ABP MockBoard BOOSTER (Finalized) (4/7/24) Flashcards

Mr. Louis Montano (4/7/24)

1
Q

Which of the following is unethical?

A. Having a multiple relationship with your client.
B. Accepting a gift from your client.
C. Protecting the privacy and confidentiality of your client.
D. Referring clients whose problems are beyond your expertise.

A

A. Having a multiple relationship with your client.

a Multiple relationship occurs when a psychologist is in a professional role with a person and:
(1) at the same time is in another role with the same person.
(2) at the same time is in a relationship with a person closely associated with or related to the person with whom the psychologist has the professional relationship.
(3) promises to enter into another relationship in the future with the person.

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2
Q

Which part of your brain is active when you get cues about being hungry, thirsty, or sleepy?

A. Hippocampus
B. Thalamus
C. Hypothalamus
D. Amygdala

A

C. Hypothalamus

Three Major Regions of the Brain:
> Hindbrain
> Midbrain
> Forebrain

Hindbrain:
> Medulla - regulated breathing, heart rate, and blood pressure; coughing, swallowing, sneezing, and vomiting (reflexes).
> Pons - Sleep-wake cycle and breathing; A hindbrain structure that serves as a bridge between lower brain regions and higher midbrain and forebrain activity.
> Cerebellum (“little brain”) - movement, balance, coordination, fine motor; has a lot of neurons.

Midbrain:
> Brain Stem - Midbrain, Medulla and Pons.
> Reticular Formation - Attention; waking up and falling asleep.

People with Parkinson’s disease have problems with midbrain functioning.

Forebrain:
Limbic System - network of brain structures.

> Hippocampus (“hard drive of the nervous system”) - learning and memory.

> Amygdala - important for processing emotional information (esp. fear).
-> Without/Damaged Amygdala, you will not feel fear.
->Underactive Amygdala, does not give you enough fear despite the existence of threat.
-> Overactive Amygdala gives you anxiety because you always look for threat in the environment even though there is no existing threat.

> Thalamus (“receptionist of the brain”) - sensory relay station; if a new information entered the brain, the Thalamus will direct the information to the appropriate part of the brain for processing. (eg. hot weather, the Thalamus will direct the information of hot weather to the parietal lobe, because It processes your sense of touch)

> Hypothalamus - regulator of almost all major drives and motives we have, such as hunger, thirst, temperature, and sexual behavior.

> Cerebral Cortex - the thin outer layer of the cerebrum, in which much of human thought, planning, perception, and consciousness takes place.

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3
Q

This orientation focuses on symptoms instead of looking at underlying causes.

A. Psychodynamic
B. Humanistic
C. Social
D. Behavioral

A

D. Behavioral

Behavioral Model:
- Maladaptive behaviors also can be learned.
- Classical and Operant Conditioning
- Systematic Desensitization
- Some critics hold that the behavioral view is too simplistic, that its concepts fail to account for the complexity of behavior.
- Will rely on methods like punishment, reinforcement, phobia counter conditioning

Cognitive Model:
- People may make assumptions and adopt attitudes that are disturbing and inaccurate.
- Cognitive distortions - overgeneralization, all-or-nothing thinking, arbitrary inference.
- Irrational thinking - “should’s”, “musts”
- Criticism: although cognitive and cognitive-behavioral therapies are clearly of help to many people, they do not help everyone.

Psychodynamic Model:
- Psychodynamic theorists believe that a person’s behavior, whether normal or abnormal, is determined largely by underlying psychological forces of which he or she is not consciously aware (e.g. childhood experiences).
- Intrapsychic conflicts, Repressed thoughts.
- Defense mechanisms
- Fixation

Humanistic-Existential Model:
- Humanists believe that human beings are born with a natural tendency to self-actualize.
- Humanistic: Conditions of worth, Incongruence.
- Existential: Inauthenticity - Those who choose to “hide” from responsibility and choice will view themselves as helpless and may live empty, inauthentic, and dysfunctional lives as a result; we are the product of our choices

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4
Q

(+) Which of the following is TRUE about living in a VUCA environment?

A. There is no such thing as VUCA
B. It reduces the risk of having a mental illness
C. It increases the risk of having a mental illness
D. It is not correlated with mental illness

A

C. It increases the risk of having a mental illness

VUCA:
V - Volatility
U - Uncertainty
C - Complexity
A - Ambiguity

V - Volatility - is the degree to which events and situations change quickly, often unpredictably. It is the most obvious of the four VUCA concepts, and many stakeholders are familiar with it. The other three components are more complex and can easily be overlooked.

U - Uncertainty - is the degree to which outcomes of events and situations are unknown or unpredictable. This is an area where stakeholders can often be caught off guard, as it’s difficult to anticipate every potential outcome.

C - Complexity - is the degree to which events and situations are composed of many interconnected parts. This is an area where stakeholders need to be aware of the potential for subtle relationships between different elements, as well as the potential for unforeseen consequences of their decisions.

A - Ambiguity - is the degree to which events and situations have unclear meanings. This is an area where stakeholders need to be particularly careful, as it can be difficult to determine the exact significance of any given event or situation.

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5
Q

A 3½-year-old girl demonstrates substantial delays across multiple domains of functioning, including communication, learning, attention, and motor development, which limit her ability to interact with same-age peers and require substantial support in all activities of daily living at home. Unfortunately, the child has received no formal psychological or learning evaluation to date. She is about to be evaluated for readiness to attend preschool. What is the most appropriate diagnosis?

A. Major neurocognitive disorder
B. Autism spectrum disorder
C. Global developmental delay
D. Intellectual developmental disorder

A

C. Global developmental delay

This diagnosis is reserved for individuals under the age of 5 years when the clinical severity level cannot be reliably assessed during early childhood. This category is diagnosed when an individual fails to meet expected developmental milestones in several areas of intellectual functioning, and applies to individuals who are unable to undergo systematic assessments of intellectual functioning, including children who are too young to participate in standardized testing. This category requires reassessment after a period of time.

Global developmental delay:
- reserved for individuals under the age of 5 years
- fails to meet expected developmental milestones
- unable to undergo systematic assessments of intellectual functioning
- temporary diagnosis for children that cannot be fully assessed yet due to age restrictions.

Intellectual developmental disorder
- you can confidently say that the client met the criteria for Intellectual developmental disorder, you were able to do assessment.

