QCM DSM

Question 1

The main goal of a diagnostic interview is to :
Veuillez choisir une réponse :
a. ask questions which lead to defensiveness
b. discuss unpleasant facts and feelings in order to develop rapport
c. be direct if time is limited
d. make the client feel uncomfortable
e. develop a specific diagnosis

Answer 1

e. develop a specific diagnosis

Question 2

Why is the US health care system considered to be “imperfect” ?
Veuillez choisir au moins une réponse :
a. Privacy of patient information is questioned: Medical records are examined to assess whether the care is appropriate or not.
b. Pharmaceutical companies also own the managed care health insurance companies and promote a biological vision to sell their products.
c. The utilization of health is driven by economic need rather than human ones.
d. Thanks to the healthcare bubble’s continued expansion during the Great Recession, healthcare has been one of the few industries to add jobs (nearly 1 million jobs !)
e. It gives to philanthropy an increasing role.

Answer 2

a. Privacy of patient information is questioned: Medical records are examined to assess whether the care is appropriate or not.
b. Pharmaceutical companies also own the managed care health insurance companies and promote a biological vision to sell their products.
c. The utilization of health is driven by economic need rather than human ones.

Question 3

The five revisions since its first publication in ____?____ incrementally added to the number of psychiatric disorders which are now more than ____?_____ in the DSM-IV-TR and now DSM-V.
Veuillez choisir une réponse :
a. 1950 ; 200
b. 1954 ; 300
c. 1956 ; 350
d. 1952 ; 250

Answer 3

d. 1952 ; 250

Question 4

One of the advantages of having a diagnostic system for classifying mental disorders is :
Veuillez choisir une réponse :
a. That it limits the potential for labeling a person as deviant.
b. That it settles issues and controversies over the causes of mental illness.
c. To prevent non-psychiatrists from treating people with psychopathology.
d. To make it easier to conduct systematic research on psychopathology

Answer 4

d. To make it easier to conduct systematic research on psychopathology

Question 5

This process is required for the systematic diagnosis by psychiatrists and psychologists of psychological disorders when using DSM-5 :
Veuillez choisir au moins une réponse :
a. Applying statistical formulas to examine the frequency of behaviors
b. Performing medical tests and brain scans on patients in hospitals
c. Matching a person’s symptoms with disorders in the diagnostic manual
d. Interviewing family and friends to find out about deviant behaviors

Answer 5

c. Matching a person’s symptoms with disorders in the diagnostic manual

Question 6

True or False regarding the following statements ?

 The ICD-10 uses a categorical approach to describe personality disorder
 DSM-IV-TR classifies personality disorder in a different axis to psychiatric illnesses
 DSM – 5 is using a dimensional approach in place of the current categorical approach
 ICD classifies personality disorder in a different axis to psychiatric illnesses
 DSM – 5 is a multiaxial system containing 5 main axes
 Personality disorders do not have specific psychopathology

Answer 6

 The ICD-10 uses a categorical approach to describe personality disorder – TRUE
 DSM-IV-TR classifies personality disorder in a different axis to psychiatric illnesses – TRUE
 DSM – 5 is using a dimensional approach in place of the current categorical approach – FALSE
 ICD classifies personality disorder in a different axis to psychiatric illnesses – FALSE
 DSM – 5 is a multiaxial system containing 5 main axes – FALSE
 Personality disorders do not have specific psychopathology – TRUE

Question 7

Read the following diagnosis :
• IQ 35 to 49
• Noticeable developmental delays (i.e. speech, motor skills)
• May have physical signs of impairment (i.e. thick tongue)
• Can communicate in basic, simple ways
• Able to learn basic health and safety skills
• Can complete self-care activities
• Can travel alone to nearby, familiar places

What is this diagnostic criterion about ?
Note that DSM-V places less emphasis on the degree of impairment (i.e. IQ scores) and more on the amount and type of intervention needed.
Veuillez choisir une réponse :
a. Profound intellectual disability
b. Moderate intellectual disability
c. Mild intellectual disability
d. Severe intellectual disability

