P3 Exam Flashcards
A 30-year-old man experiences flashbacks and nightmares after a traumatic event a year ago. He avoids reminders of the event and has become withdrawn from social activities. What diagnosis might be appropriate based on these symptoms?
- Diagnosis: Post-Traumatic Stress Disorder (PTSD)
- Rationale: Symptoms such as flashbacks, avoidance of reminders, and emotional numbness meet the criteria for PTSD.
A 22-year-old female presents with a body mass index (BMI) of 16.5. She engages in restrictive eating and excessive exercise, expressing a fear of gaining weight despite being underweight. What diagnosis would you consider?
- Diagnosis: Anorexia Nervosa
- Rationale: The combination of significantly low weight, restrictive eating, and intense fear of gaining weight indicates anorexia nervosa.
A 26-year-old woman reports excessive handwashing due to a fear of germs, which has caused skin irritation. She acknowledges her thoughts are irrational but feels unable to stop. What diagnosis could be made?
- Diagnosis: Obsessive-Compulsive Disorder (OCD)
- Rationale: The presence of obsessions (fear of germs) and compulsions (handwashing) that are time-consuming and cause distress fits the OCD criteria.
A 17-year-old expresses a strong desire to be of the opposite gender and feels discomfort with their assigned sex at birth, leading to significant distress. What diagnosis might fit this case?
- Diagnosis: Gender Dysphoria
- Rationale: The distress related to gender identity and desire to transition aligns with the criteria for gender dysphoria.
A 28-year-old woman has persistent difficulty reaching orgasm despite adequate sexual stimulation, causing distress in her relationship. What diagnosis could be applicable here?
- Diagnosis: Female Orgasmic Disorder
- Rationale: Persistent difficulty in achieving orgasm causing distress indicates female orgasmic disorder.
A 45-year-old individual reports experiencing two distinct identities with gaps in memory when one identity is present. What diagnosis might be appropriate based on these symptoms?
- Diagnosis: Dissociative Identity Disorder (DID)
- Rationale: The presence of two or more distinct identities and recurrent gaps in memory fits the criteria for DID.
A 35-year-old reports chronic difficulty falling asleep and frequent awakenings throughout the night, resulting in significant daytime fatigue. What diagnosis should be considered?
- Diagnosis: Insomnia Disorder
- Rationale: Difficulty initiating sleep and resulting daytime impairment indicates insomnia disorder.
A 32-year-old man describes persistent sexual arousal from dressing in women’s clothing, experiencing distress about this behavior affecting his relationships. What diagnosis might be considered?
- Diagnosis: Fetishistic Disorder
- Rationale: Significant distress or impairment related to the paraphilic interest in cross-dressing suggests fetishistic disorder.
A 30-year-old individual exhibits a pattern of distrust and suspicion of others, often interpreting benign remarks as malevolent, leading to difficulty maintaining relationships. What diagnosis would you consider?
- Diagnosis: Paranoid Personality Disorder
- Rationale: A pervasive pattern of distrust and suspicion aligns with the criteria for paranoid personality disorder.
A 40-year-old woman reports feeling detached from herself and her surroundings, stating that she sometimes feels like she is watching herself from outside her body. What diagnosis might apply here?
- Diagnosis: Depersonalization/Derealization Disorder
- Rationale: The experience of feeling detached from oneself or surroundings fits the criteria for depersonalization/derealization disorder.
A 25-year-old man is excessively preoccupied with perceived flaws in his appearance, leading him to avoid social situations. He spends hours each day researching cosmetic procedures. What diagnosis could this indicate?
- Diagnosis: Body Dysmorphic Disorder (BDD)
- Rationale: Excessive focus on perceived defects in appearance and distress regarding it indicates BDD.
A 19-year-old female expresses a strong desire to lose weight, engages in binge eating followed by purging, and feels a lack of control during these episodes. What diagnosis would you consider?
- Diagnosis: Bulimia Nervosa
- Rationale: The cycle of binge eating and compensatory behaviors, along with a sense of lack of control, meets the criteria for bulimia nervosa.
A 50-year-old man has a long history of unstable relationships, often displaying intense emotions and impulsive behaviors. He frequently experiences feelings of emptiness. What diagnosis might fit this case?
- Diagnosis: Borderline Personality Disorder
- Rationale: Symptoms like unstable interpersonal relationships, emotional dysregulation, and feelings of emptiness suggest borderline personality disorder.
A 34-year-old individual has trouble falling asleep and experiences episodes of sleepwalking several times a week, causing distress and concern from their partner. What diagnosis could be applicable here?
- Diagnosis: Non-Rapid Eye Movement Sleep Arousal Disorder
- Rationale: Recurrent episodes of sleepwalking causing distress fit the criteria for non-REM sleep arousal disorder.
A 29-year-old woman has persistent low sexual desire, leading to significant distress in her relationship. She reports that this has been a longstanding issue. What diagnosis might be relevant?
- Diagnosis: Female Hypoactive Sexual Desire Disorder
- Rationale: Ongoing low sexual desire resulting in distress aligns with the criteria for female hypoactive sexual desire disorder
A 38-year-old individual has difficulty trusting others and often believes that others are out to harm them without any evidence. This has led to significant issues in their work and personal relationships. What diagnosis would you consider?
- Diagnosis: Paranoid Personality Disorder
- Rationale: A pervasive pattern of distrust and suspicion of others indicates paranoid personality disorder.
A 27-year-old male experiences intense sexual fantasies and urges that revolve around humiliation and bondage. He feels distressed because he believes these interests are unacceptable. What diagnosis might apply?
- Diagnosis: Sexual Masochism Disorder
- Rationale: Distress related to sexual fantasies of humiliation and bondage that are significant enough to impair functioning suggests sexual masochism disorder
A 23-year-old student experiences significant anxiety and distress around exams, resulting in avoidance of school altogether. She feels that she cannot cope with the pressure of academic performance. What diagnosis could be considered?
- Diagnosis: Specific Phobia (e.g., Phobia of Performance Situations) or possibly Generalized Anxiety Disorder
- Rationale: The intense fear and avoidance related to a specific situation, like exams, can indicate a specific phobia. If the anxiety is more generalized, generalized anxiety disorder may also be applicable.
