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Flashcards in Final Deck (39):

What is the primary difference between OCD and OCPD?
- OCPD is characterized by a perfectionistic and inflexible personality style, but does not typically involve true obsessions or compulsions
- OCPD is a more severe for of OCD
- OCPD and OCD have the same features across all criteria except for the duration of time
- Research has shown that in order to meet the criteria of OCPD, and individual must have had OCP before 15 yo

OCPD is characterized by a perfectionistic and inflexible personality style, but does not typically involve true obsessions or compulsions


James has no friends and he reports that is all he needs. He seems to have no desire to interact with others at all. People refer to him as a "turtle" due to his lack of interactions with others. Which best describes James?
- Narcissistic
- Schizophrenic
- Schizoid
- Historionic



Kelly has intrusive thoughts about germs, causing her to feel anxious, she must wash her hands repeatedly, unable to leave home until completing specific washing patterns, even if it means missing her classes at school. Most appropriate DSM-IV diagnosis?



Stella has been suffering from extreme anxiety. 2 years ago she was attacked and bitten by a rabid dog. Ever since this experience, she has been terrified by dogs. She began avoid leaving her home whenever possible, as she constantly worries about seeing a dog. When she does see a dog, she feels a tightness in her chest, feels unsteady, feels intense nausea, and has difficulty breathing. Stella would most likely be diagnosed with what from DSM IV?
- Social Anxiety Disorder
- Specific phobia

specific phobia


Keith was walking outside when he felt a sudden pain in his chest, had difficulty breathing, felt dizzy and extremely hot. He called 911 and was rushed to the ER, but Docs didn't find anything physically wrong with him once he called down. Over time, he began to have more and more of these episodes. Originally, they seemed to come completely out of the blue, but over time, he began to worry about them happening in public. There is no history of any trauma in his past. He eventually began to avoid leaving his apartment because he was worried about becoming impacted in from of others. DSM IV diagnosis?
- Specific phobia
- Panic attacks
- All of the above would meet criteria

Panic attacks


The clearest example of an individual with a dissociative identity disorder is an individual who:
- believes minor changes to the body are actually a disease
- Has multiple identities without awareness of the identities thoughts or feelings
- Imagines defect in his or her physical appearance
- Researches an illness and then create the appearance of the illness

Has multiple identities without awareness of the identities thoughts or feelings


Ravi brushes his teeth 18 times a day. Each time, he uses exactly 83 strokes up and 83 strokes down. After he eats, he must brush twice with 2 difference brands of toothpaste. Ravi suffers from:
- Bipolar disorder
- Phobia
- Dysthymic disorder



Within the last year, Mr Franks has been fired by 3 different employers because they each discovered that he was stealing money or materials from their companies. He feels no remorse for his misdeeds and does not care if anyone is hurt by his behavior, physically or financially. His behavior is most indicative of:
- Antisocial personality disorder
- Dissociative identity disorder
- Schizophrenia

Antisocial personality disorder


Free floating anxiety is MOST characteristic of _____ in which the individual cannot identify the trigger for the anxiety response
- Bipolar
- Phobic disorder
- panic disorder



2 years after being brutally beaten and sexually assaulted, she still experiences jumping anxiety and has trouble sleeping and vivid flashbacks of her assault. She is showing signs of:
- Bipolar disorder
- Panic disorder
- Social phobia



A schizoid personality disorder is most likely characterized by:
- shallow, attention getting emotional displays
- fear of social rejection
- instable desire for attention
- sense of self importance
- detachment from social relationships

detachment from social relationships


Depression within the first 4 weeks of giving child birth is called:
- adjustment disorder with depressed mood
- Bipolar I
- major depressive disorder
- depression with postpartum onset
- dysthymic disorder

depression with post pardum onset


For 2 weeks, Lawrence seems to have lost interest in most of his normal activities. He feels sad, has a lack of interest in food, and is crying more often and has had difficulty sleeping. He also finds that he has difficulty making decisions. Lawrence's symptoms are MOSt consistent with:
- Disorganized schizophrenia
- bipolar disorder
- Hypochondriasis
- Major depressive disorder

major depressive disorder


Kevin is a 25 yo auto mechanic who thinks he is Napoleon. He further believes he is being imprisoned against his will in the mental hospital where his relative have brought him for treatment. Kevin is most likely suffering from:
- Schizophrenia
- Panic disorder
- Dysthymic disorder
- Dissociative identity disorder



Manuel is extremely shy and is so easily embarrassed when he is with other people that he often misses his college classes just to avoid social interactions. Manuel appears to suffer from a:
- Antisocial personality disorder
- Dissociative identity disorder
- Social phobia
- Dysthymic dosroder

Social phobia


Episodes of intense dread that last for several minutes and are accompanied by shortness of breath, trembling, dizziness, or heart palpations are most characteristic of:
- Panic disorder
- Dissociative disorder

panic disorder


Cooper is an accountant and is convinced that his phone line is tapped and all the rooms in his house have listening devices planted, so that enemy agents can learn all his secret conversations. He never takes the same route to work 2 days in a row, to prevent the enemy agents from following him and learning where he works. He is experiencing:
- Delusions and hallucinations
- obsessions
- compulsions
- depressed affect

delusions and hallucinations


Those who attempt suicide are mostly ____. Those who succeed in completing the act are mostly _____.
- male, female
- male, male
- female, female
- female, male

female, male


Multiple personalities are classified as:
- Panic disorders
- Dissociative identity disorder
- Conversion disorders
- Psychogenic disorder

Dissociative identity disorder


Carl, a college student, complains that he feels apprehensive and fearful most of the time but doesn't know why. Without warning, his heart begins to pound, his hand gets icy, and he breaks out in a cold sweat. Carl most likely suffers from a:
- Dysthymic disorder
- Dissociative identity disorder
- phobia