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6
Q

Which of the following statements best describes how panic attacks differ from panic disorder?

A. Panic attacks require fewer symptoms for a definitive diagnosis.
B. Panic attacks are discrete, occur suddenly, and are usually less severe.
C. Panic attacks are always unexpected.
D. Panic attacks represent a syndrome that can occur with a variety of other disorders.

A

D. Panic attacks represent a syndrome that can occur with a variety of other disorders.

Panic Attack - necessary for the diagnosis of panic disorder, but panic attack may also occur in the context of another disorder (eg. In Phobia, panic attacks tend to be expected).

Panic Disorder - not afraid of specific stimulus but afraid of experiencing another or more panic attacks.

Agoraphobia - fear that if you are in a certain place/situation, escape might not be possible/help in not available, in case something bad happens; can only be diagnosed with Agoraphobia, if you have 2 or more fears of being in certain place/situation (eg. fear of being in a crowd and being in an elevator).

Situational-type phobia - can be diagnosed if you only have one fear of being in certain place/situation.

Interoceptive avoidance - behaving carefully and may try to avoid specific situations/stimuli that could potentially trigger a panic attack (eg. a person with panic disorder, will not exercise because whenever they exercise their heartbeat is becoming faster and overthinks that he/she could have a panic attack and die, so he/she avoids exercise).

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7
Q

A 7-year-old boy who has speech delays presents with long-standing, repetitive hand waving, arm flapping, and finger wiggling. His mother reports that she first noticed these symptoms when he was a toddler and wonders whether they are tics. She says that he tends to flap more when he is engrossed in activities, such as while watching his favorite television program, but will stop when called or distracted. Based on the mother’s report, the child is exhibiting _________?

A. Provisional tic disorder.
B. Persistent (chronic) motor or vocal tic disorder.
C. Complex tics
D. Motor stereotypies.

A

D. Motor stereotypies.

Tics vs. Stereotypies
Motor Stereotypies - are defined as involuntary rhythmic, repetitive, predictable movements that appear purposeful but serve no obvious adaptive function (hand waving/rotating, arm flapping, and finger wiggling)
> Earlier age of onset, prolonged duration, stops with distraction
> May involve arms, hands, or the entire body.
> Ego-syntonic - means that something feels okay or normal to you. It’s like when your actions or thoughts match up with how you see yourself, and you’re comfortable with them.

          Tics - commonly involve eyes, face, head, and shoulders and are generally, are brief, rapid, random, and fluctuating.
           > Ego-dystonic - It refers to thoughts, feelings, or behaviors that feel wrong or uncomfortable to you, like they don't fit with who you are or how you see yourself.

Provisional Tic Disorder
- A Tic is a sudden, rapid, recurrent, nonrhythmic motor movement or vocalization
:
A. Single or multiple motor and/or vocal tics.
B. The tics have been present for less than 1 year since first tic onset.
C. Onset is before age 18 years.
D. The disturbance is not attributable to the physiological effects of a substance (e.g., cocaine) or another medical condition (e.g. Huntington’s disease, postviral encephalitis)
E. Criteria have never been met for Tourette’s disorder or persistent (chronic) motor or vocal tic disorder.

Persistent (Chronic) Motor or Vocal Tic
:
A. Single or multiple motor or vocal tics have been present during the illness, but not both motor and vocal.
B. The tics may wax and wane in frequency but have persisted for more than 1 year since first tic onset.
C. Onset is before age 18 years.
D. The disturbance is not attributable to the physiological effects of a substance (e.g., cocaine) or another medical condition (e.g.) Huntington’s disease, postviral encephalitis)
E. Criteria have never been met for Tourette’s disorder.
> Specify if: With motor tics only, With vocal tics only.

Tourette’s Disorder
:
A. Both multiple motor and one or more vocal tics have been present at sometime during the illness, although not necessarily concurrently.
B. The tics may wax and wane in frequency but have persisted for more than 1 year since first tic onset.
C. Onset is before age 18 years.
D. The disturbance is not attributable to the physiological effects of a substance (e.g., cocaine) or another medical condition (e.g.) Huntington’s disease, postviral encephalitis).

Stereotypic Movement Disorder.
:
A. Repetitive, seemingly driven, and apparently purposeless motor behaviors (e.g., hand shaking, or waving, body rocking, head banging, self-biting, hitting own body).
B. The repetitive motor behavior interferes with social, academic, or other activities and may result in self-injury.
C. Onset is in the early developmental period.
D. The repetitive motor behavior is not attributable to the physiological effects of a substance or neurological condition and is not better explained by another neurodevelopmental or mental disorder (e.g., trichotillomania [hair-pulling disorder], obsessive-compulsive disorder).
> Specify if: With or without self-injurious behavior.

Additional info:
SMD and Autism Spectrum Disorder (SMD) can comorbid, if the SMD is self-harming/self-injurious

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8
Q

A mother brings her 8-year-old son to you for an evaluation with concerns that her son has struggled with speech articulation since very young. He has not sustained any head injuries, is otherwise healthy, and has a normal IQ. His teacher reports that she does not always understand what he is saying and that other children tease him by calling him a “baby” due to his difficulty with communication. He does not have trouble relating to other people or understanding nonverbal social cues. What is the most likely diagnosis?

A. Selective mutism.
B. Global developmental delay.
C. Speech sound disorder.
D. Avoidant personality disorder.

A

C. Speech sound disorder.

Language Disorder
:
A. Persistent difficulties in the acquisition and use of language across modalities (i.e., spoken, written, sign language, or other) due to deficits in comprehension or production that include the following:
1. Reduced vocabulary.
2. Limited sentence structure.
3. Impairments in discourse.

Speech Sound Disorder
:
A. Persistent difficulty with speech sound production that interferes with speech intelligibility or prevents verbal communication of messages.
B. The disturbance causes limitations in effective communication that interfere social participation, academic achievement, or occupational performance, individually or in any combination.
C. Onset of symptoms is in the early developmental period.
D. The difficulties are not attributable to congenital or acquired conditions, such as cerebral palsy, cleft palate, deafness or hearing loss, traumatic brain injury, or other medical or neurological conditions.

