Personality disorders - Sheet1

Question 1

This condition is given when a patient consciously fakes, profoundly exaggerates, or claims to have a disorder for secondary gain (avoiding work, compensation). Patient has poor compliance with treatment or follow up of diagnostic tests, and complaints cease after gain

Answer 1

Malingering

Question 2

This patient consciously creates physical and or psychological symptoms, patient’s complaints do not cease after receiving specific external gain. And this pt constantly seeks medical attention:

Answer 2

Factitious

Question 3

Chronic factitious disorder with predominantly physical signs and symptoms characterized by a history of multiple hospital admissions and willingness to undergo invasive procedures. This patient talks of grandiose medical past:

Answer 3

Munchausens / factitious disorder imposed on self

Question 4

This illness in a child or elderly patients is caused or fabricated by the caregiver, without motivation for secondary gain.

Answer 4

Munchausens by proxy / factitious disorder imposed on another

Question 5

This presents as a variety of bodily complaints (fatigue, pain) lasting for months to years and is associated with excessive, persistent thoughts and anxiety about symptoms. Can present with co-occurring medical illness

Answer 5

somatic symptom disorder

Question 6

This presents as loss of sensory or motor function often following an acute stressor; patient is aware of but sometimes indifferent towards symptoms (la belle indifference) more common in females, adolescents, and young adults

Answer 6

Conversion disorder (functional neurologic symptom disorder)

Question 7

This presents as excessive preoccupation with acquiring or having a serious illness, often despite medical evaluation and reassurance; with minimal somatic symptoms

Answer 7

Illness anxiety disorder

Question 8

This presents as false, non delusional belief of being pregnant.

Answer 8

Pseudocyesis

Question 9

This describes an enduring, repetitive pattern of perceiving, relating to, and thinking about the environment and oneself

Answer 9

personality trait

Question 10

This manifests in young adults as an infallible, maladaptive and rigidly pervasive pattern of behavior causing subjective distress and/or impairment functioning without the person being aware of the problem.

Answer 10

Personality disorder

Question 11

Cluster A diseases present with:

Answer 11

This group of personality disorder group presents as odd or eccentric, inability to develop meaningful relationships, without psychosis and is associated with schizophrenia

Question 12

Cluster B diseases present with:

Answer 12

This group of personality disorders presents with dramatic, emotional, or erratic personalities and is associated with mood disorders and substance abuse

Question 13

Cluster C diseases present with:

Answer 13

This group of personality disorders presents with anxious or fear and is associated with anxiety disorders

Question 14

This presents as overall pervasive distrust and suspiciousness manifesting as projection as the major defense mechanism

Answer 14

Paranoid-Cluster A

Question 15

This presents as voluntary social withdrawal, limited emotional expression, and the patient is content with social isolation

Answer 15

Schizoid-Cluster A

Question 16

This presents with eccentric appearance, odd beliefs or magical thinking and interpersonal awkwardness

Answer 16

Schizotypal-Cluster A

Question 17

This presents with overall disregard for and violation of the rights of others, typically male, must be over 18 and have history of conduct disorder before 15

Answer 17

Antisocial (sociopath) - Cluster B

Question 18

This presents with unstable mood and interpersonal relationships, impulsivity, self-mutiliation, suicidality, sense of emptiness typically in females and uses splitting as a major defense mechanism

Answer 18

Borderline - cluster B

Question 19

How do you treat borderline:

Answer 19

dialectical behavior therapy

Question 20

This presents with excessive emotionality and excitability, attention seeking, sexually provocative, and overly concerned with ones own appearance

Answer 20

Histrionic - Cluster B

Question 21

This presents with grandiosity, sense of entitlement, lack of empathy and requires excessive admiration; often demands the “best” and reacts to criticism with rage

Answer 21

Narcissistic - Cluster B

Question 22

This presents with a person being hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desires relationships with others:

Answer 22

Avoidant - Cluster C

Question 23

This presents with preoccupation with order, perfectionism, and control; ego-syntonic: behavioral consistent with one’s own beliefs and attitudes

Answer 23

Obsessive-compulsive Personality Disorder -Cluster C

Question 24

This presents with submissive and clingy, excessive need to be taken care of, low self-confidence. These pts often get stuck in abusive relationships

Answer 24

-Dependent

Question 25

The Cluster A diseases are

Answer 25

Paranoid, schizoid, schizotypal

Question 26

The Cluster B diseases are

Answer 26

Antisocial, borderline, histrionic, narcissistic

Question 27

The Cluster C diseases are

Answer 27

Avoidant, OCPD, Dependent personality disorder