c) More females are diagnosed with Antisocial and Narcissistic Personality Disorder.
d) There is equal incidence of male and female in all the Personality Disorders.
83. If the client has an IQ level of 33, what is the correct code?
a) Moderate Mental Retardation
b) Profound Mental Retardation
c) Severe Mental Retardation
d) Mild Mental Retardation
84. The inability to articulate verbally one’s thoughts is…
a) Verbal Agnosia
b) Broca’s Aphasia
c) Wernicke’s Aphasia
d) Receptive Aphasia
85. When was trephining used as a treatment for demonic possessions?
a) Greco-Roman Era
b) Dark Ages
c) Pre-historic times
d) Reform movement
86. When was witchcraft a common explanation for abnormal behavior?
a) Dark Ages
b) 15th-17th centuries
c) 18th-19 centuries
d) 20th century
87. What is not a contemporary trend in abnormal psychology?
a) Some psychiatrists wanting legal privilege for prescribing medicines
b) Some psychologists wanting legal privilege for prescribing medicines
c) Growing respect for the diversity and development of multicultural psychology
d) Natural explanations of mental disorders
88. It is a pervasive and sustained emotion.
a) Mood
b) Affect
c) Feelings
d) Temperament
89. Which is true regarding gender and Major Depression?
a) Females are less likely to have it than males.
b) Males are more likely to have it than females.
c) Females are 2-3 times more likely to have it than males.
d) There is equal prevalence among males and females for Major Depression.
pg. 13 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
90. It is low-level depression for at least two years.
a) Major Depression
b) Hypomania
c) Bipolar Disorder
d) Dysthymic Disorder
91.
a)
b)
c)
d)
It is the condition when a major depressive episode is superimposed on Dysthymic Disorder.
Major Depression
Hypomania
Bipolar Disorder
Double Depression
92. Which of the following is not a Unipolar Disorder?
a) Cyclothymic Disorder
b) Dysthymic Disorder
c) Major Depressive Disorder
d) Depressive Disorder NOS
93. This is major depression that is associated with winter seasons and short days.
a) Masked Depression
b) Double Depression
c) Major Depression
d) SAD
94. If you have a client with expansive and elevated mood very often to the point that his/her
functionality in work and personal contexts are impaired, what disorder would you most
consider?
a) Bipolar 1
b) Bipolar 2
c) Unipolar Disorder
d) Double Depression
95. Depression results from decreased levels of serotonin. This explanation is called…
a) Catecholamine Hypothesis
b) Indoleamine Hypothesis
c) Neuronal Hypothesis
d) Dopamine Hypothesis
96. It states that one gives up after learning that one’s efforts are futile in avoiding pain and
frustration.
a) Self Efficacy Hypothesis
b) Low Empowerment Hypothesis
c) Determinism Theory
d) Seligman’s Learned Helplessness Theory
pg. 14 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
Abnormal Psychology Practice Set I
97.
a)
b)
c)
d)
Beck’s Cognitive Triad is composed of…
Negative view of self, others and behavior
Negative view of self, identity and others
Negative view of self, others and world
Negative view of self, others and future
98. In this disorder there is a preoccupation with fears of havinga serious disease based on the
person’s misinterpretation of bodily symptoms.
a) Hypochondriasis
b) Psychosomatic condition
c) Somatization disorder
d) Pain disorder
99. In this condition there is intense preoccupation and fixation with imagined defect in
appearance.
a) Hypochondriasis
b) Psychosomatic condition
c) Somatization disorder
d) Body Dysmorphic Disorder
pg. 15 *Correct answer is the letter in Bold face
Prepared by: Shella Villamor, RPm
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