Adult Psychopathology Test B

Question 1 of 25

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?

Select one of the following:

Delusions or hallucinations.
Delusions or paranoia.
Regressed behavior.
Projective identification.
Binge eating.

Explanation

Question 2 of 25

1

A 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?

Select one of the following:

Brief psychotic disorder.
Schizoaffective disorder.
Major depressive disorder.
Major depressive disorder with psychotic features.
Bipolar I disorder, current episode manic, with mixed features.

Explanation

Question 3 of 25

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?

Select one of the following:

Schizophrenia.
Substance/medication-induced psychotic disorder.
Alcohol dependence.
Psychotic disorder due to another medical condition.
Borderline personality disorder with psychotic features.

Explanation

Question 4 of 25

1

Which of the following psychotic symptom presentations would not be appropriately diagnosed as “other specified schizophrenia spectrum and other psychotic disorder”?

Select one of the following:

Psychotic 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.
Persistent auditory hallucinations occurring in the absence of any other features.
Postpartum 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.
Psychotic symptoms that are temporally related to use of a substance.
Persistent delusions with periods of overlapping mood episodes that are present for a substantial portion of the delusional disturbance.

Explanation

Question 5 of 25

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?

Select one of the following:

Manic episode.
Hypomanic episode.
Bipolar I disorder, with mixed features.
Major depressive episode.
Cyclothymic disorder.

Explanation

Question 6 of 25

1

Which of the following factors is most predictive of incomplete recovery between mood episodes in bipolar I disorder?

Select one of the following:

Being widowed.
Living in a higher-income country.
Being divorced.
Having a family history of bipolar disorder.
Having a mood episode accompanied by mood-incongruent psychotic symptoms.

Explanation

Question 7 of 25

1

In which of the following ways do manic episodes differ from attention-deficit/hyperactivity disorder (ADHD)?

Select one of the following:

Manic episodes are more strongly associated with poor judgment.
Manic episodes are more likely to involve excessive activity.
Manic episodes have clearer symptomatic onsets and offsets.
Manic episodes are more likely to show a chronic course.
Manic episodes first appear at an earlier age.

Explanation

Question 8 of 25

1

How do the depressive episodes associated with bipolar II disorder differ from those associated with bipolar I disorder?

Select one of the following:

They are less frequent than those associated with bipolar I disorder.
They are lengthier than those associated with bipolar I disorder.
They are less disabling than those associated with bipolar I disorder.
They are less severe than those associated with bipolar I disorder.
They are rarely a reason for the patient to seek treatment.

Explanation

Question 9 of 25

1

What are the new depressive disorder diagnoses in DSM-5?

Select one of the following:

Subsyndromal depressive disorder, premenstrual dysphoric disorder, and mixed anxiety and depressive disorder.
Disruptive mood dysregulation disorder, premenstrual dysphoric disorder, and persistent depressive disorder (dysthymia).
Disruptive mood dysregulation disorder, premenstrual dysphoric disorder, and subsyndromal depressive disorder.
Disruptive mood dysregulation disorder, postmenopausal dysphoric disorder, and persistent depressive disorder (dysthymia).
Mixed anxiety and depressive disorder, bereavement-induced major depressive disorder, and postmenopausal dysphoric disorder.

Explanation

Question 10 of 25

1

Which of the following statements about the prevalence of major depressive disorder in the United States is true?

Select one of the following:

The 12-month prevalence is 17%.
Females and males have equal prevalence at all ages.
Females have increased prevalence at all ages.
The prevalence in 18- to 29-year-olds is three times higher than that in 60-year-olds.
The prevalence in 60-year-olds is three times higher than that in 18- to 29-year-olds.

Explanation

Question 11 of 25

1

Which of the following statements about gender differences in suicide risk and suicide rates in major depressive disorder (MDD) is true?

Select one of the following:

The risk of suicide attempts and completions is higher for women.
The risk of suicide attempts and completions is higher for men.
The risk of suicide attempts and completions is equal for men and women.
The disparity in suicide rate by gender is much greater in individuals with MDD than in the general population.
The risk of suicide attempts is higher for women, but the risk of suicide completions is lower.

Explanation

Question 12 of 25

1

Children with disruptive mood dysregulation disorder are most likely to develop which of the following disorders in adulthood?

Select one of the following:

Bipolar I disorder.
Schizophrenia.
Bipolar II disorder.
Borderline personality disorder.
Unipolar depressive disorders.

Explanation

Question 13 of 25

1

A 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?

Select one of the following:

Specific phobia.
Nightmare disorder.
Delusional disorder.
Separation anxiety disorder.
Agoraphobia.

Explanation

Question 14 of 25

1

The determination of whether a panic attack is expected or unexpected is ultimately best made by which of the following?

Select one of the following:

Careful clinical judgment.
Whether the patient associates it with external stress.
The presence or absence of nocturnal panic attacks.
Ruling out possible culture-specific syndromes.
24-Hour electroencephalographic monitoring.

Explanation

Question 15 of 25

1

In social anxiety disorder (social phobia), the object of an individual’s fear is the potential for which of the following?

Select one of the following:

Social or occupational impairment.
Harm to self or others.
Embarrassment.
Separation from objects of attachment.
Incapacitating symptoms.

Explanation

Question 16 of 25

1

In addition to feeling restless or “keyed up,” individuals with generalized anxiety disorder are most likely to experience which of the following symptoms?

Select one of the following:

Panic attacks.
Obsessions.
Muscle tension.
Multiple somatic complaints.
Social anxiety.

Explanation

Question 17 of 25

1

A 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?