Childhood-Onset Fluency Disorder (Stuttering)
:
A. Disturbances in the normal fluency and time patterning of speech that are inappropriate for the individual’s age and language skills, persist over time, and are characterized by frequent and marked occurrences of one (or more) of the following:
1. Sound and syllable repetition, prolongations of consonants/vowels, broken words (e.g., pauses within word), audible or silent blocking (pauses in speech), circumlocutions (substitution of easier words), words produced with an excess of physical tension, monosyllabic whole-word repetitions.

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9
Q

A 15-year-old boy has a history of episodic violent behavior that is out of proportion to the precipitant. During a typical episode, he will become extremely angry, punching holes in walls or destroying furniture in the home. There seems to be no specific purpose or gain associated with the outbursts, and within 30 minutes he is calm and “back to himself”. What would be the most probable diagnosis?

A. Oppositional defiant disorder
B. Disruptive mood dysregulation disorder
C. Conduct disorder
D. Intermittent explosive disorder

A

D. Intermittent explosive disorder

Intermittent Explosive Disorder (IED)
:
A. Recurrent behavioral outburst
> Verbal aggression (tantrums, fights) or physical aggression.
> Behavioral outbursts involving damage to property.
B. Aggressiveness is out of proportion to the provocation.
C. Outbursts are not premeditated and are not committed to achieve some objective
D. Distress or impairment
E. Age 6+
F. Not better explained by another mental disorder.

Additional info:
IED and Antisocial PD can be comorbid as long as both are met. People with IED were just triggered and may have empathy after outbursts, while people with Antisocial PD they plan ahead and they don’t have empathy.

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10
Q

Which of the ff. best describes the differences between IED and DMDD?

A. DMDD is primarily found among adults with IED is commonly diagnosed among children
B. DMDD is a mood disorder whereas IED is a personality disorder
C. For children with outbursts and intercurrent, persistent irritability, only the diagnosis of IED should be made.
D. Intermittent explosive disorder does not require the individual’s mood to be persistently irritable or angry between outbursts

A

D. Intermittent explosive disorder does not require the individual’s mood to be persistently irritable or angry between outbursts

Disruptive mood dysregulation disorder (DMDD)
:
A. Severe recurrent temper outbursts manifested verbally (e.g. - verbal rages) and/or behaviourally (e.g. - physical aggression toward people or property) that are grossly out of proportion in intensity or duration to the situation or provocation.
B. The temper outbursts are inconsistent with developmental level.
C. The temper outbursts occur, on average, 3 or more times per week.
D. The mood between temper outbursts in persistently irritable or angry most of the day, nearly every day, and is observable by others (e.g. - parents, teachers, peers).
E. Criteria A, B, C, and D have been present for 12 or more months. Throughout that time, the individual has not had a period lasting 3 or more consecutive months without all of the symptoms in Criteria A to D.
F. Criteria A and D are present in at least 2 of the 3 settings (i.e. - at home, at school, with peers) and are severe in at least 1 of these.
G. The diagnosis should not be made for the first time before age 6 years or after age 18 years
H. By history or observation, the age of onset of Criteria A to E is before 10 years.
I. There has never been a distinct period lasting more than 1 day during which the full symptom criteria, except duration, for a manic or hypomanic episode have been met.
J. The behaviors do not occur exclusively during an episode of major depressive disorder and are not better explained by another mental disorder (e.g., autism spectrum disorder, posttraumatic stress disorder, separation anxiety disorder, persistent depressive disorder.
K. The symptoms are not attributable to the physiological effects of a substance or to another medical or neurological condition.

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11
Q

What is the role of educational institutions according to RA 11036?

A. Educational Institutions shall develop policies and programs for students, educators, and other employees designed to raise awareness on mental health issues.
B. Formulate, develop, and implement a national mental health program. In coordination with relevant government agencies, create a framework for Mental Health Awareness Program to promote effective strategies regarding mental healthcare.
C. Establish mechanisms to investigate, address, and set upon complaints to impropriety and abuse in the treatment and care received by service users.
D. Review, formulate, and develop the regulations and guidelines necessary to implement an effective mental health care and wellness policy within their territorial jurisdiction.

A

A. Educational Institutions shall develop policies and programs for students, educators, and other employees designed to raise awareness on mental health issues.

DOH - B. Formulate, develop, and implement a national mental health program. In coordination with relevant government agencies, create a framework for Mental Health Awareness Program to promote effective strategies regarding mental healthcare.

Commission on Human Rights - C. Establish mechanisms to investigate, address, and set upon complaints to impropriety and abuse in the treatment and care received by service users.

LGU - D. Review, formulate, and develop the regulations and guidelines necessary to implement an effective mental health care and wellness policy within their territorial jurisdiction.

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12
Q

A 7-year-old girl presents with a history of normal language skills (vocabulary and grammar intact) but is unable to use language in a socially pragmatic manner to share ideas and feelings. She has never made good eye contact, and she has difficulty reading social cues. Consequently, she has had difficulty making friends, which is further complicated by her being somewhat obsessed with cartoon characters, which she repetitively scripts. She tends to excessively smell objects. Because she insists on wearing the same shirt and shorts every day, regardless of the season, getting dressed is a difficult activity. These symptoms date from early childhood and cause significant impairment in her functioning. What diagnosis best fits this child’s presentation?

A. Intellectual Disability.
B. Autism spectrum disorder.
C. Stereotypic Movement Disorder.
D. Social (pragmatic) communication disorder.

A

B. Autism spectrum disorder.

Autism spectrum disorder.
:
A.
B. Restricted, repetitive behaviors, interests or activities
> Stereotyped or repetitive movements, use of objects or speech (echolalia; idiosyncratic phrases)
> Insistence on sameness, adherence to routines and ritualized patterns.
> Highly restricted, fixated interests that are abnormal in intensity (attachment or preoccupation to unusual objects).
> Hyper- or Hyporeactivity to sensory input (indifference to pain, excessive smelling or touching, fascination with lights)

Social (pragmatic) communication disorder
:
A. Persistent difficulties in the social use of verbal and nonverbal communication as manifested by all of the following:
1. Deficits in using communication for social purposes, such as greeting and sharing information, in a manner that is appropriate for the social context.
2. Impairment of the ability to change communication to match context or the needs of the listener, such as speaking differently in a classroom than on a playground, talk ing differently to a child than to an adult, and avoiding use of overly formal language.
3. Difficulties following rules for conversation and storytelling, such as taking turns in conversation, rephrasing when misunderstood, and knowing how to use verbal and nonverbal signals to regulate interaction.
4. Difficulties understanding what is not explicitly stated (e.g. - making inferences) and nonliteral or ambiguous meanings of language (e.g. - idioms, humour, metaphors, multiple meanings that depend on the context for interpretation).