Answer 7

b. Moderate intellectual disability

Question 8

Which of the following is not an anxiety disorders ?
Veuillez choisir une réponse :
a. Social Phobia
b. Separation Anxiety Disorder
c. Agoraphobia
d. Selective Mutism
e. Panic attack
f. Depersonalization disorder

Answer 8

f. Depersonalization disorder

Question 9

Among the following statements, which one is an advantage of DSM classification ?
Veuillez choisir une réponse :
a. DSM provides a descriptive system that does not specify the cause of or reason for the problem
b. DSM allows exchanges of information about previous evidence-based research and clinical experience
c. DSM encourages clinicians to treat patients as a checklist
d. This system sacrifices validity for reliability
e. Labeling an individual as abnormal provides a dehumanizing, life-long stigma

Answer 9

b. DSM allows exchanges of information about previous evidence-based research and clinical experience

Question 10

How does Wendy Pullin illustrate how treatment approaches can vary from one culture (i.e. ethnicity) to another and what is her therapeutic response to this problem ?
Veuillez choisir au moins une réponse :
a. When having an aboriginal woman as client, she’ll concentrate much more on her client’s dream and contact with spiritual ancestors.
b. When having an aboriginal woman as client, she’ll use cognitive-behavioral therapy that is very structured and talk-oriented.
c. Whatever cultural backgrounds, she’ll try to set aside her own view and see things from client’s view, adopting an “unvaried” point of view.
d. When having a Caucasian woman with an Anglo-saxon background, she’ll use cognitive-behavioral therapy that is very structured and talk-oriented.
e. Whatever cultural backgrounds, she’ll try to set aside her own view and see things from client’s view, adopting an “eclectic” point of view.
f. When having a Caucasian woman with an Anglo-saxon background, she’ll concentrate much more on her client’s dream and contact with spiritual ancestors.

Answer 10

a. When having an aboriginal woman as client, she’ll concentrate much more on her client’s dream and contact with spiritual ancestors.
d. When having a Caucasian woman with an Anglo-saxon background, she’ll use cognitive-behavioral therapy that is very structured and talk-oriented.
e. Whatever cultural backgrounds, she’ll try to set aside her own view and see things from client’s view, adopting an “eclectic” point of view.

Question 11

According to Wendy Pullin, The most striking gender difference among the personality disorders appears in ____?______ personality disorder, where men are five times more likely to be diagnosed with the disorder than are females. By contrast, ____?____ personality disorder affects more females than it affects males.
Veuillez choisir une réponse :
a. obsessive-compulsive; antisocial
b. antisocial ; borderline
c. schizotypal ; narcissistic
d. narcissistic ; obsessive-compulsive

Answer 11

b. antisocial ; borderline

Question 12

If a person has mood swings which go from intense depression to incredible hyperactivity and happiness, they would most likely be diagnosed with :
Veuillez choisir une réponse :
a. bipolar depression (manic depression)
b. major depression
c. post traumatic stress disorder
d. dysthymia

Answer 12

a. bipolar depression (manic depression)

Question 13

When a researcher determines that the outcome of a randomized controlled treatment study on schizophrenia is associated with reduction in negative symptoms, he or she is referring to the____?____ of the treatment. (Question hors cours)
Veuillez choisir une réponse :
a. grant-funded nature
b. positive effects
c. effectiveness
d. efficacy

Answer 13

d. efficacy

Question 14

With the publication of the DSM III, many “gay” people jokingly said that they were cured of homosexuality. That was when the American Psychiatric Association relaxed its standards about homosexuality because society regarded it more of an alternative “lifestyle” rather than an abnormality. This illustrates what criterion of abnormality ?
Veuillez choisir une réponse :
a. statistical abnormality
b. personal discomfort
c. maladaptive behavior
d. Norms