Select one of the following:

Delusional disorder, somatic type.
Illness anxiety disorder.
Obsessive-compulsive disorder, with absent insight.
Obsessive-compulsive personality disorder.
Generalized anxiety disorder.

Explanation

Question 18 of 25

1

Which of the following statements about the course of hoarding disorder is true?

Select one of the following:

Hoarding behavior tends to wax and wane in severity throughout an individual’s life.
Hoarding behavior peaks in young adulthood and subsequently lessens in severity.
Hoarding behavior tends to become more severe with increasing age.
Hoarding disorder begins in childhood, is chronic, and tends not to change in severity.
Hoarding disorder has a worse course when it begins in later adulthood or old age.

Explanation

Question 19 of 25

1

Which 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?

Select one of the following:

Intense fear, helplessness, or horror.
Insomnia or hypersomnia.
Avoidance.
A foreshortened sense of the future.
Flashbacks.

Explanation

Question 20 of 25

1

After 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?

Select one of the following:

Acute stress disorder.
Posttraumatic stress disorder.
Adjustment disorder.
Major depressive disorder.
Generalized anxiety disorder.

Explanation

Question 21 of 25

1

In 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?

Select one of the following:

Hypochondriasis.
Illness anxiety disorder.
Somatic symptom disorder.
Generalized anxiety disorder.
Unspecified somatic symptom and related disorder.

Explanation

Question 22 of 25

1

Which of the following is a descriptive specifier included in the diagnostic criteria for somatic symptom disorder?

Select one of the following:

With predominant pain.
With hypochondriasis.
With psychological comorbidity.
Psychotic type.
Undifferentiated.

Explanation

Question 23 of 25

1

What are the two subtypes of anorexia nervosa?

Select one of the following:

Restricting type and binge-eating/purging type.
Energy-sparing type and binge-eating/purging type.
Low-calorie/low-carbohydrate type and restricting type.
Low-carbohydrate/low-fat type and restricting type.
Restricting type and low-weight type.

Explanation

Question 24 of 25

1

A 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?

Select one of the following:

Assume that the patient’s obsessive-compulsive symptoms are related to her anorexia nervosa.
Further evaluate the obsessive-compulsive features, because if they are not related to anorexia nervosa, a new diagnosis of obsessive-compulsive disorder might be warranted.
Ask the patient to wait 1 year and see how this evolves.
Make a diagnosis of body dysmorphic disorder.
Refer the patient for a colonoscopy.

Explanation

Question 25 of 25

1

Which of the following statements about alcohol withdrawal is true?

Select one of the following:

Fewer than 10% of individuals undergoing alcohol withdrawal experience dramatic symptoms such as severe autonomic hyperactivity, tremors, or alcohol withdrawal delirium.
Delirium occurs in the majority of individuals who meet criteria for alcohol withdrawal.
Approximately 80% of all patients with alcohol use disorder will experience alcohol withdrawal.
Tonic-clonic seizures occur in about 15% of individuals who meet criteria for alcohol withdrawal.
Alcohol withdrawal symptoms typically begin between 24 and 48 hours after alcohol use has been stopped or reduced.

	Created by Eunho Lee almost 9 years ago

Clinical Psychology Adult Psychopathology Quiz on Adult Psychopathology Test B, created by Eunho Lee on 02/01/2016.

Adult Psychopathology Test B

Adult Psychopathology Test B

Question 1 of 25

Select one of the following:

Explanation

Question 2 of 25

Select one of the following:

Explanation

Question 3 of 25

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?

Select one of the following:

Explanation

Question 4 of 25

Which of the following psychotic symptom presentations would not be appropriately diagnosed as “other specified schizophrenia spectrum and other psychotic disorder”?

Select one of the following:

Explanation

Question 5 of 25

Select one of the following:

Explanation

Question 6 of 25

Which of the following factors is most predictive of incomplete recovery between mood episodes in bipolar I disorder?

Select one of the following:

Explanation

Question 7 of 25

In which of the following ways do manic episodes differ from attention-deficit/hyperactivity disorder (ADHD)?

Select one of the following:

Explanation

Question 8 of 25

How do the depressive episodes associated with bipolar II disorder differ from those associated with bipolar I disorder?

Select one of the following:

Explanation

Question 9 of 25

What are the new depressive disorder diagnoses in DSM-5?

Select one of the following:

Explanation

Question 10 of 25

Which of the following statements about the prevalence of major depressive disorder in the United States is true?

Select one of the following:

Explanation

Question 11 of 25

Which of the following statements about gender differences in suicide risk and suicide rates in major depressive disorder (MDD) is true?

Select one of the following:

Explanation

Question 12 of 25

Children with disruptive mood dysregulation disorder are most likely to develop which of the following disorders in adulthood?

Select one of the following:

Explanation

Question 13 of 25

Select one of the following:

Explanation

Question 14 of 25

The determination of whether a panic attack is expected or unexpected is ultimately best made by which of the following?

Select one of the following:

Explanation

Question 15 of 25

In social anxiety disorder (social phobia), the object of an individual’s fear is the potential for which of the following?

Select one of the following:

Explanation

Question 16 of 25

In addition to feeling restless or “keyed up,” individuals with generalized anxiety disorder are most likely to experience which of the following symptoms?

Select one of the following:

Explanation

Question 17 of 25

Select one of the following:

Explanation

Question 18 of 25

Which of the following statements about the course of hoarding disorder is true?

Select one of the following:

Explanation

Question 19 of 25

Which 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?

Select one of the following:

Explanation

Question 20 of 25

Select one of the following:

Explanation

Question 21 of 25

In 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?

Select one of the following: