DSM5-TR #2

Question 1

Disorder where the child doesn’t seek or respond to comfort when distressed, with unexplained sadness or limited positive affect and has experienced extremely insufficient care

Answer 1

Reactive attachment disorder

Question 2

Disorder where a child actively approaches and interacts with adult strangers with a lack of hesitation, overly familiar behaviours, lack of checking back with caregiver & will go off with an unfamiliar adult without hesitation

Answer 2

Disinhibited social engagement disorder

Question 3

Is psychological debriefing effective for PTSD?

Answer 3

most studies have found is an ineffective and possibly harmful - some studies found it increased the risk of PTSD

Question 4

What’s the difference between acute stress disorder and PTSD

Answer 4

Acute stress disorder: 3 days to 1 month
PTSD: more than 1 month

Question 5

Adjustment disorder is the presence of emotional and behavioural symptoms in response to a psychosocial stressor that develop within ___ months of the onset of the stressor & remits within ____ months of the stressor terminating

Answer 5

develops within 3 months
remits within 6 months

Question 6

Prolonged grief disorder can be diagnosed within what period of time? adults vs children

Answer 6

If it’s been at least 12 months (adults) & 6 months (children) have passed since the death of someone close to the bereaved

Question 7

What’s dissociative fugue within dissociative amnesia?

Answer 7

purposeful travel or bewildered wandering with an inability to remember one’s past

Question 7

What’s the disorder when you are preoccupied with having or developing a serious illness?

Answer 7

Illness anxiety disorder

Question 8

What disorder involves one or more symptoms or deficits affecting voluntary motor or sensory function? They aren’t intentionally produced & incompatible with recognized neurological or medical conditions.

Answer 8

Conversion disorder (AKA Functional neurological symptom disorder)

Question 9

What disorder is the intentional falsification of physical or psychological symptoms or the creation of injury or disease - presenting themselves or others as ill, impaired, or injured?

Answer 9

Factitious disorder
- Factitious disorder by proxy - doing it to others

Question 10

What does malingering mean in terms of somatic symptom disorders?

Answer 10

they are falsifying their symptoms FOR EXTERNAL GAIN - like time off work or disability status

Question 11

What disorder is the persistent eating of non-nutritive non food substances

Answer 11

Pica

Question 12

What disorder involves the repeated regurgitation of food for at least 1 month

Answer 12

Rumination disorder

Question 13

What disorder is characterized by a failure to eat adequately with significant weight loss or failure to achieve expected weight gain

Answer 13

Avoidant/restrictive food intake disorder

Question 14

What disorder is characterized by a restriction of food intake leading to low body weight with an intense fear of gaining weight or behaviour that interferes with weight gain

Answer 14

Anorexia Nervosa

Question 15

What disorder is characterized by recurrent episodes of binge eating followed by inappropriate compensatory behaviour to prevent weight gain?

Answer 15

Bulimia Nervosa

Question 16

What’s the difference between binge eating disorder & bulimia nervosa?

Answer 16

In binge eating disorder, there aren’t any compensatory behaviours following the binge

Question 17

Difference between enuresis and encopresis? and how old/how many incidents need to happen in what period of time?

Answer 17

Enuresis: voiding of urine into bed or clothes intentionally or unintentionally
- after age 5 and twice a week for 3 months
Encopresis: passage of feces into inappropriate places, intentionally or unintentionally
- after age 4 and needs to happen once a month for 3 months

Question 18

What’s hypersomnolence disorder?

Answer 18

excessive sleepiness in spite of sleeping 7 hours

Question 19

What disorder involves cataplexy (muscle weakness or paralysis, typically precipitated by laughter), hypocretin deficiency or REM indicators - REM sleep latency?

Answer 19

Narcolepsy - recurrent periods of irresistible need to sleep

Question 20

During which stage of sleep do sleep terrors or sleepwalking occur?

Answer 20

the first third of the night - beginning of the night during non-rapid eye movement

Question 21

During which stage of sleep do nightmares occur?

Answer 21

second half of the night, the final stages of sleep/morning during REM sleep

Question 22

With sexual dysfunctions, how long do the symptoms have to persist?

Answer 22

a minimum of 6 months

Question 23

What’s the disorder with a marked incongruence between one’s assigned gender and the gender experienced or expressed?

Answer 23

Gender dysphoria

Question 24

Are males at birth or females at birth more commonly diagnosed for gender dysphoria?

Answer 24

Male at birth

Question 25

How is severity measured in terms of oppositional defiant disorder?

Answer 25

By how many settings the symptoms occur, mild = one setting while severe is its presence in three or more settings

Question 26

What disorder is recurrent outbursts from a failure to control verbal or physical aggressive impulses?

Answer 26

Intermittent explosive disorder

Question 27

What disorder is the persistent pattern of behaviour in which basic rights of others or major age-appropriate societal norms or rules are violated, within the categories of aggression to people/animals, destruction of property, theft or serious violation of rules?

Answer 27

Conduct disorder

Question 28

Conduct disorder can result in what disorder into adulthood if symptoms continue?

Answer 28

Antisocial personality disorder

Question 29

What is the difference between pyromania and kleptomania?

Answer 29

Pyromania: deliberate fire-setting on more than one occasion Kleptomania: failure to resist impulses to steal objects that aren't needed for personal use or monetary value

Question 30

What's the definition of early vs sustained remission?

