Adult Psychopathology Test B

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?

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?

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?

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

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?

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

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

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

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

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

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

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

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?

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

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

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

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?

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

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?

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?

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?

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

What are the two subtypes of anorexia nervosa?

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?

Which of the following statements about alcohol withdrawal is true?