Diagnoses - personality disorders

Question 1

Personality d/o w chronic feelings of emptiness, transient psychotic sx, mood swings, tumultuous relationships, self-mutilation, poor self-image, impulsivity? (7x)

Answer 1

BORDERLINE

Question 2

Which disorder has greatest co-incidence of alcohol abuse and dependence? (3x)

Answer 2

ANTISOCIAL PERSONALITY DISORDER

Question 3

What personality disorder results in displays of rapidly shifting and shallow expression of emotions in patients? (3x)

Answer 3

HISTRIONIC

Question 4

What personality d/o is associated with transient psychotic symptoms (2x)

Answer 4

BORDERLINE

Question 5

Personality d/o should be considered in ddx of cyclothymic d/o? (2x)

Answer 5

HISTRIONIC

Question 6

Pts with which personality d/o sees themselves socially inept, personally unappealing, or inferior to others? (2x)

Answer 6

AVOIDANT

Question 7

Pt prominently uses the defenses of isolation of affect & intellectualization. Description of life events appears to involve reaction formation. What personality trait is most likely to characterize this pt? (2x)

Answer 7

OBSESSIVE-COMPULSIVE

Question 8

Another psychiatrist refers to a pt by saying this pt is “special” and need really good treatment. You need to be careful with the pt to: (2x)

Answer 8

ANTICIPATE THE POTENTIAL FOR SPLITTING BETWEEN THE REFERRING MD AND YOURSELF.

Question 9

Avoidant PD differs from Schizoid PD by: (2x)

Answer 9

DESIRE FOR SOCIAL RELATIONS

Question 10

Interpersonal exploitativeness is a diagnostic feature of (2x):

Answer 10

NARCISSISTIC PERSONALITY DISORDER

Question 11

40 y/o hand surgeon has come into conflict with the hospital admin. Though the hospital went out of its way to recruit this surgeon, he has felt consistently betrayed and has accused the administration of trying to exploit him by expecting that he should take more calls, though this has never been stated. The doctor-hospital relationship deteriorated further when peer review raised a question about one of the surgeon’s cases. The surgeon believes that none of his complaints have been satisfactorily resolved. He has become more unforgiving and isolated: (2x)

Answer 11

PARANOID PERSONALITY DISORDER

Question 12

Borderline patient pulling away from a relationship due to growing up in abusive household is stuck in which stage

Answer 12

RAPPROCHEMENT

Question 13

30 yo is pushed by family to get help for isolation she is uncomfortable around others and have problems making friends unless convinced they will accept her. She thinks others are highly critical of her and only has 2 close friends from childhood and has never dated. Fears of embarrassment interfere with job seeking as well. What is this dx?

Answer 13

AVOIDANT PERSONALITY DISORDER

Question 14

29 y/o F w/ mood swings- mood changes very rapidly, sometimes without prompting, from elation to depression or intense anger. These moods last minutes to hours. Her history is significant for promiscuity, spending sprees, tumultuous relationships, unstable self-image, and occasional use of cocaine. Hx of a brief period of paranoia and AH? During and emotional break-up with her last boyfriend, which remitted after a 2-day admission to the psych unit. When asked about SI, she reports that it is always in her mind and that, whenever she is under stress, she cuts her arms with a sharp blade to relieve a strong feeling of emptiness. Most likely Dx?

Answer 14

BORDERLINE PERSONALITY D/O

Question 15

Which personality d/o is most commonly found in pts w/ severe factitious d/o?

Answer 15

BORDERLINE PERSONALITY

Question 16

Person with covert obstructionism, procrastination, stubbornness, and inefficiency may be classified as suffering from which personality d/o outside of current DSM classification?

Answer 16

PASSIVE-AGGRESSIVE

Question 17

Common symptoms of paranoid personality disorder

Answer 17

PREOCCUPATION W/ UNJUSTIFIED DOUBTS OF LOYALTY/TRUSTWORTHINESS OF FRIENDS/ASSOCIATES

Question 18

Underlying dynamic of much of the behavior of pts with paranoid personality d/o:

Answer 18

A DEVELOPMENTAL FAILURE TO ACHIEVE OBJECT CONSTANCY

Question 19

20 y/o M with poor performance in college, before was very good student except for not being able to finish assigned projects at college. Classmates have described bizarre behavior, such as counting loudly or repeating words silently. He does not want to follow others rules but his owns, he believes nobody understands him and are against him.