B. The deficits result in functional limitations in effective communication, social participation, social relationships, academic achievement, or occupational performance, individually or in combination.

C. The onset of the symptoms is in the early developmental period (but deficits may not become fully manifest until social communication demands exceed limited capacities).

D. The symptoms are not attributable to another medical or neurological condition or to low abilities in the domains of word structure and grammar, and are not better explained by autism spectrum disorder, intellectual disability, global developmental delay, or another mental disorder.

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13
Q

Which of the following BEST describes the difference between oppositional defiant disorder and conduct disorder.

A. All children with ODD would eventually develop CD
B. Both ODD and CD is characterized by aggression to people and animals but only CD includes destruction of property and pattern of theft and deceit.
C. In CD, the individual’s failure to conform to requests of others is explained by inattentiveness and failure to sustain effort.
D. ODD includes emotional dysregulation symptoms which that are not included in the definition of conduct disorder.

A

D. ODD includes emotional dysregulation symptoms which that are not included in the definition of conduct disorder.

Oppositional Defiant Disorder (ODD)
A. At least 4 symptoms from any of the following categories:
1. Angry/Irritable Mood - loses temper, easily annoyed, angry and resentful.
2. Argumentative/Defiant behavior - argues with authority figures, refuses to comply with requests or rules, annoys others, blames others for misbehaviors.
3. Vindictiveness or spiteful

Conduct Disorder (CD)
:

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14
Q

A 4-year-old boy in day care often displays fear that does not seem to be related to any of his activities. Although frequently distressed, he does not seek contact with any of the staff and does not respond when a staff member tries to comfort him. What additional caregiver-obtained information about this child would be important in deciding whether his symptoms represent Reactive Attachment Disorder (RAD) or Autism Spectrum Disorder (ASD)?

A. Age at first appearance of the behavior.
B. Family history about his siblings.
C. History of language delay.
D. History of severe social neglect.

A

D. History of severe social neglect.

Reactive Attachment Disorder
:
A. Pattern of inhibited, emotionally withdrawn behavior toward adult caregivers:
1. The child rarely or minimally seeks comfort when distressed.
2. The child rarely or minimally responds to comfort when distressed.
B. Social and emotional disturbance:
1. Minimal social and emotional responsiveness to others.
2. Limited positive effect.
3. Episodes of unexplained irritability, sadness, or fearfulness that are evident even during nonthreatening interactions with adult caregivers.
C. The child has experience a pattern of extremes of insufficient care:
1. Social neglect or deprivation
2. Repeated changes of primary caregivers that limit opportunities to form stable attachments.
3. Rearing in unusual settings that severely limit opportunities to form selective attachments.
D. The care in Criterion C is presumed to be responsible for the disturbed behavior in Criterion A.
E. The criteria are not met for Autism Spectrum Disorder.
F. Evident before age 5 years.
G. Developmental age of at least 9 months.

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15
Q

Reactive attachment is disorder is characterized by a pattern of:

A. Minimal comfort seeking behavior
B. Reduced reticence in approaching unfamiliar adults.
C. Deficits in social communication and interaction.
D. All of the above

A

A. Minimal comfort seeking behavior

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16
Q

Which of the following tests should be administered when determining if a person has a specific learning disorder?

A. BPI, PAI, MMPI-3, BVMGT
B. HEXACO-Pi-r, MMPI-3
C. NEO-Pi-r, BVMGT, DAT
D. WIAT, WAIS or WISC or WPPSI

A

D. WIAT, WAIS or WISC or WPPSI

In diagnosing a person with specific learning disorder, you need 2 tests–1 intelligence test (IQ Test) and the other 1 is an achievement test.

If you are going to diagnose a person with specific learning disorder, the IQ of the person should be normal because if its below normal, you should consider it instead as intellectual disability.

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17
Q

Which of the following is FALSE about ADHD

A. Most cases of adult ADHD are characterized by symptoms of inattention
B. Their poor academic performance is attributed to their behavioral problems instead of lack of intelligence.
C. The popular view that refined sugar can cause ADHD has not been supported by careful research.
D. Stimulants have been found to worsen ADHD symptoms, particularly hyperactivity.

A

D. Stimulants have been found to worsen ADHD symptoms, particularly hyperactivity.

True about ADHD:
B. Their poor academic performance is attributed to their behavioral problems instead of lack of intelligence.
C. The popular view that refined sugar can cause ADHD has not been supported by careful research.

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18
Q

The following are TRUE about selective mutism EXCEPT

A. The disturbance is often marked by high social anxiety
B. It cannot be diagnosed alongside social anxiety disorder
C. The person is capable of speaking in some situations
D. It may lead to academic impairment

A

B. It cannot be diagnosed alongside social anxiety disorder

Selective Mutism
:
Criterion A:
Consistent failure to speak in specific social situations in which there is an expectation for speaking (e.g. - at school) despite speaking in other situations.

Criterion B:
The disturbance interferes with educational or occupational achievement or with social communication.

Criterion C:
The duration of the disturbance is at least 1 month (cannot be during first month of school).

Criterion D:
The failure to speak is not attributable to a lack of knowledge of, or comfort with, the spoken language required in the social situation.

Criterion E:
The disturbance is not better explained by a communication disorder (e.g. - childhood-onset fluency disorder) and does not occur exclusively during the course of autism spectrum disorder, schizophrenia, or another psychotic disorder.

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19
Q

School phobia among kids may be a form of

A. Social Anxiety Disorder
B. Separation Anxiety Disorder
C. Either a or b
D. None of these

A

C. Either a or b

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20
Q

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

A. Panic attacks.
B. Obsessions.
C. Muscle tension.
D. Multiple somatic complaints.

A

C. Muscle tension.

Generalized Anxiety Disorder:
Criterion A
Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance).

Criterion B
The individual finds it difficult to control the worry.

