Obsessive-Compulsive and Related Disorders

Test 1 Question 66. Susan reports to her primary care physician that she regularly picks at her skin, resulting in scabbing and scarring. She has tried to stop repeatedly but has not been successful. She often misses days of school because of scabs on her face from picking. Her most likely diagnosis is:

Test 2 Question 115. Difficulty discarding possessions resulting in congested and cluttered living spaces is most characteristic of:

Test 2 Question 142. Obsessive–compulsive disorder is associated with abnormality of which one of the following neurotransmitters?

Test 2 Question 149. A patient presents to your office with obsessive–compulsive disorder (OCD). She has been tried on several selective serotonin reuptake inhibitors (SSRIs) with little improvement. You decide to try a tricyclic. Which tricyclic has been shown to have significantly better efficacy in treating OCD than the others?

Test 3 Question 5. A middle-aged man has been referred to your office by a plastic surgeon. The man is seeking a face lift for his “excessively large cheeks.” The surgeon has not been able to find anything abnormal about the man’s face or skin, and when he comes to see you, you fail to see anything wrong either. The patient insists that his cheeks are grotesque and ruining his whole appearance. When pressed, he admits that others may not consider his cheeks to be as bad as he does. His most likely diagnosis is:

Test 3 Question 112. Habit reversal is a type of therapy indicated for:

Test 4 Question 17. Which one of the following statements is not true regarding body dysmorphic disorder?

Test 6 Question 72. Anterior capsulotomy and/or cingulotomy have been demonstrated to be effective in cases of treatment failure with which of the following severe disorders?

Test 6 Question 116. Which of the following types of therapy is considered the “gold standard” for treatment of obsessive–compulsive disorder?

Vignette 18 Question 1. The basic pathophysiology of the disorder that Allan is suffering from is believed to be related to:

Vignette 18 Question 2. The psychodynamic explanation of Allan’s disorder and behavior is best described as:

Vignette 18 Question 3. Which of the following factors are atypical of Allan’s most likely diagnosis? (Pick two of six)

Vignette 18 Question 4. Which of the following are considered appropriate treatments for Allan’s primary disorder? (Pick three of six)

Vignette 18 Question 5. Which of the following is typically true about the course and prognosis of Allan’s primary disorder?