test 3
Oppositional Defiant Disorder (ODD) Criteria A
A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms from any of the following categories, and exhibited during interaction with at least one individual who is not a sibling.
Conduct Disorder
A repetitive and persistent pattern of behavior in which the basic rights of others or major age appropriate societal norms or rules are violated, as manifested by the presence of at least three of the following 15 criteria in the past 12 months with at least one criterion present in the past 6 months:
What is REM sleep?
A. REM sleep is the period of sleep during which the majority of typical story-like dreams occur, and which occupies about 20%-25% of total sleep and alternating with NREM sleep about every 80-100 minutes.
Brief psychotic disorder is defined as a psychotic condition that involves the sudden onset of psychotic symptoms. The condition lasts 1 day or more but less than 1 month. Indicate which statement(s) below is/are true about brief psychotic disorder?
A. Remission is full, and the individual returns to the premorbid level of functioning. D. The cause of brief psychotic disorder is unknown.
The purpose of systematic suicide assessment is to identify protective factors AND
A. To identify modifiable and treatable risk factors
Conduct Disorder categories of criteria A
Aggression to People and Animals, Destruction of Property, Deceitfulness or Theft, Serious Violations of Rule
Which of the following is not a recognized alcohol-related disorder in DSM-5?
Alcohol dependence.
Clinically significant problematic behavioral or psychological changes such as inappropriate sexual or aggressive behavior, mood lability, impaired judgment that develops during, on or shortly after, the ingestion of this substance is an essential feature of
Alcohol intoxication
Which personality disorder has the highest prevalence among individuals with cannabis use disorder?
Antisocial personality disorder.
Which mental disorder or disorder class has the highest prevalence among individuals with cannabis use disorder?
Anxiety disorders.
A thorough longitudinal history that elucidates the presence of psychotic symptoms exclusively during periods of mood disturbance is an indication of
C. A primary mood disorder.
What is the most common co-occurring psychiatric diagnosis among individuals with a history of significant prenatal alcohol exposure?
C. ADHD
. Please indicate the correct definition of binge drinking
C. Binge drinking is defined as having five or more drinks on the same occasion on at least 1 day in past 30 days.
Which caffeine related syndrome or diagnosis is not in the DSM-5 Section II?
C. Caffeine Use Disorder
An individual presenting with this condition for further study in the DSM-5 has experienced at least one major depressive episode as well as at least two episodes of 2-3 days' duration in which criteria for a hypomanic episode were met. The symptoms represent a noticeable change from the individual's normal behavior/baseline.
C. Depressive episodes with short-duration hypomania
The symptoms of schizophreniform are similar to those of schizophrenia; however, with schizophreniform disorder, the symptoms last
C. For at least 1 month but less than 6 months
Elsa, over a period of at least 6 months, has been frequenting the very crowded bubble tea concession in Columbia's Lerner Hall because she has a good opportunity to satisfy recurrent and intense sexual arousal from touching or rubbing
C. Frotteuristic disorder
The anxiety and worry in this vulnerability are accompanied by at least three of the following additional symptoms: restlessness or feeling keyed up or on edge, being easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension, and disturbed sleep. What is the name of this DSM-5 vulnerability?
C. General Anxiety Disorder
The primary treatment of oppositional defiant disorder is family intervention. Which statement about treatment for oppositional defiant disorder below is NOT true? A. Children with oppositional defiant behavior may also benefit from individual psychotherapy in which they role play and "practice" more adaptive responses. B. In the safety of a more "neutral" relationship, children may discover that they are capable of less provocative and more self-affirming behavior. C. Replacing harsh, punitive parenting and increasing positive parent-child interactions rarely seems to influence the course of oppositional and defiant behaviors. D. Often, self-esteem must be restored before a child with oppositional defiant disorder can make more positive responses to external supports.
C. Replacing harsh, punitive parenting and increasing positive parent-child interactions rarely seems to influence the course of oppositional and defiant behaviors.