Criterion C
The anxiety and worry are associated with at least 3 of the 6 symptoms (with at least some symptoms present for more days than not for the past 6 months);

(Only 1 item is required in children)
1. Blanking out or difficulty concentrating
2. Easily fatigued
3. Sleep changes (difficulty falling or staying asleep, or restless, unsatisfying sleep)
4. Keyed up, on edge, or restless
5. Irritability
6. Muscle tension

Criterion D
The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Criterion E
The disturbance is not attributable to the physiological effects of a substance (e.g. - a drug of abuse, a medication) or another medical condition (e.g. - hyperthyroidism).

Criterion F
The disturbance is not better explained by another mental disorder:

> Anxiety or worry about having panic attacks (panic disorder)
> Negative evaluation (social anxiety disorder)
> Contamination or other obsessions (obsessive-compulsive disorder)
> Separation from attachment figures (separation anxiety disorder)
> Reminders of traumatic events (post-traumatic stress disorder)
> Gaining weight (anorexia nervosa)
> Physical complaints (somatic symptom disorder)
> Perceived appearance flaws (body dysmorphic disorder)
> Having a serious illness (illness anxiety disorder)
> The content of delusional beliefs (schizophrenia or delusional disorder)
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21
Q

Which of the following features distinguishes disruptive mood dysregulation disorder (DMDD) from bipolar disorder in children?

A. Chronicity
B. Gender of the child
C. Irritability
D. Age at onset

A

A. Chronicity

Chronic - symptoms are always available and does not go away.
Episodic - symptoms reveal during an episodes.

22
Q

Before going to sleep, a man meticulously inspects every container, cabinet, and storage area in his home, ensuring there are no firearms or other potentially harmful weapons that could endanger himself or his wife. He checks the same place over and over again until he feels “relieved” and “satisfied”. This behavior takes a significant amount of time. Based on this information, we can say that he has __________.

A. Panic Disorder
B. Obsessive-Compulsive Disorder
C. Generalized Anxiety Disorder
D. Separation Anxiety Disorder

A

B. Obsessive-Compulsive Disorder

OCPD
- perfectionist but no repetitive behaviors

GAD
- no compulsions, what you’re worrying are all realistic

23
Q

What does prepared learning say about specific phobias?

A. Watching a phobic person behaving fearfully with his or her phobic object can be distressing to the observer
B. The anxiety is displaced onto some external object or situation that has some symbolic relationship to the real object of the anxiety
C. The fear response can readily be conditioned to previously neutral stimuli when these stimuli are paired with traumatic or painful events.
D. Phobias may have an evolutionary explanation.

A

D. Phobias may have an evolutionary explanation.

We have a phobia because its our way of protecting ourselves from threats that had been threatening our ancestors (e.g. fear of snakes because we already have ancestors who had been killed by snakes).

Animals and Nature are all Anxiety provoking because our ancestors were exposed to those during their time and we were able to inherit it.

24
Q

Which among the following refers to thought-action fusion in obsessive-compulsive disorder?

A. The belief that thinking about something is equivalent to doing it.
B. Obsessions focused on dirt and contamination may have deep evolutionary roots
C. Suppressing one’s obsessive thoughts may paradoxically lead to increased experience of intrusive thoughts.
D. Compulsions help in managing the anxiety elicited by the obsession, which reinforces the pattern.

A

A. The belief that thinking about something is equivalent to doing it.

25
Q

Barbara is afraid of going to public places and has resigned from her work ever since she started experiencing social anxiety. When evaluated by her psychiatrist, it turned out that Barbara is preoccupied with the thought that she looks “like a witch” because of the shape of her nose and the texture of her skin. She is afraid that people will ridicule her and will reject her for her ugliness so she always stays at home. What is the most probable diagnosis?

A. Agoraphobia
B. Body dysmorphic disorder
C. Social anxiety disorder
D. Body dysmorphic disorder and social anxiety disorder

A

B. Body dysmorphic disorder

Body dysmorphic disorder and social anxiety disorder can comorbid only if her fear of social situations is not explained alone with BDD but explained by other reasons as well related to social anxiety (e.g., afraid of talking to other people)

26
Q

Research on depressive disorders indicate that there are cross-cultural differences in depression. Which of the ff. is more commonly reported by those who come from non-Western societies?

A. Guilt
B. Worthlessness
C. Suicidal ideation
D. Physical symptoms

A

D. Physical symptoms

Non-western societies/Asian cultures believe in mind and body connection. Therefore, with that philosophy in mind, if the mind is unhealthy, the body is also unhealthy. So, some of Asian cultures who are diagnosed with depressive disorders, also shows Physical symptoms.

In Western societies, it is commonly reported that people with depressive disorders experience Guilt because they have individualistic culture, therefore with that philosophy in mind, they believe that whatever that is happening to you, it is your own fault.

27
Q

A student who got a failing grade in a periodical examination in mathematics concluded that he is not smart enough, that he will fail in all aspects in life, and that there is no way for him to change this fact. Attribution theory would say that his attribution styles is:

A. internal, specific, unstable
B. external, specific, unstable
C. internal, global, stable
D. external, global, stable

A

C. internal, global, stable

Etiology of Depression:
- Depressive Attributional Style (Abramson)
> Internal (vs. External): Personal failings
> Stable (vs. Unstable): “I am always like this”
> Global (vs. Specific): Across variety of issues.

Rumination Theory (Hoeksema)
> Rumination - going over and over in one’s mind or going over a thought repeatedly time and again.

28
Q

A patient who is diagnosed with major depressive disorder also displays at least 2 symptoms of mild depression for more days than not in the last 2 years. What would be the most probable diagnosis?

A. Major depressive disorder and persistent depressive disorder
B. Major depressive disorder with pure dysthymic disorder
C. Major depressive disorder
D. Persistent depressive disorder

A

A. Major depressive disorder and persistent depressive disorder

Two symptoms that are present in Major depressive disorder and not in persistent depressive disorder – Suicidality and Psychomotor agitation

29
Q

Children who may have been diagnosed with _____ in the past are now typically diagnosed with ______.

A. Bipolar I or II: DMDD
B. OCD: PTSD
C. Seasonal Affective Disorder: Bipolar I or II
D. DMDD: IED

A

A. Bipolar I or II: DMDD

Before DMDD is added in the DSM-5, Bipolar I and II is the diagnosis to children who shows symptoms of DMDD.

