Exam Three A
Munchausen syndrome, in which a person intentionally seeks to stimulate the symptoms of a physical disorder in order to obtain attention, is classified as: A) Factitious disorder B) Conversion disorder C) Hypochondriasis D) Illness Anxiety Disorder E) Somatic Symptom Disorder
A) Factitious disorder
Which of the following is LEAST likely to be proposed as part of the reason that some people struggle with eating disorders? A) Having an anxiety disorder puts someone at much greater risk of developing an eating disorder than having a mood disorder. B) Women are more likely than men to internalize the "thin ideal" C) Set point theory helps us understand why it is hard to gain weight after a prolonged period of fasting and weight loss. D) Family dynamics may put some people at greater risk of eating disorders. E) Social and cultural factors may put some people at greater risk of eating disorders.
A) Having an anxiety disorder puts someone at much greater risk of developing an eating disorder than having a mood disorder.
Which of the following is true? A) Obesity is often related to social factors such as family modeling. B) Genetics likely has very little effect on the tendency to be overweight. C) The use of comfort foods is not a significant contributor to obesity. D) Obesity is just as common in third world countries as it is in industrialized countries. E) Set point theory is useful for explaining eating disorders, but does not seem to be related to obesity in any significant way.
A) Obesity is often related to social factors such as family modeling.
Following widespread reports of Satanic Ritual Abuse from individuals diagnosed with Dissociative Identity Disorder, an extensive FBI investigation concluded that: A) There is no significant evidence of widespread sacrifices/murders associated with SRA. B) Less than a quarter of SRA claims of human sacrifice could be confirmed, but the evidence is sufficient to suspect that it is not uncommon. C) Satanic cults have been very good at burying the evidence, but human sacrifice is clearly involved in SRA activity. D) Psychologists have been on the forefront of uncovering a huge SRA conspiracy that warrants ongoing FBI involvement. E) Psychologists are deliberately perpetrating a hoax in order to create a greater "need" for psychological services.
A) There is no significant evidence of widespread sacrifices/murders associated with SRA.
An individual with antisocial personality disorder: A) continually violates the rights of others, seemingly without regret or remorse. B) has low self-esteem C) has social skills deficits D) expresses hostility indirectly E) is compensating for feelings of inadequacy.
A) continually violates the rights of others, seemingly without regret or remorse.
In October 2011 over 20 people associated with Le Roy Senior High School developed vocal and motor tics. The most widely accepted theory is that the cause of most of these cases can be attributed to: A) Factitious disorder B) Conversion disorder C) Somatoform disorder D) Illness anxiety disorder E) Malingering
B) Conversion disorder
Which of the following would best describe someone with histrionic personality disorder? A) Socially detached B) Dramatic and emotional C) Impulsive and violent D) Lack of conscience; exploitive E) Anxious and fearful
B) Dramatic and emotional
The number of diagnosed cases of dissociative identity disorder (formerly called Multiple Personality Disorder) in the United States, since 1950 has: A) Increased slightly B) Increased significantly C) Decreased slightly D) Decreased significantly E) Been stable
B) Increased significantly
Disorders that involve physical symptoms or complaints but which are caused by psychological factors are classified as: A) Selwicki Syndrome B) Somatoform disorders C) Malingering disorders D) Physical simulation disorders E) Organic similitude disorders, psychogenic type
B) Somatoform disorders
Ania is 5' 6" tall and weighs 115 pounds, with a BMI of 17.5 and has been told that she is medically malnourished. Despite her preoccupation with keeping herself "fit" and "thin", she often feels overweight. She has normal menstrual cycles. Occasionally she eats large amounts of food. Afterwards, she feels guilty and may not eat for a day or two, or she may induce vomiting. The most likely DSM-5 diagnosis for Ania is: A) bulimia nervosa, purging type B) anorexia nervosa, binge-eating/purging type C) anorexia nervosa, restricting type D) Eating Disorder, NOS E) None of the above; her behavior and weight are unusual, but do not warrant a diagnosis.
B) anorexia nervosa, binge-eating/purging type
A friend of yours is about 20 pounds above his ideal body weight. Based on what you know about the research, which of the following would be the best advice? A) "Don't worry about it; it's just a few pounds" B) "It's best to try to lose weight rapidly through exercise and significant dietary restriction, then you can go back to eating more normally" C) "A program that emphasizes a healthy diet and weekly accountability is likely to help" D) "Medication that decreases appetite is an excellent idea for someone in your situation" E) "Gastric bypass surgery is a good option if nothing else has worked"
C) "A program that emphasizes a healthy diet and weekly accountability is likely to help"
In Lowe's study of patients with anorexia, 20 years after the initial treatment, approximately what percentage of patients were no longer alive? A) 0.6% B) 6.0% C) 16% D) 26% E) 36%
C) 16%
If a person's mental functioning or body feels unreal or foreign, the person is MOST likely suffering from: A) Excellent health disorder, NOS B) Body dysmorphic disorder C) Depersonalization D) Dissociative Identity disorder E) Dissociative amnesia
C) Depersonalization
What does the iatrogenic pathway for dissociative identity disorder suggest? A) The disorder is consciously feigned to elicit sympathy and attention. B) The disorder is a creative solution to current, overwhelming stress. C) The disorder is the result of incompetent treatment for another condition. D) The disorder is the outgrowth of brain chemistry imbalances. E) The disorder is a way of coping with early childhood abuse and neglect.
C) The disorder is the result of incompetent treatment for another condition
Approximately what percentage of people with eating disorders are female? A) 60-65 B) 70-75 C) 80-85 D) 90-95 E) 99+
D) 90-95
Adolescents and young adults not unfrequently feel as if they are not in touch with their body or that things don't feel "real". Before assuming that such individuals have a dissociative disorder, you should consider the possibility that: A) Their symptoms, if relatively minor, may not warrant a psychiatric diagnosis B) They might be using hallucinogenic drugs C) The could be showing early signs of a psychotic disorder. D) All of the above E) None of the above
D) All of the above
Somatoform disorders are often treated with: A) Medical management B) Antidepressants C) Cognitive-behavioral treatments D) All of the above E) A & C, but not B
D) All of the above
Which of the following is a difficulty in diagnosing and treating personality disorders? A) A patient may meet the criteria for more than one personality disorder because the categories overlap with each other. B) Because of the dimensional nature of personality characteristics, it may be difficult to discern whether someone's symptoms are sufficiently abnormal to meet the criteria for a personality disorder. C) It can be difficult to do research on personality disorders because they are not mutually exclusive categories, are dimensional in nature, and are not sharply defined. D) All of the above E) None of the above
D) All of the above.
Which of the following statements is TRUE? A) Obesity is more common in men than in women. B) Rates of obesity vary little across Western cultures. C) Obesity is culturally shaped, so its medical definition varies by culture. D) Obesity has been increasing in many countries, including the U.S. E) Obesity presents fewer psychological and health risks than most people think.
D) Obesity has been increasing in many countries, including the U.S
Changes in the rate of DID is most clearly related to: A) The increase of child abuse in the country. B) The decrease in child abuse caused by early intervention programs. C) The sudden increase of immigration from cultures which practice satanic rituals. D) The popular portrayal of DID in books, movies, and television. E) Poverty among people who are underemployed due to gambling.
D) The popular portrayal of DID in books, movies, and television.
Which of the following is NOT one of the criteria for a personality disorder? A) The problematic behaviors it represents are pervasive and inflexible B) The behavioral pattern leads to distress or impaired function C) The problems cannot be due to another physiological disorder D) The problematic behaviors may be episodic and the person may have long periods of relatively normal functioning. E) All of the above ARE criteria for a personality disorder diagnosis.
D) The problematic behaviors may be episodic and the person may have long periods of relatively normal functioning.
Jasmine has sudden and intense variations in mood. Her relationships with others are intense and erratic. She tends to idealize people, and then when they disappoint her, she sees them as worthless. She is described as impulsive and easily angered. She sometimes cuts herself and has made several suicide attempts. What is the most likely diagnosis for Jasmine? A) histrionic personality disorder B) narcissistic personality disorder C) dependent personality disorder D) borderline personality disorder E) antisocial personality disorder
D) borderline personality disorder
One of the hallmark symptoms of conversion disorder is a surprising lack of concern about one's symptoms. This phenomenon is known as: A) malingering B) disinterested apathy C) cognitive disavowal D) la belle indifference E) emotional unresponsiveness
D) la belle indifference
In DSM-5, a person who eats excessively large amounts of food once a week or so, but does not engage in any behaviors to try to restrict weight gain, could be diagnosed with: A) Type ll Bulimia B) Eating Disorder NOS C) Binge Eating Disorder D) Reverse Anorexia E) None of the above; the behavior, while not healthy, isn't sufficiently problematic to be considered a disorder.