Answer 30

early: not meeting any criteria, except cravings for at least 3 months but less than 12 months sustained: not meeting any criteria, except cravings for 12 months or longer

Question 31

If a person had two or more symptoms of: autonomic hyperactivity, hand tremor, insomnia, nausea or vomiting, transient hallucinations, anxiety, agitation & seizures, what could they be experiencing?

Answer 31

Alchohol withdrawal

Question 32

What differentiates symptoms of anxiety vs caffeine intoxication?

Answer 32

Caffeine intoxication includes diuresis (excessive urination)

Question 33

If a person had three or more symptoms of: headache, fatigue/drowsiness, dysphoric mood, irritability, difficulty concentrating or flu-like symptoms (nausea, vomiting or muscle pain), what could they be experiencing?

Answer 33

Caffeine withdrawal

Question 34

What's hallucinogen persisting perception disorder?

Answer 34

Re-experiencing perceptual symptoms that were experienced while intoxicated which can happen for weeks, months or years

Question 35

What intoxication includes belligerence/assaultiveness, nystagmus, depressed reflexes, blurred vision, psychomotor retardation, euphoria and coma?

Answer 35

Inhalent intoxication

Question 36

Do inhalent-related disorders have withdrawal symptoms?

Answer 36

No

Question 37

If a person is experiencing dysphoric mood, nausea or vomiting, muscle aches, diarrea, fever, yawning, insomnia, pupillary dilation, sweaing or runny nose they may be withdrawing from what?

Answer 37

Opioids

Question 38

What could you be withdrawing from if you have depressed mood, insomnia, irritability, anger, anxiety, difficulty concentrating, restlessness or increased appetite?

Answer 38

Tobacco

Question 39

What are you withdrawing from if you have symptoms like gastrointestinal disturbance, muscle twitching, diuresis or tachycardia

Answer 39

Caffeine intoxication

Question 40

A disturbance in attention accompanied by reduced awareness of the environment/reduced orientation is a hallmark of what?

Answer 40

Delirium

Question 41

What disorder is diagnosed when there is a significant cognitive decline from prior functioning levels in one or more domains, and it interferes with independent functioning?

Answer 41

Major neurocognitive disorder

Question 42

What disorder is diagnosed when there is modest cognitive decline but the cognitive deficits are not severe enough to interfere with independent functioning in everyday activities?

Answer 42

Mild neurocognitive disorder

Question 43

What subtype of NCD involves a prominent decline in complex attention and frontal executive functions?

Answer 43

Subtype due to vascular disease

Question 44

What subtype of NCD involves visual hallucinations, parkinsonism, REM sleep behaviour disorder and severe neuroleptic sensitivity?

Answer 44

Subtype with Lewy bodies

Question 45

What subtype of NCD involves behavioural and language variants, but memory, learning, and perceptual motor function stay intact

Answer 45

Subtype due to frontotemporal disorder

Question 46

What are the 3 clusters of personality disorders?

Answer 46

1. Cluster A: odd & eccentric 2. Cluster B: dramatic, emotional & erratic 3. Cluster C: anxious or fearful

Question 47

What personality disorder is pervasive distrust and suspiciousness and a tendency to interpret actions of others as deliberately malevolent

Answer 47

Paranoid personality disorder

Question 48

What personality disorder is a pattern of detachment from and indifference to social relationships and a restricted range of emotions - is cold, detached or affectively flat

Answer 48

Schizoid personality disorder

Question 49

What personality disorder is a pattern of deficits in social and interpersonal functioning with reduced capacity for close relationships, as well as peculiarities in cognition, perception, ideation, appearance and behaviour?

Answer 49

Schizotypal personality disorder

Question 50

What personality disorder is a pattern of disregard for and violation of rights of others since at least 15 years of age

Answer 50

Antisocial personality disorder

Question 51

What personality disorder has a pattern of instability in mood, interpersonal relationships, self-image as well as impulsivity

Answer 51

Borderline personality disorder

Question 52

What personality disorder has excessive emotionality and attention-seeking

Answer 52

histrionic personality disorder

Question 53

What personality disorder involves grandiosity,a need for admiration and a lack of empathy

Answer 53

Narcissistic personality disorder

Question 54

What personality disorder includes a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation

Answer 54

Avoidant personality disorder

Question 55

What personality disorder has pervasive and exessive need to be taken care of that results in submissive and clinging behaviours, difficulties making decisions, and fears of separation?

Answer 55

Dependent personality disorder

Question 56

What personality disorder has a preoccupation with orderliness, perfectionism and control

Answer 56

obsessive-compulsive personality disorder

Question 57

What's voyeuristic disorder?

Answer 57

Fantasies, urges or behaviour with observing an unsuspected person who is naked, disrobing or engaging in sexual activity

Question 58

What's exhibitionistic disorder?

Answer 58

fantasies urges or behaviours that involve exposing one's genitals to strangers

Question 59

What's frotteuristic disorder?

Answer 59

fantasies urges or behaviours that involve rubbing or touching a non-consenting person

Question 60

What's sexual masochism disorder?

Answer 60

fantasies urges or behaviours involving the act of being humiliated, beaten, bound or made to suffer

Question 61

What is sexual sadism disorder?

Answer 61

fantasies urges or behaviours involving sexual excitement resulting from the physical or psychological suffering of another person

Question 62

What's fetishistic disorder?

Answer 62

sexual fantasies urges or behaviours involving either the use of non-living objects or highly specific focus on a non-genital body part