DMDD is more common in kids, while IED is more common in adults.

30
Q

Which of the following is FALSE about kleptomania?

A. Individuals with this disorder are aware that the act is wrong or senseless.
B. The target objects are not needed for personal use or for their monetary value.
C. It should not be diagnosed if the theft is planned and deliberate.
D. The stealing behavior may be a response to a delusion.

A

D. The stealing behavior may be a response to a delusion

Kleptomania:
Criterion A:
Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value.

Criterion B:
Increasing sense of tension immediately before committing the theft.

Criterion C:
Pleasure, gratification, or relief at the time of committing the theft.

Criterion D:
The stealing is not committed to express anger or vengeance and is not in response to a delusion or a hallucination.

Criterion E:
The stealing is not better explained by conduct disorder, a manic episode, or antisocial personality disorder.

31
Q

Which of the following is not a symptom of pyromania?

A. A history of fire setting (e.g., burning an effigy) during political movements.
B. Abnormal fascination with fire stations, fire trucks, hydrants, and extinguishers.
C. experience pleasure, gratification, or relief when setting the fire, witnessing its effects, or participating in its aftermath
D. All of these are indicators of pyromania

A

A. A history of fire setting (e.g., burning an effigy) during political movements.

In this context, when you are burning something in a political rally or movement, it is accepted in that specific situation.

Pyromania:
Criterion A
Deliberate and purposeful fire setting on more than 1 occasion.

Criterion B
Tension or affective arousal before the act.

Criterion C
Fascination with, interest in, curiosity about, or attraction to fire and its situational contexts (e.g. - paraphernalia, uses, consequences).

Criterion D
Pleasure, gratification, or relief when setting fires or when witnessing or participating in their aftermath.

Criterion E
The fire setting is not done for monetary gain, as an expression of sociopolitical ideology, to conceal criminal activity, to express anger or vengeance, to improve one’s living circumstances, in response to a delusion or hallucination, or as a result of impaired judgment (e.g. - major neurocognitive disorder, intellectual disability, substance intoxication).

Criterion F
The fire setting is not better explained by conduct disorder, a manic episode, or antisocial personality disorder.

32
Q

John, a 28-year-old man, was admitted to the hospital with complaints of severe abdominal pain and digestive issues. The doctor found out that John’s brother saw him intentionally ingesting cotton, soap, and chalk before he started telling everyone that he is not feeling well. Furthermore, it was found out that he is doing this in order to because he likes being hospitalized. He has no other motives aside from this.

A. Pica disorder
B. Avoidant/restrictive food intake disorder
C. Malingering
D. Factitious disorder

A

D. Factitious disorder

Malingering - is falsification or profound exaggeration of illness (physical or mental) to gain external benefits such as avoiding work or responsibility, etc.

Factitious Disorder Imposed on Self:
Criterion A
Falsification (i.e. - deliberately feigning) of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.

Criterion B
The individual presents himself or herself to others as ill, impaired, or injured.

Criterion C
The deceptive behaviour is evident even in the absence of obvious external rewards.

Criterion D
The behaviour is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.

––––––
Factitious Disorder Imposed on Another:
(Previously called Factitious Disorder by Proxy, or Munchausen Syndrome by Proxy)

Criterion A
Falsification of physical or psychological signs or symptoms, or induction of injury or disease, in another, associated with identified deception.

Criterion B
The individual presents another individual (victim) to others as ill, impaired, or injured.

Criterion C
The deceptive behaviour is evident even in the absence of obvious external rewards.

Criterion D
The behaviour is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.

33
Q

Ezekiel, a college student living in a dormitory, suddenly returned to his family in the province after 1 month. He said to his parents that he cannot be too far from their family doctor in case he develops a heart condition. One time, he was watching a vlog on YouTube about “Initial Warning Signs of Heart Disease” when he felt some “odd” palpitations. He immediately went to emergency room of the local hospital to get checked. What would be the most probably diagnosis?

A. Somatic symptom disorder
B. Malingering
C. Factitious Disorder
D. Illness Anxiety Disorder

A

D. Illness Anxiety Disorder

Illness Anxiety Disorder:
Criterion A
Preoccupation with having or acquiring a serious illness. 


Criterion B
Somatic symptoms are not present or, if present, are only mild in intensity. If another medical condition is present or there is a high risk for developing a medical condition (e.g. - strong family history is present), the preoccupation is clearly excessive or disproportionate.

Criterion C
There is a high level of anxiety about health, and the individual is easily alarmed about personal health status.

Criterion D
The individual performs excessive health-related behaviours (e.g. - repeatedly checks body for signs of illness) or exhibits maladaptive avoidance (e.g. - avoids doctor appointments and hospitals).

Criterion E
Illness preoccupation has been present for at least 6 months, but the specific illness that is feared may change over that period of time.

Criterion F
The illness-related preoccupation is not better explained by another mental disorder, such as somatic symptom disorder, panic disorder, generalized anxiety disorder, body dysmorphic disorder, obsessive-compulsive disorder, or delusional disorder, somatic type.


–––––
Somatic symptom disorder:
Criterion A
1 or more somatic symptoms that are distressing or result in significant disruption of daily life.

Criterion B
Excessive thoughts, feelings, or behaviours related to the somatic symptoms or associated health concerns as manifested by at least 1 of the following:

      1. Disproportionate and persistent thoughts about the seriousness of one’s symptoms.
       2. Persistently high level of anxiety about health or symptoms.
      3. Excessive time and energy devoted to these symptoms or health concerns.

Criterion C
Although any 1 somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months).

34
Q

Amenorrhea is commonly present among individuals with which eating disorder?

A. Pica disorder
B. Binge eating disorder
C. Anorexia nervosa
D. Bulimia nervosa

A

C. Anorexia nervosa

Anorexia nervosa is associated with physiological disturbances, including amenorrhea and vital sign abnormalities.

Amenorrhea - an abnormal absence of menstruation.

35
Q

What differentiates binge-eating disorder from bulimia nervosa?

