Adult Psychopathology Test B

Pregunta 1 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 2 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 3 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 4 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 5 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 6 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 7 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 8 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 9 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 10 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 11 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 12 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 13 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 14 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 15 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 16 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 17 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 18 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 19 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 20 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 21 de 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?

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 22 de 25

1

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 23 de 25

1

What are the two subtypes of anorexia nervosa?

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 24 de 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?

Selecciona una de las siguientes respuestas posibles:

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.

Explicación

Pregunta 25 de 25

1

Which of the following statements about alcohol withdrawal is true?

Selecciona una de las siguientes respuestas posibles:

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.

	Creado por Eunho Lee hace casi 9 años

Clinical Psychology Adult Psychopathology Test sobre Adult Psychopathology Test B, creado por Eunho Lee el 02/01/2016.

Adult Psychopathology Test B

Pregunta 1 de 25

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 2 de 25

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 3 de 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?

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 4 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 5 de 25

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 6 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 7 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 8 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 9 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 10 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 11 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 12 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 13 de 25

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 14 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 15 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 16 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 17 de 25

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 18 de 25

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 19 de 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?

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 20 de 25

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 21 de 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?

Selecciona una de las siguientes respuestas posibles:

Explicación