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Test 1 Question 63. Self-mutilation is most common in which one of the following personality disorders?
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Borderline
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Narcissistic
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Histrionic
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Dependent
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Schizoid
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Test 1 Question 70. Which one of the following is not characteristic of narcissistic personality disorder?
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Grandiosity
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Need for admiration
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Showing self-dramatization, theatricality, and exaggerated expression of emotion
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Preoccupation with fantasies of unlimited success, power, and brilliance
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Interpersonally exploitative
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Test 1 Question 118. A 20-year-old man comes into the emergency room. He has superficial cuts on his arms, legs, and abdomen. He reports being very depressed and feels that his neighbors are out to harm him. His most likely diagnosis is:
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Test 1 Question 138. A patient comes into the clinic carrying a diagnosis of schizoid personality disorder. To confirm this diagnosis, you would
look for which one of the following?
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Test 3 Question 17. A 26-year-old woman comes into the emergency room. She reports that she has been having mood swings that go from depressed to elated to rageful in minutes to hours. She has been having paranoid feelings and vague auditory hallucinations
over the past week since breaking up with her boyfriend. On this past Monday she cut her arms with a razor, but only superficially. Her history reveals promiscuity, unstable relationships, and cocaine use. She now reports suicidal ideation. Her most likely diagnosis is:
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Bipolar disorder
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Depression with psychotic features
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Schizoid personality disorder
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Borderline personality disorder
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Schizotypal personality disorder
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Test 3 Question 53. A young woman comes to her psychiatrist’s office for help. She feels that others are exploiting her, but has no hard evidence. She is preoccupied with the lack of loyalty that she feels all of her friends have. She reads hidden demeaning connotations into the psychiatrist’s comments. She bears grudges and is unforgiving of slights. Her most likely diagnosis is:
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Schizophrenia
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Schizotypal personality disorder
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Paranoid personality disorder
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Schizoid personality disorder
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Dementia
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Test 3 Question 59. A patient comes into the clinic because his family (whom he sees only one or two times per year) keeps telling him to “go see a shrink.” He has no close relationships. He participates mainly in solitary activities. He has no desire for sexual activity with others. He is indifferent to the praise or criticism of others. On examination his affect is flat. His most likely diagnosis is:
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Schizoid personality disorder
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Schizotypal personality disorder
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Narcissistic personality disorder
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Major depressive disorder
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Dysthymic disorder
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Test 3 Question 63. A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation is most characteristic of:
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Obsessive–compulsive personality disorder
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Avoidant personality disorder
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Schizoid personality disorder
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Dependent personality disorder
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Histrionic personality disorder
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Test 3 Question 73. A pervasive and excessive need to be taken care of that leads to submissive and clinging behavior, as well as fear of separation, is characteristic of which one of the following?
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Obsessive–compulsive personality disorder
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Avoidant personality disorder
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Schizoid personality disorder
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Dependent personality disorder
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Histrionic personality disorder
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Test 4 Question 33. When diagnosing a patient with social phobia, which diagnosis is most important for the treating psychiatrist to keep
in mind?
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Paranoid personality disorder
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Schizoid personality disorder
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Obsessive–compulsive personality disorder
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Avoidant personality disorder
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Borderline personality disorder
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Test 4 Question 45. A young woman comes to a psychiatrist’s office seeking help because of problems on her job. She describes nervousness talking in front of other coworkers at conferences and difficulty at social events. She thinks that her boss knows her inner
feelings and that there was wording put in everyone’s contracts with her specifically in mind. Her dress is eccentric and out of date. She complains that she does not have any friends at the office. Given this picture, she most likely has which one of the following diagnoses?
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Borderline personality disorder
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Dependent personality disorder
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Schizotypal personality disorder
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Histrionic personality disorder
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Schizoid personality disorder
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Test 4 Question 61. Which one of the following personality disorders is least associated with violent behavior?
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Borderline personality disorder
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Histrionic personality disorder
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Narcissistic personality disorder
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Dependent personality disorder
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Antisocial personality disorder
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Test 4 Question 149. David works 17 hours per day. He does not have many friends because he feels that they interfere with his work schedule. He believes that he is a moral person and harshly criticizes those whom he finds to be unethical. He often starts projects but fails to complete them because he cannot do them perfectly. His family describes him as stubborn and cheap, because he will never throw anything out. David’s most likely diagnosis is:
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Generalized anxiety disorder
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Obsessive–compulsive disorder
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Obsessive–compulsive personality disorder
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Schizoid personality disorder
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Avoidant personality disorder
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Test 5 Question 17. What percentage of the general population has a diagnosable personality disorder?
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Test 5 Question 140. Which of the following choices about avoidant personality disorder is most accurate?
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It is often misdiagnosed as paranoid personality disorder
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These patients tend to be indifferent to praise or criticism
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Affective instability is a key component of the disorder
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These patients avoid social interaction out of fear of shame or ridicule
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These patients are unable to discard worthless objects
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Vignette 4 Question 1 Which one of the following is Susan’s most likely diagnosis?
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Major depressive disorder
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Borderline personality disorder
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Bipolar I disorder
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Histrionic personality disorder
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Social anxiety disorder
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Vignette 4 Question 2. Which of the following are criteria for Susan’s diagnosis? (Choose four of five)
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Chronic feelings of emptiness
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Intense episodic dysphoria
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Grandiosity
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Severe dissociative symptoms
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Transient stress-related paranoia
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Vignette 4 Question 3. Susan’s suicide attempt could best be attributed to which one of the following?
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Vignette 4 Question 4. What is the treatment of choice for Susan’s condition?
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Vignette 4 Question 5. Which of the following choices apply to patients with Susan’s condition? (Choose three of four)
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They are in touch with reality only on a basic level
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They have limited capacity for insight
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They use many primitive defenses
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They have an integrated sense of self
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Vignette 4 Question 6. Which of the following defense mechanisms is Susan most likely to use based on her diagnosis? (Choose two of five)
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Suppression
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Sublimation
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Humor
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Acting out
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Splitting
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Vignette 4 Question 7. Which of the following are legitimate reasons borderline patients commit acts of self-mutilation? (Choose three of four)
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To obtain social isolation
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To express anger
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To elicit help from others
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To numb themselves to overwhelming affect
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Vignette 4 Question 8. Susan takes intolerable aspects of herself and exports them onto her boyfriend, leading him over time to accept and play that role. This phenomenon is known as which one of the following?
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Vignette 4 Question 9. Which of the following are not considered part of Susan’s disorder? (Choose three of four)
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Vignette 4 Question 10. Which of the following medications may play a role in treating Susan’s condition? (Choose four of five)