A. Overweight individuals cannot be diagnosed with bulimia nervosa
B. The absence of compensatory behavior
C. The presence of binge-eating episodes
D. All of the above

A

B. The absence of compensatory behavior

ANOREXIA NERVOSA
- Eats in binges: NO
- Self-perception: Abnormal (Perceives self as fat)
- Compensates with
exercise, purging: YES
- Body weight is low: YES
- Feels lack of control: NO

BULIMIA NERVOSA
- Eats in binges: YES
- Self-perception: Influenced by body weight, shape
- Compensates with
exercise, purging: YES
- Body weight is low: NO
- Feels lack of control: YES

BINGE-EATING DISORDER
- Eats in binges: YES
- Self-perception: Not remarkable
- Compensates with
exercise, purging: NO
- Body weight is low: NO
- Feels lack of control: YES

36
Q

Which of the following schizophrenia symptoms is also known as formal thought disorder?

A. Hallucination and delusion
B. Disorganized speech
C. Catatonic stupor and excitation
D. Avolition, alogia, anhedonia

A

B. Disorganized speech

Another term for Formal Thought Disorder is Disorganized Thinking, and what is related to this is Disorganized Speech, because what you say is a reflection of what you think.

Hallucinations - are perception-like experiences that occur without an external stimulus
> Visual, Auditory, Tactile, etc.

Disorganized thinking (Formal Thought Disorder) is typically inferred from the individual’s speech:
> Derailment or loose association - switch from one topic to another
> Tangentiality - Answers to questions may be completely unrelated.
> Word Salad - Incomprehensible speech; merge words together that does not make any sense.
> Clang Association - Association of words based on their similar sound rather than meaning (e.g. five little monkey, humpty dumpty)
> Neologism - creating new words.

37
Q

What does the double bind hypothesis say about schizophrenia?

A. Schizophrenia is a defense mechanism against severe trauma. The person lives in a reality where the trauma did not happen.
B. Those with schizophrenia were raised by parents who have conflicting and incompatible demands.
C. The home environments of those with schizophrenia are characterized by hostility, criticism and emotional overinvolvement.
D. Schizophrenia results from a combination of viral infection and prenatal complications.

A

B. Those with schizophrenia were raised by parents who have conflicting and incompatible demands.

“What the parents say does not match what they are doing”

Accdg to research, the more chaotic your environment is, the worse your schizophrenia becomes

schizophrenogenic mother - a theoretical concept suggesting that a mother’s behavior could contribute to the development of schizophrenia in her child; The idea behind the term was that mothers who gave mixed signals to their children potentially leading to the development of schizophrenia or other mental health conditions.

38
Q

According to _____, schizophrenia causes its sufferers to fall from a higher to a lower socioeconomic level or to remain poor because they are unable to function effectively

A. sociocognitive model
B. sociogenic hypothesis
C. downward drift theory
D. posttraumatic theory

A

C. Downward Drift Theory

Downward Drift Theory - Schizophrenia caused the fall down of the socioeconomic level/poverty of the person with Schizophrenia

Sociogenic Hypothesis - it tells us that poverty is the cause of the the development of schizophrenia.

39
Q

A 32-year-old man presents to the emergency department distressed and agitated. He reports that his sister has been killed in a car accident on a trip to South America. When asked how he found out, he says that he and his sister were very close and he “just knows it.” After putting him on the phone with his sister, who was comfortably staying with friends while on her trip, the man expressed relief that she was alive. Which of the following descriptions best fits this presentation?

A. He had a delusional belief, because he believed it was true without sufficient evidence.
B. He did not have a delusional belief, because it changed in light of new evidence.
C. He had a grandiose delusion, because he believed he could know things happening far away.
D. He had a nihilistic delusion, because it involved an untrue, imagined catastrophe

A

B. He did not have a delusional belief, because it changed in light of new evidence.

40
Q

What is the role of educational institutions according to RA 11036?

A. Educational Institutions shall develop policies and programs for students, educators, and other employees designed to raise awareness on mental health issues.Downward drift theory
B. Formulate, develop, and implement a national mental health program. In coordination with relevant government agencies, create a framework for Mental Health Awareness Program to promote effective strategies regarding mental healthcare.
C. Establish mechanisms to investigate, address, and set upon complaints to impropriety and abuse in the treatment and care received by service users.
D. Review, formulate, and develop the regulations and guidelines necessary to implement an effective mental health care and wellness policy within their territorial jurisdiction.

A

A. Educational Institutions shall develop policies and programs for students, educators, and other employees designed to raise awareness on mental health issues.

DOH - B. Formulate, develop, and implement a national mental health program. In coordination with relevant government agencies, create a framework for Mental Health Awareness Program to promote effective strategies regarding mental healthcare.

Commission on Human Rights - C. Establish mechanisms to investigate, address, and set upon complaints to impropriety and abuse in the treatment and care received by service users.

LGU - D. Review, formulate, and develop the regulations and guidelines necessary to implement an effective mental health care and wellness policy within their territorial jurisdiction.

41
Q

Those with social anxiety disorder tend to be afraid of ______ whereas those with avoidant PD to be afraid of ______

A. social situations; immediate death
B. abandonment; humiliation
C. feelings of inadequacy; disapproval
D. social situations; social relationships

A

D. social situations; social relationships

Social Anxiety Disorder - afraid of being the center of attention, afraid to be criticized.

Avoidant Personality Disorder - characterized by being timid and shy, but wishing to have friends. Due to fears of being uncomfortable and afraid of rejection or criticism, they avoid social contact.

Avoidant Personality Disorder:
A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, beginning by early adulthood and present in a variety of contexts, as indicated by 4 (or more) of the following:

     1. Avoids occupational activities that involve significant interpersonal contact because of fears of criticism, disapproval, or rejection.
     2. Is unwilling to get involved with people unless certain of being liked
     3. Shows restraint within intimate relationships because of the fear of being shamed or ridiculed
     4. Is preoccupied with being criticized or rejected in social situations.
     5. Is inhibited in new interpersonal situations because of feelings of inadequacy.
     6. Views self as socially inept, personally unappealing, or inferior to others.
     7. Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing
42
Q

How would a follower of the Psychodynamic perspective would explain Avoidant PD:

A. People with avoidant personality disorder typically fail to develop normal social skills.
B. It may be traced to early childhood experiences of being punished or ridiculed by the parents for having bowel accidents.
C. It begins with an absence of parental love during infancy, leading to a lack of basic trust. They respond to the early inadequacies by becoming emotionally distant, and they bond with others through the use of power and destructiveness.
D. The parents of people with this disorder are believed to have been unaccepting or even abusive of their children. Since they view the environment as hostile, they must always be on the alert because they cannot trust others.