A person who has agoraphobia is most likely to:
- stay in the home
- avoid dust and dirt
- avoid household pets
- be "out of touch" with reality
- stay away from fire

stay in the home


Which of the following is NOT a common characteristic of antisocial personality disorder?
- excessive guilt
- manipulative behavior
- impulsive behavior
- dangerous behaviors
- aggressiveness

excessive guilt


Tony believes that he is Thomas Edison, and he is convinced that his neighbors are spies who are trying to steal his inventions. He believes the neighbors break into his housing search for plans for new inventions when he is not home. Tony's symptoms are MOST consistent with those seen in:
- paranoid schizophrenia
- disorganized schizophrenia
- undifferentiated schizophrenia
- simple schizophrenia
- catatonic schizophrenia

paranoid schizophrenia


Abby was watching a documentary on some of the horrors of the Vietnam War. She saw soldiers being blown up after stepping on land mines and realized this must be what her father saw when he was her age which explains why he was having flashbacks, nightmares and hyper vigilant. Her father is displaying symptoms of:



Repeatedly washing you hands is a _____ as repeatedly thinking about cleanliness is a _____.
- dissociation, schizophrenia
- phobia, delusion
- mania, depression
- hallucination, delusion
- compulsion, obsession

compulsion, obsession


What is the most common form of hallucination and delusions in a schizophrenic?
- seeing animals
- hearing voices and seeing people that are not really there
- smelling a fire
- tasting onion

hearing voices and seeing people that are not really there


Sophie takes over 40 vitamins and herbal remedies each day to keep herself in top physical health. Recently she had some sever dizziness, but her GP said it was just an ear infection that would clear up soon. She is concerned because she is sure it is a sign of something more serious, like a brain tumor, and has made appointments to see a few different specialists. Her GP has seen her for the past 5 years with many different symptoms which have not been verified by assessment of her reported complaints. Symptoms most common with:
- Somatic symptom disorder
- Panic disorder
- Neuroticism
- Hypochondriasis

Hypochondriasis (malingering without motive)


5 stages mourning

Denial and isolation


Someone who is having hallucinations and delusions and has waxy flexibility in which they do not move and are totally withdrawn is probably _____, in DSM IV
- Disorganized schizophrenic
- paranoid schizophrenic
- catatonic schizophrenic
- undifferentiated schizophrenic
- simple schizophrenic



After several weeks of feeling apathetic and dissatisfied with his life, Mark has suddenly become extremely cheerful and so talkative he can't be interrupted. He seems to need less sleep and becomes irritated when his friends tell him to slow down. Mark's behavior is indicative of:
- Bipolar
- Dysthymic
- Schizophrenia
- Agorpahobia



Long term use of certain antipsychotic drugs can produce involuntary movements of the facial muscles, tongue, and limb. This menacing condition is known as:
- Lobotomy
- Neurogenesis
- Serotonin reuptake inhibition
- Parkinson's disease
- Tardive dyskinesia

Tardive dyskinesia


Melissa suffers from auditory hallucinations and falsely believes that her former high school teachers are trying to kill her. Melissas symptoms are mostly likely to be decreased by taking ____ drugs, as per standard of care protocol and research.
- Antipsychotic
- Antianxiety
- Antidepressant



____ is a symptom and criteria of Dementia of Alzheimer's type 100% of the time.
- fear
- loss of eye sight
- psychotic features
- memory loss

memory loss


Identify a diagnosis that is rapidly fluctuating, the total duration is brief, and is always due to substance or general medical condition such as fever, post-surgery, or medication effect that can lead to a disturbance in consciousness.
- Delerium
- Dementia of Alzheimer's
- Schizophrenia
- All of the above are possible diagnosis


common age range - young children and geriatrics


Theories supporting abuse and violence exist. Match theory to definition.

1. Studies show that rats crowded together become more aggressive
2. Environmental and psychological factors contribute to aggressive behavior
3. Aggression is innate and preserves the species
4. Modeling and observation repeats behaviors in society through the generations

a. integrated transmission of violence
b. biological instinctivist
c. biological neurophysical theory
d. stress theory

1. Studies show that rats crowded together become more aggressive -- stress theory
2. Environmental and psychological factors contribute to aggressive behavior -- biological neurophysical theory
3. Aggression is innate and preserves the species -- biological instinctivist
4. Modeling and observation repeats behaviors in society through the generations -- integrated transmission of violence

1. d
2. c
3. b
4. a


Name the most common broken bone in a physically abused child with multiple levels of healing, according to research and class lecture
- ribs
- arms
- legs
- fingers



Name the 3 diagnosis that have been more commonly linked with females that have been physically and sexually abused, according to research and class discussion
- Major depressive disorder, Depression with postpartum, suicidality
- DID, ADHD, Schizophrenia
- DID, PTSD, Anorexia
- Bulimia, GAD, MPD

DID, PTSD, Anorexia


If a woman has recently given birth to a child and feels tearful and moody with no other symptoms, what is the most appropriate label?
- Postpardum blues
- Depression with postpartum onset
- adjustment disorder with depressed mood
- and of the above would meet criteria

postpardum blues


DSM IV to DSM V differences:

1. Major Depressive Disorder
2. Did not exist in DSM IV
3. Schizophrenia
4. Hypochondriasis

a. excoriation (skin pulling)
b. illness anxiety disorder
c. removal of bereavement exclusion
d. removal of subtypes such as Paranoid and Catatonic

1. Major Depressive Disorder - removal of bereavement exclusion
2. Did not exist in DSM IV - excoriation (skin pulling)
3. Schizophrenia - removal of subtypes such as Paranoid and Catatonic
4. Hypochondriasis - illness anxiety disorder

1. b
2. d
3. a
4. c