Stella is a 27 year-old female who presents with an uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent with Criterion A of schizophrenia. She meets criterion A for which mental health vulnerability? A. Bipolar I Disorder With Psychotic Features B. Schizophrenia C. Schizoaffective Disorder D. Schizophreniform Disorder
C. Schizoaffective Disorder
Withdrawal from this class of drugs results in two (or more) of the following, developing within several hours to a few days after the cessation of (or reduction in) use: Autonomic hyperactivity (e.g., sweating or pulse rate greater than 100 beats per minute, hand tremor, insomnia, nausea or vomiting, transient visual, tactile, or auditory hallucinations or illusions, psychomotor agitation, anxiety or grand mal seizures. What is this class of drugs?
C. Sedative, hypnotic, or anxiolytic drugs
D. Intermittent explosive disorderWhich statement is true regarding Neurocognitive Disorders?
C. The Neurocognitive Disorders are unique among DSM-5 categories in that these are syndromes for which the underlying pathology, and frequently the etiology as well, can potentially be determined
A DSM-5 diagnosis of Tourette's Disorder requires that both multiple motor and one or more vocal tics have been present at some time during the illness, although not necessarily concurrently. How long must the tics be present?
C. The tics may wax and wane in frequency but have persisted for more than 1 year since first tic onset
Because opioid withdrawal and sedative, hypnotic, or anxiolytic withdrawal can involve very similar symptoms, distinguishing between the two can be difficult. Which of the following presenting symptoms would aid in making the correct diagnosis?
C. Yawning.
Which substance or class of substances in the Substance-Related and Addictive Disorders chapter of DSM-5 is not associated with a substance use disorder?
Caffeine.
Which substance use disorder of an illicit substance is the most prevalent in the United States?
Cannabis use disorder.
Whereas in DSM-IV, there were 11 recognized substance classes, DSM-5 has only 10, because certain related substances have been combined into a single class. Which of the following pairs of drugs falls into a single class in DSM-5?
Cocaine and methamphetamine.
Harry reports feeling depressed to his beloved social worker, Joan. Harry describes attending his favorite aunt's funeral with laughter, smiling, and no suggestion of sadness. Which statement below BEST describes Joan's mental status observation of Harry?
D. "Harry's affect is incongruent with his described mood and thought content."
The probability of being in any one of the three different sleep-wakefulness states is controlled by
D. A person's circadian rhythm timing system (CRTS).
All the side effects listed below are attributable to antidepressants (SSRIs) except for A. Inorgasmia B. Apathy, decreased spontaneity C. Weight gain D. Akathisia
D. Akathisia
Mood disorders,both current and lifetime, are prominent among patients with this disorder and this may help to explain the high rate of suicide seen in individuals with this disorder. This is
D. Anorexia
A 10-year-old boy is brought in for evaluation because of explosive outbursts when he is frustrated with schoolwork. The parents report that their son is well behaved and pleasant at other times. Which diagnosis best fits this clinical picture?
D. Intermittent explosive disorder
Most anxiety disorders occur
D. More frequently in males than in females (approximately 2:1 ratio).
Somatoform Disorders in the DSM-IV are now referred to as Somatic Symptom and Related Disorders in the DSM-5. Which of the following features characterizes the major diagnosis in this class, Somatic Symptom Disorder? A. Distressing somatic symptoms and abnormal thoughts, feelings, and behaviors in response to these symptoms B. Medically unexplained somatic symptoms C. Underlying psychic conflict D. Comorbidity with anxiety and depressive disorders
Distressing somatic symptoms and abnormal thoughts, feelings, and behaviors in response to these symptoms
What new DSM-5 convention is illustrated in the example below?
G31.84 Mild Neurocognitive Disorder Due to Alzheimer's Disease; Z60.2 Problem related to living alone
What are the three main chemical classes of hallucinogens?
Indoleamines, ergolines, and phenylalkylamines
Which of the following symptoms is a recognized consequence of the abrupt termination of daily or near-daily cannabis use?
Irritability
Which of the following specifiers would be appropriate for an 11-year-old boy who meets Criterion A symptoms in two settings? A. Mild. B. Moderate. C. Severe. D. Extreme. E. There is not enough information to code the specifier
Moderate.-The "mild" specifier requires symptoms to be confined to one setting, the "moderate" specifier requires symptoms to be present in at least two settings, and the "severe" specifier requires symptoms to be present in at least three settings.
conduct disorder "With limited prosocial emotions" specifier
Must display two- Lack of remorse or guilt. Callous—lack of empathy. Lack of concern about performance. Shallow or deficient affect.