A

B. It may be traced to early childhood experiences of being punished or ridiculed by the parents for having bowel accidents.

Antisocial PD - C. It begins with an absence of parental love during infancy, leading to a lack of basic trust. They respond to the early inadequacies by becoming emotionally distant, and they bond with others through the use of power and destructiveness.

Paranoid PD - D. The parents of people with this disorder are believed to have been unaccepting or even abusive of their children. Since they view the environment as hostile, they must always be on the alert because they cannot trust others.

43
Q

How would a follower of the Psychodynamic perspective would explain Dependent PD:

A. It begins with an absence of parental love during infancy, leading to a lack of basic trust. They respond to the early inadequacies by becoming emotionally distant, and they bond with others through the use of power and destructiveness.
B. An early lack of acceptance by parents may lead to a loss of self-esteem, increased dependence, and an inability to cope with separation. Physical and sexual abuse is also common among those with this disorder.
C. Many parents of people with his disorder were overinvolved and overprotective, thus increasing their children’s dependency, insecurity, and separation anxiety.
D. Because of overly harsh toilet training during the anal stage, they become filled with anger, and they remain fixated at this stage.

A

C. Many parents of people with his disorder were overinvolved and overprotective, thus increasing their children’s dependency, insecurity, and separation anxiety.

Separation Anxiety Disorder - I don’t want to be away from you because Im worried that something bad might happen to you.

Dependent Personality Disorder - I don’t want to be away from you because I need you when I make decisions.

OC PD - D. Because of overly harsh toilet training during the anal stage, they become filled with anger, and they remain fixated at this stage.

44
Q

Which among the following risk factors in the development of mental illness was most prominent during the pandemic?

A. loneliness
B. social media addiction
C. financial stress
D. lack of exercise

A

A. loneliness

Accdg to research – Loneliness: A signature mental health concern in the era of COVID-19

45
Q

The ____________ is the most widely used structured diagnostic instrument for assessing DSM-5 disorders.

A. PANAS
B. PHQ-9 and DASS-21
C. Conner’s Rating Scale
D. SCID

A

D. SCID

SCID-5
- The Structured Clinical Interview for DSM-5 (SCID-5) is a semistructured interview guide for making the major DSM-5 diagnoses. It is administered by a clinician or trained mental health professional who is familiar with the DSM-5 classification and diagnostic criteria.

Conner’s Rating Scale
- Used to assess mainly ADHD, but can also be used to asses Conduct Disorder and Oppositional Defiant Disorder (ODD).

PANAS
- Can measure positive and negative affect (Positive/Negative Emotions).

PHQ-9 (Patient Health Questionnaire) and DASS-21 (Depression, Anxiety, and Stress Scales)
- Measures Distress (Depression, Anxiety, and Stress); they are both validated in the Philippines; Dr. Allan Benedict I. Bernardo is the person behind the translation and validation of DASS-21; Dr. Imelu G. Mordeno validated the PHQ-9 in the Philippines.

46
Q

In which of the following subscales in the BPI, would a person with antisocial PD score high on?

A. Thinking disorder, anxiety, impulse expression, social introversion
B. Interpersonal problems, alienation, impulse expression
C. Self-depreciation, anxiety, impulse expression
D. Persecutory ideas, interpersonal problems, depression

A

B. Interpersonal problems, alienation, impulse expression

Basic Personality Inventory (Douglas N. Jackson 1989,1996)
- The Basic Personality Inventory (BPI) is a personality assessment intended for use with clinical and normal populations to identify sources of maladjustment and personal strengths.
- Can be completed in half the time of other measures of psychopathology (240 items)

Scales:
- Hypochondriasis
- Depression
- Denial
- Interpersonal problems
- Alienation
- Persecutory ideas
- Anxiety
- Thinking disorder
- Impulse expression
- Social introversion
- Self Depreciation
- Deviation

47
Q

What distinguishes ARFID from other eating disorders like anorexia nervosa or bulimia nervosa?

A. It is only diagnosed among children
B. People with ARFID have limited food preferences but do not have body image concerns
C. ARFID may be characterized by either (1) excessive restriction or (2) extreme compensation following binge eating
D. ARFID only occurs among people with history of trauma

A

B. People with ARFID have limited food preferences but do not have body image concerns

48
Q

In clinician review of item scores on the DSM-5 Level 1 Cross-Cutting Symptom Measure for an adult patient, a rating of “slight” would call for further inquiry if found for any item in which of the following domains?

A. Depression.
B. Mania.
C. Anger.
D. Psychosis.

A

D. Psychosis.

Level 1 Cross-Cutting Symptom Measure
- a patient- or informant-rated measure that assesses mental health domains that are important across psychiatric diagnoses. It is intended to help clinicians identify additional areas of inquiry that may have significant impact on the individual’s treatment and prognosis.

    - Each item on the measure is rated on a 5-point scale (0=none or not at all; 1=slight or rare, less than a day or two; 2=mild or several days; 3=moderate or more than half the days; and 4=severe or nearly every day). The score on each item within a domain should be reviewed. Because additional inquiry is based on the highest score on any item within a domain, the clinician is asked to indicate that score in the “Highest Domain Score” column. A rating of mild (i.e., 2) or greater on any item within a domain (except for substance use, suicidal ideation, and psychosis) may serve as a guide for additional inquiry and follow up to determine if a more detailed assessment for that domain is necessary.
49
Q

Folie a deux is known as:

A. Shared psychosis
B. Body dysmorphic disorder
C. Pyromania
D. La Belle Indifference

A

A. Shared psychosis

Example: People who believe that Alden and Maine has a secret child

50
Q

Which neurotransmitter is affected by Selective Serotonin Reuptake Inhibitor (SSRI)?

A. Dopamine
B. Norepinephrine
C. Serotonin
D. GABA

A

C. Serotonin

51
Q

(Additional)

There is a person who has diabetes, and he really wants to eat cake, and he is having anxiety because he knows he is diabetic.

How would Freud explain what is happening?

A

There is a conflict between the ID and the superego. whereas the ID is telling him to eat the cake, the superego is telling him not to eat the cake because he has diabetes, and people who have diabetes should not eat sweet foods like cake.