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Adult Psychopathology Test B

Eunho Lee 25 questions

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Questions in this quiz (25)

1There 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?
1. ADelusions or hallucinations.
2. BDelusions or paranoia.
3. CRegressed behavior.
4. DProjective identification.
5. EBinge eating.
2A 30-year-old single woman reports having experienced auditory and persecutory delusions for 2 months, followed by a full major depressive episode with sad mood, anhedonia, and suicidal ideation lasting 3 months. Although the depressive episode resolves with pharmacotherapy and psychotherapy, the psychotic symptoms persist for another month before resolving. What diagnosis best fits this clinical picture?
1. ABrief psychotic disorder.
2. BSchizoaffective disorder.
3. CMajor depressive disorder.
4. DMajor depressive disorder with psychotic features.
5. EBipolar I disorder, current episode manic, with mixed features.
3A 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?
1. ASchizophrenia.
2. BSubstance/medication-induced psychotic disorder.
3. CAlcohol dependence.
4. DPsychotic disorder due to another medical condition.
5. EBorderline personality disorder with psychotic features.
4Which of the following psychotic symptom presentations would not be appropriately diagnosed as “other specified schizophrenia spectrum and other psychotic disorder”?
1. APsychotic symptoms that have lasted for less than 1 month but have not yet remitted, so that the criteria for brief psychotic disorder are not met.
2. BPersistent auditory hallucinations occurring in the absence of any other features.
3. CPostpartum psychosis that does not meet criteria for a depressive or bipolar disorder with psychotic features, brief psychotic disorder, psychotic disorder due to another medical condition, or substance/medication-induced psychotic disorder.
4. DPsychotic symptoms that are temporally related to use of a substance.
5. EPersistent delusions with periods of overlapping mood episodes that are present for a substantial portion of the delusional disturbance.
5A 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?
1. AManic episode.
2. BHypomanic episode.
3. CBipolar I disorder, with mixed features.
4. DMajor depressive episode.
5. ECyclothymic disorder.
6Which of the following factors is most predictive of incomplete recovery between mood episodes in bipolar I disorder?
1. ABeing widowed.
2. BLiving in a higher-income country.
3. CBeing divorced.
4. DHaving a family history of bipolar disorder.
5. EHaving a mood episode accompanied by mood-incongruent psychotic symptoms.
7In which of the following ways do manic episodes differ from attention-deficit/hyperactivity disorder (ADHD)?
1. AManic episodes are more strongly associated with poor judgment.
2. BManic episodes are more likely to involve excessive activity.
3. CManic episodes have clearer symptomatic onsets and offsets.
4. DManic episodes are more likely to show a chronic course.
5. EManic episodes first appear at an earlier age.
8How do the depressive episodes associated with bipolar II disorder differ from those associated with bipolar I disorder?
1. AThey are less frequent than those associated with bipolar I disorder.
2. BThey are lengthier than those associated with bipolar I disorder.
3. CThey are less disabling than those associated with bipolar I disorder.
4. DThey are less severe than those associated with bipolar I disorder.
5. EThey are rarely a reason for the patient to seek treatment.
9What are the new depressive disorder diagnoses in DSM-5?
1. ASubsyndromal depressive disorder, premenstrual dysphoric disorder, and mixed anxiety and depressive disorder.
2. BDisruptive mood dysregulation disorder, premenstrual dysphoric disorder, and persistent depressive disorder (dysthymia).
3. CDisruptive mood dysregulation disorder, premenstrual dysphoric disorder, and subsyndromal depressive disorder.
4. DDisruptive mood dysregulation disorder, postmenopausal dysphoric disorder, and persistent depressive disorder (dysthymia).
5. EMixed anxiety and depressive disorder, bereavement-induced major depressive disorder, and postmenopausal dysphoric disorder.
10Which of the following statements about the prevalence of major depressive disorder in the United States is true?
1. AThe 12-month prevalence is 17%.
2. BFemales and males have equal prevalence at all ages.
3. CFemales have increased prevalence at all ages.
4. DThe prevalence in 18- to 29-year-olds is three times higher than that in 60-year-olds.
5. EThe prevalence in 60-year-olds is three times higher than that in 18- to 29-year-olds.

11Which of the following statements about gender differences in suicide risk and suicide rates in major depressive disorder (MDD) is true?
1. AThe risk of suicide attempts and completions is higher for women.
2. BThe risk of suicide attempts and completions is higher for men.
3. CThe risk of suicide attempts and completions is equal for men and women.
4. DThe disparity in suicide rate by gender is much greater in individuals with MDD than in the general population.
5. EThe risk of suicide attempts is higher for women, but the risk of suicide completions is lower.
12Children with disruptive mood dysregulation disorder are most likely to develop which of the following disorders in adulthood?
1. ABipolar I disorder.
2. BSchizophrenia.
3. CBipolar II disorder.
4. DBorderline personality disorder.
5. EUnipolar depressive disorders.
13A 9-year-old boy cannot go to sleep without having a parent in his room. While falling asleep, he frequently awakens to check that a parent is still there. One parent usually stays until the boy falls asleep. If he wakes up alone during the
night, he starts to panic and gets up to find his parents. He also reports frequent nightmares in which he or his parents are harmed. He occasionally calls out that he saw a strange figure peering into his dark room. The parents usually wake in the morning to find the boy asleep on the floor of their room. They once tried to leave him with a relative so they could go on a vacation; however, he became so distressed in anticipation of this that they canceled their plans. What is the most likely diagnosis?
1. ASpecific phobia.
2. BNightmare disorder.
3. CDelusional disorder.
4. DSeparation anxiety disorder.
5. EAgoraphobia.
14The determination of whether a panic attack is expected or unexpected is ultimately best made by which of the following?
1. ACareful clinical judgment.
2. BWhether the patient associates it with external stress.
3. CThe presence or absence of nocturnal panic attacks.
4. DRuling out possible culture-specific syndromes.
5. E24-Hour electroencephalographic monitoring.
15In social anxiety disorder (social phobia), the object of an individual’s fear is the potential for which of the following?
1. ASocial or occupational impairment.
2. BHarm to self or others.
3. CEmbarrassment.
4. DSeparation from objects of attachment.
5. EIncapacitating symptoms.
16In addition to feeling restless or “keyed up,” individuals with generalized anxiety disorder are most likely to experience which of the following symptoms?
1. APanic attacks.
2. BObsessions.
3. CMuscle tension.
4. DMultiple somatic complaints.
5. ESocial anxiety.
17A 52-year-old man with raw, chapped hands is referred to a psychiatrist by his primary care doctor. The man reports that he washes his hands repeatedly, spending up to 4 hours a day, using abrasive cleansers and scalding hot water.
Although he admits that his hands are uncomfortable, he is entirely convinced that unless he washes in this manner he will become gravely ill. A medical workup is unrevealing, and the man takes no medications. What is the most appropriate diagnosis?
1. ADelusional disorder, somatic type.
2. BIllness anxiety disorder.
3. CObsessive-compulsive disorder, with absent insight.
4. DObsessive-compulsive personality disorder.
5. EGeneralized anxiety disorder.
18Which of the following statements about the course of hoarding disorder is true?
1. AHoarding behavior tends to wax and wane in severity throughout an individual’s life.
2. BHoarding behavior peaks in young adulthood and subsequently lessens in severity.
3. CHoarding behavior tends to become more severe with increasing age.
4. DHoarding disorder begins in childhood, is chronic, and tends not to change in severity.
5. EHoarding disorder has a worse course when it begins in later adulthood or old age.
19Which of the following reactions to a traumatic event was required for the DSM-IV diagnosis of posttraumatic stress disorder (PTSD) but is not required for the DSM-5 diagnosis?
1. AIntense fear, helplessness, or horror.
2. BInsomnia or hypersomnia.
3. CAvoidance.
4. DA foreshortened sense of the future.
5. EFlashbacks.
20After a routine chest X ray, a 53-year-old man with a history of heavy cigarette use is told that he has a suspicious lesion in his lung. A bronchoscopy confirms the diagnosis of adenocarcinoma. The man delays scheduling a follow-up appointment
with the oncologist for more than 2 weeks, describes feeling as if “all of this is not real,” is having nightly dreams of seeing his own tombstone, and is experiencing intrusive flashbacks to the moment when he heard the physician saying, “The tests strongly suggest that you have cancer of the lung.” He is tearful and is convinced he will die. He also feels intense guilt that his smoking caused the cancer and expresses the thought that he “deserves” to have cancer. What diagnosis best fits this clinical picture?
1. AAcute stress disorder.
2. BPosttraumatic stress disorder.
3. CAdjustment disorder.
4. DMajor depressive disorder.
5. EGeneralized anxiety disorder.
21In DSM-IV, a patient with a high level of anxiety about having a disease and many associated somatic symptoms would have been given the diagnosis of hypochondriasis. What DSM-5 diagnosis would apply to this patient?
1. AHypochondriasis.
2. BIllness anxiety disorder.
3. CSomatic symptom disorder.
4. DGeneralized anxiety disorder.
5. EUnspecified somatic symptom and related disorder.
22Which of the following is a descriptive specifier included in the diagnostic criteria for somatic symptom disorder?
1. AWith predominant pain.
2. BWith hypochondriasis.
3. CWith psychological comorbidity.
4. DPsychotic type.
5. EUndifferentiated.
23What are the two subtypes of anorexia nervosa?
1. ARestricting type and binge-eating/purging type.
2. BEnergy-sparing type and binge-eating/purging type.
3. CLow-calorie/low-carbohydrate type and restricting type.
4. DLow-carbohydrate/low-fat type and restricting type.
5. ERestricting type and low-weight type.
24A 27-year-old graduate student has a 10-year history of anorexia nervosa. Her boyfriend is quite concerned because she has extreme fears related to cleanliness. She washes her hands more than 12 times a day and is excessively worried
about contamination. What would be the best decision by the mental health professional at this point regarding these symptoms?
1. AAssume that the patient’s obsessive-compulsive symptoms are related to her anorexia nervosa.
2. BFurther evaluate the obsessive-compulsive features, because if they are not related to anorexia nervosa, a new diagnosis of obsessive-compulsive disorder might be warranted.
3. CAsk the patient to wait 1 year and see how this evolves.
4. DMake a diagnosis of body dysmorphic disorder.
5. ERefer the patient for a colonoscopy.
25Which of the following statements about alcohol withdrawal is true?
1. AFewer than 10% of individuals undergoing alcohol withdrawal experience dramatic symptoms such as severe autonomic hyperactivity, tremors, or alcohol withdrawal delirium.
2. BDelirium occurs in the majority of individuals who meet criteria for alcohol withdrawal.
3. CApproximately 80% of all patients with alcohol use disorder will experience alcohol withdrawal.
4. DTonic-clonic seizures occur in about 15% of individuals who meet criteria for alcohol withdrawal.
5. EAlcohol withdrawal symptoms typically begin between 24 and 48 hours after alcohol use has been stopped or reduced.

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Description: Clinical Psychology Adult Psychopathology Quiz on Adult Psychopathology Test B, created by Eunho Lee on 02/01/2016.
Author: Eunho Lee
Language: English
Views: 157
Tags: adult psychopathology depression anxiety ocd ptsd eating disorder bipolar mood disorder alcohol adult psychopathology clinical psychology
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Adult Psychopathology Test B

Questions in this quiz (25)

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