Personality Disorders Flashcards

1
Q

What is a personality disorder?

A

Behaviours, emotions and cognitive attributes of an individual are accentuated by stress resulting in decompensation and manifestation of distress or impairment shared with one’s self and others

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2
Q

What is a personality?

A

Behavioural, emotional and cognitive attributes of an individual

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3
Q

Which of the following is false?

A. Personality disorders increase chance of a psychiatric disorder

B. Personality disorder may co-exist with psychiatric disorder

C. Personality disorders turn into psychiatric disorders

D. Personality disorders can alter psychiatric disorders

A

C. Personality disorders turn into psychiatric disorders

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4
Q

Which of the following is not a personality disorder?

A. Schizoid

B. Dissocial

C. Borderline

D. Aggressive

A

D. Aggressive

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5
Q

List the DSM-5 clusters of Personality Disorder.

A
  1. Cluster A
    - Schizoid
    - Paranoid
  2. Cluster B
    - Borderline
    - Dissocial
    - Histrionic
    - Narcissistic
  3. Cluster C
    - Anankastic
    - Anxious
    - Dependent
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6
Q

Which of the following is not a cluster B personality?

A. Borderline

B. Dissocial

C. Anankastic

D. Narcissistic

A

C. Anankastic

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7
Q

Which of the following is a cluster C personality?

A. Borderline

B. Dissocial

C. Anankastic

D. Narcissistic

A

C. Anankastic

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8
Q

Which of the following is a cluster C personality?

A. Borderline

B. Dissocial

C. Dependent

D. Narcissistic

A

C. Dependent

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9
Q

Which of the following is a cluster C personality?

A. Borderline

B. Dissocial

C. Anxious

D. Narcissistic

A

C. Anxious

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10
Q

Which of the following is a cluster A personality?

A. Borderline

B. Dissocial

C. Schizoid

D. Narcissistic

A

C. Schizoid

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11
Q

Which of the following is a cluster A personality?

A. Borderline

B. Dissocial

C. Paranoid

D. Narcissistic

A

C. Paranoid

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12
Q

Which of the following is not a feature of Paranoid personality disorder?

A. Suspicion

B. Sensitivity to criticism

C. Self-importance

D. Emotionally cold

A

D. Emotionally cold

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13
Q

Which of the following is not a feature of Paranoid personality disorder?

A. Bear grudges

B. Sensitivity to criticism

C. Self-importance

D. Callous

A

D. Callous

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14
Q

Which of the following is not a feature of Schizoid personality disorder?

A. Introspective

B. Emotionally detached

C. Social isolation

D. Callous

A

D. Callous

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15
Q

Which of the following is not a feature of Schizoid personality disorder?

A. Introspective

B. Emotionally detached

C. Loss of joie de vivre

D. Impulsivity

A

D. Impulsivity

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16
Q

Which of the following is not a feature of dissocial personality type?

A. Callous

B. Unstable relationships

C. Irritable

D. Recurrent emotional crisis

A

D. Recurrent emotional crisis

17
Q

Which of the following is not a feature of dissocial personality type?

A. Fail to learn from mistakes

B. Unstable relationships

C. Failure to accept responsibility

D. F > M

A

D. F > M

18
Q

Which of the following is not a feature of Borderline personality type?

A. Turbulent relationships

B. Recurrent emotional crisis

C. M > F

D. Stress-related psychotic-like symptoms

A

C. M > F

19
Q

Which of the following is not a feature of Borderline personality type?

A. Turbulent relationships

B. Recurrent emotional crisis

C. Exaggerated ability

D. Stress-related psychotic-like symptoms

A

C. Exaggerated ability

20
Q

Which of the following is not a feature of a Histrionic personality type?

A. Theatrical behaviour

B. Attention seeking

C. Grandiose

D. Shallow

A

C. Grandiose

21
Q

Which of the following is not a feature of a Narcissistic personality type?

A. Grandiose

B. Exploit others

C. Arrogant

D. Excessive orderliness

A

D. Excessive orderliness

22
Q

Which of the following is not a feature of a Narcissistic personality type?

A. Grandiose

B. Exploit others

C. Arrogant

D. Preoccupation with detail

A

D. Preoccupation with detail

23
Q

Which of the following is not a feature of an Anankastic personality type?

A. Excessive orderliness

B. Dogmatic

C. Preoccupation with detail

D. Fear of criticism

A

D. Fear of criticism

24
Q

Which of the following is not a feature of an Anankastic personality type?

A. Excessive orderliness

B. Dependent on others

C. Preoccupation with detail

D. Humourless

A

B. Dependent on others

25
Q

Which of the following is not a feature of an Anxious personality type?

A. Tense

B. Avoid personal contact

C. Desire to be cared for

D. Fear of criticism

A

C. Desire to be cared for

26
Q

Which of the following is not a feature of the Dependent personality type?

A. F > M

B. Encourage others to make decisions

C. Fear of criticism

D. Desire to be cared for

A

C. Fear of criticism

27
Q

List 3 ways you can manage personality disorders.

A
  • Avoid triggers: Toxins/Confrontation
  • Lifestyle to meet needs
  • Consistent in managing crisis
  • Careful differentiation
  • Written care plan
  • Respond to threats consistently
  • Clear boundaries
28
Q

A 29 year old patient is undergoing recent behavioural changes which are reported by their partner who is concerned. They are showing significant suspicion and distrust, As well, they are having a loss of pleasure and exhibiting asocial behaviour. This is very new and only begins after a disagreement or change of plans.

Give your DDx and Tx

A

BPD (Cluster A)

• Supportive: Relationship management strategies/Communication/CBT/Psychotherapy
±
• Low-dose antipsychotics: Aripiprazole/Haloperidol
±
• Antidepressants: Fluoxetine/Sertraline/Venlafaxine
±
• Substance abuse treatment programme referral

29
Q

A 27 year old patient is undergoing recent behavioural changes which are reported by their partner who is concerned. They are showing significant callous behaviours and have a background of realtionship instabilityt. As well, they are exhibiting impulsive behaviour and stress-related psychotic symptoms. This is very new and only begins after a disagreement or change of plans.

Give your DDx and Tx

A

BPD (Cluster B)

• Supportive: Relationship management strategies/Communication/CBT/Psychotherapy
±
• Mood stabilisers: Topiramate/Valproate/Lithium
±
• Substance abuse treatment programme referral

30
Q

A 24 year old patient is undergoing recent behavioural changes which are reported by their partner who is concerned. They are showing significant need and get sad if the other partner does something without them. Additionally, they are persistently tense and avoid personal contact. This is very new and only begins after a disagreement or change of plans.

A

BPD (Cluster C)

• Supportive: Relationship management strategies/Communication/CBT/Psychotherapy
±
• Antidepressants: Fluoxetine/Sertraline/Venlafaxine