Answer 19

OBSESSIVE COMPULSIVE PERSONALITY DISORDER

Question 20

Pt with body dysmorphic d/o may have what personality d/o?

Answer 20

NARCISSISTIC

Question 21

Which personality disorder is characterized by a style of speech that is excessively impressionistic and lacking in detail?

Answer 21

HISTRIONIC

Question 22

Pt becomes panicky and distressed every time psychiatrist goes on vacation, this pattern is most likely a characteristic of:

Answer 22

DEPENDENT PERSONALITY

Question 23

Pt with histrionic personality d/o storms in his psychodynamic session and a few minutes late, clearly in rage. He expresses hopelessness and declares vehemently that he must divorce his wife. Next best intervention:

Answer 23

ENCOURAGE THE PT TO REFLECT MORE ON WHAT HAS HAPPENED TO TRIGGER SUCH PAINFUL FEELINGS.

Question 24

22 y/o borderline splitting inpatient staff. You should:

Answer 24

EDUCATE STAFF ABOUT SPLITTING

Question 25

DDx of histrionic personality disorder includes what other personality d/o?

Answer 25

DEPENDENT PERSONALITY DISORDER

Question 26

Which personality d/o should be in the dif dx of agoraphobia:

Answer 26

DEPENDENT PERSONALITY DISORDER

Question 27

23 y/o M w/ Borderline. Had fight w/ g/f now psychotic, cutting, AH w/ command to harm self. What level of care:

Answer 27

BRIEF INPATIENT HOSPITALIZATION

Question 28

Pts w/ this personality d/o most likely to have 1st degree relatives with depression

Answer 28

BORDERLINE

Question 29

According to DSM-IV-TR, what personality disorder in adults requires evidence of another specific psychiatric diagnosis prior to age 15?

Answer 29

ANTISOCIAL

Question 30

Pt repeatedly becomes distressed after what seems, even to the pt, to be minor disappointments. Pt also seems to suffer from extreme narcissistic vulnerability. A therapist utilizing self-psychology would be most likely to interpret this as due to?

Answer 30

A LACK OF DEVELOPMENTALLY APPROPRIATE EMPATHIC CAREGIVERS.

Question 31

DBT has been shown to be effective in the treatment of what personality disorder?

Answer 31

BORDERLINE

Question 32

What personality disorders should be the main consideration in differential dx of schizotypal personality disorder?

Answer 32

AVOIDANT

Question 33

16-year-old adolescent is being evaluated for possible schizophrenia. A family history of which of the following personality d/o is most strongly associated with this dx?

Answer 33

SCHIZOTYPAL

Question 34

25 y/o hospitalized for appy. Pt reports being “bothered by surgeon’s aura”. Lives alone, no close friends, gets on websites about auras and crystal work. Pt’s mother affirms he’s “always been this way.” Which personality disorder?

Answer 34

SCHIZOTYPAL

Question 35

Which intervention is helpful in dealing with a borderline pt on a medical ward?

Answer 35

SETTING LIMITS WITH THE PT ON THE STRUCTURE OF THE MEDICAL CARE

Question 36

Extremely demanding patient repeatedly calls psychiatrist’s office and berates staff in offensive terms. Which step should the psychiatrist take first?

Answer 36

SET LIMITS WITH THE PATIENT

Question 37

Useful info to confirm diagnosis of antisocial personality d/o (APD) in 20 y/o patient?

Answer 37

SCHOOL COUNSELING RECORDS

Question 38

Pts that “cut” as a form of self-mutilation typically:

Answer 38

CLAIM TO FEEL NO PAIN

Question 39

Which test to confirm personality disorder?

Answer 39

MILLON CLINICAL MULTIAXIAL INVENTORY (MCMI-III)