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Which of the following is commonly comorbid with anorexia? A) Panic Disorder B) Major Depression C) Histrionic Personality Disorder D) Hallucinogenic substance abuse E) None of the above
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When a person feels that the external world is removed, mechanical, distorted, or even "dead", he or she is experiencing: A) Deja vu B) Doubling C) Depersonalization D) Dissociative amnesia E) Derealization
E) Derealization
Christopher Robin has been diagnosed with antisocial personality disorder. Which of the following is probably true about his relationships? A) He retreats from reality into a world compromised of imaginary friends such as Eeyore, Tigger, Roo, and Rabbit B) He tends to scare others away with excessive emotional outbursts. C) He does not trust anyone, and he is hesitant to open up to others D) He takes out his aggressive feelings on those closest to him E) He exploits other people and has few genuinely close relationships.
E) He exploits other people and has few genuinely close relationships.
Which of the following is most commonly found in families of girls with anorexia? A) Parents who are unconventional, dramatic, and antisocial. B) Sibling rivalry that breaks out into physical and verbal aggression C) Children who reduce psychological tension in the family by dominating their parents. D) Being among the highest socio-economic class. E) Parents who emphasize rules, control, and good physical appearance.
E) Parents who emphasize rules, control, and good physical appearance.
Josef was described as a fun loving, happy, and sociable. He experienced a profound change in personality during his Junior year in college when he had a brain tumor, which was successfully removed. The personality changes, however, are still evident six years later. Josef is suspicious, mistrustful of others, blames other people for his own errors, and acts as if he expects to be attacked by others. What is the best DSM-5 diagnosis for Josef? A) Schizoid Personality Disorder B) Narcissistic Personality Disorder C) Paranoid Personality Disorder D) Paraphilia, NOS E) Personality Change Due to Another Medical Condition
E) Personality Change Due to Another Medical Condition
The person with ____________ personality disorder desperately wants friends, but is afraid of being hurt. The person with ____________ personality disorder desperately wants friends, is uncomfortable being alone, and will often do menial or unpleasant tasks just to be accepted. A) anti-social; histrionic B) schizoid; avoidant C) histrionic; borderline D) passive-aggressive; depressive E) avoidant; dependent
E) avoidant; dependent
Dissociative disorders involve disruption of _____________ due to a psychogenic cause. A) motoric ability B) one of the five senses C) gender identity D) self esteem E) memory or identity
E) memory or identity
James believes that he is very popular with the ladies. He thinks of himself as being a better employee than his peers, and thinks that the business would run better if he was in charge. When his boss gave him an annual review and pointed out several problems with his job performance, James was devastated. After sulking for a few days, he told his friends at the bar that his boss was an idiot who didn't understand how fortunate he was that James worked for him. He said that he planned to quit his job the nest day and would laugh while he watched the business fall apart without him. Which diagnosis best fits James' symptoms? A) histrionic personality disorder B) antisocial personality disorder C) paranoid personality disorder D) schizoid personality disorder E) narcissistic personality disorder
E) narcissistic personality disorder
Esther has anorexia nervosa, restricting type. Which of the following behaviors would you expect her to display? A) self-induced vomiting B) normal menstrual periods C) occasional bouts of overeating D) the use of purgatives and laxatives E) severely limiting the amounts that she eats
E) severely limiting the amounts that she eats
Sara frequently visits her doctor and is overly attentive to physical symptoms. If she senses that a doctor "doesn't believe her" she changes doctors. She spends a considerable amount of time on WEB-MD and other sites looking up her symptoms, often becoming convinced that she has a specific medical condition. .Under DSM-5, Sara most likely: A) should be diagnosed with somatoform disorder NOS B) has no mental disorder C) should be diagnosed with hypochondriasis D) should be diagnosed with conversion disorder E) should be diagnosed with illness anxiety disorder
E) should be diagnosed with illness anxiety disorder