In most substance/medication-induced mental disorders (with the exception of substance/medication-induced major or mild neurocognitive disorder and hallucinogen persisting perception disorder), if the person abstains from substance use, the disorder will eventually disappear or no longer be clinically relevant even
One month.
Which of the following statements about the onset and developmental course of conduct disorder is true? A. Onset may occur as early as the preschool years and is rare after age 16 years. B. Onset typically occurs in adolescence. C. Age at onset has no bearing on the developmental course of the disorder. D. Oppositional defiant disorder is generally not a precursor to the childhoodonset type of conduct disorder. E. Those with the adolescent-onset type of conduct disorder are less likely to adjust successfully as adults.
Onset may occur as early as the preschool years and is rare after age
A previously well-behaved 13-year-old girl begins to display extremely defiant and oppositional behavior, with vindictiveness. She is angry, argumentative, and refuses to accept responsibility for her behavior, which is affecting both her home life and school life in a significant way. What is the least likely diagnosis? A. Major depressive disorder. B. Bipolar disorder. C. Oppositional defiant disorder. D. Adjustment disorder. E. Substance use disorder.
Oppositional defiant disorder.-is an unlikely diagnosis if the onset is in adolescence after a childhood marked by compliant behavior
Which statement is FALSE regarding the treatment of generalized anxiety disorder in adults? A. Treatment of general anxiety disorder may take a significant amount of time for the involved clinician, whether the clinician is a psychiatrist, a family practitioner, or a clinical social worker. B. Recent studies show that generally anxious individuals respond best to aversive conditioning that minimizes or eliminates negative thinking. C. The most effective treatment of generalized anxiety disorder is probably one that combines psychotherapeutic, pharmacological, and supportive approaches. D. The major psychotherapeutic approaches to generalized anxiety disorder are cognitive-behavioral, supportive, and insight oriented.
Recent studies show that generally anxious individuals respond best to aversive conditioning that minimizes or eliminates negative thinking.
Intermittent Explosive Disorder Criteria A
Recurrent behavioral outbursts representing a failure to control aggressive impulses as manifested by either of the following: verbal/phsical aggression and three behavioral outbursts
A diagnosis of social (pragmatic) communication disorder should be considered only if the developmental history fails to reveal any evidence of
Restricted/repetitive patterns of behavior, interests, or activities.
A 17-year-old boy with a history of bullying and initiating fights using bats and knives has also stolen from others, set fires, destroyed property, broken into homes, and "conned" others. This pattern of disturbed conduct covers all of the Criterion A behavior categories except A. Aggression to people and animals. B. Destruction of property. C. Deceitfulness or theft. D. Serious violations of rules. E. Malevolent intent.
Serious violations of rules. serious violations of rules include the following: often stays out at night despite parental prohibitions, beginning before age 13 years; has run away from home overnight at least twice while living in the parental or parental surrogate home,
Which of the following substance use disorders is more common among adolescent males than among adolescent females?
Stimulant use disorder, cocaine subtype.
Cessation of prolonged or heavy use of this class of drugs results in dysphoric mood and two (or more) of the following physiological changes, developing within a few hours to several days: 1) Fatigue, 2) Vivid, unpleasant dreams, 3) Insomnia or hypersomnia, 4) Increased appetite, 5) Psychomotor retardation or agitation. What is this class of drugs?
Stimulants
What is the survey population for NSDUH
The National Survey on Drug Use and Health (NSDUH) is an annual survey of the civilian, non-institutionalized population of the United States aged 12 years old or older.
Which of the following is not a recognized symptom associated with hallucinogen use?
Withdrawal
Oppositional Defiant Disorder (ODD) younger than 5
he behavior should occur on most days for a period of at least 6 months unless otherwise noted
Oppositional Defiant Disorder (ODD) older than 5
the behavior should occur at least once per week for at least 6 months, unless otherwise noted