Answer 14

d. Norms

Question 15

In the movie The Caine Mutiny, Humphrey Bogart played a Captain Quigg who was overbearing and highly suspicious of his crew members. Captain Quigg had an odd mannerism that he performed over and over again. He would uncontrollably fondle ball bearings in his hand, over and over. This ritualistic behavior illustrates :
Veuillez choisir une réponse :
a. a compulsion
b. an obsession
c. panic attack
d. free floating anxiety

Answer 15

a. a compulsion

Question 16

Among the following statements, which one is a disadvantage of DSM classification ?
Veuillez choisir une réponse :
a. The DSM provides a “special language” for behavioral disorders i.e. identifies and describes clear and distinct disorders
b. If an individual’s problem is accurately described, prognosis and treatment are more easily decided
c. The illusion that naming a disorder explains it
d. DSM facilitates formation of differential diagnosis
e. All of these statements are false
f. All of these statements are true

Answer 16

c. The illusion that naming a disorder explains it

Question 17

The DSM III is tied to the ____?_____model of abnormal behavior, which views psychological problems in the same way as it views physical problems.
Veuillez choisir une réponse :
a. physical
b. medical
c. biological
d. psychosomatic

Answer 17

b. medical

Question 18

What organization publishes the Diagnostic and Statistical Manual of Mental Disorders ?
Veuillez choisir une réponse :
a. American Medical Association
b. National Alliance for the Mentally Ill
c. American Psychiatric Association
d. American Psychological Association

Answer 18

c. American Psychiatric Association

Question 19

Dysthymia in the DSM-5 is now known as :
Veuillez choisir une réponse :
a. Disruptive Mood Dysregulation Disorder
b. Persistent Depressive Disorder
c. Adjustment Disorder with depressed mood
d. Other Specified Depressive Disorder

Answer 19

b. Persistent Depressive Disorder

Question 20

What example is given by Wendy Pullin to illustrate an interaction between physical health and personality disorders ?
Veuillez choisir une réponse :
a. Low functioning thyroid and schizophrenia
b. Low functioning thyroid and depression
c. High functioning thyroid and schizophrenia
d. High functioning thyroid and depression

Answer 20

b. Low functioning thyroid and depression

Question 21

____?____ is a forecast about the probable course of an illness :
Veuillez choisir une réponse :
a. Maladaptive behavior
b. Prognosis
c. Deviance
d. Diagnosis

Answer 21

b. Prognosis

Question 22

The DSM-5 revision was an effort to get the diagnostic codes for mental health disorders in line with :
Veuillez choisir une réponse :
a. The need to simplify the diagnostic process of mental health disorders in the USA
b. The mandate of the American Psychiatric Association to update its processes
c. The new Affordable Care Act Rulings
d. The roll out and implementation of ICD-10-CM codes

Answer 22

d. The roll out and implementation of ICD-10-CM codes

Question 23

What is a culture-bound disorder ?
Veuillez choisir une réponse :
a. A disorder specific to a particular cultural context
b. Any disorder whose onset is highly influenced by cultural factors
c. A disorder not included in one of the DSM’s diagnostic categories
d. A disorder that is bound to occur in most cultures

Answer 23

a. A disorder specific to a particular cultural context

Question 24

Which disorder is characterized by an inability to remember a traumatic incident ?
Veuillez choisir une réponse :
a. Conversion disorder
b. Dissociative amnesia
c. Schizophrenia
d. Post–traumatic stress disorder

Answer 24

b. Dissociative amnesia

Question 25

Directions : Pretend that you are a volunteer working for your community mental health center’s « hot line » service. As the calls are phoned in, it is your job to make a quick diagnosis based on the symptoms reported by the caller. You’ll be using the clinical term and afterwards the disorder name on axis I.

> > > Illness anxiety disorder (Somatic symptom and related disorders)
Transsexualism (Gender dysphoria)
Major depressive episode (Depressive disorders)
Schizophrenia (Schizophrenia spectrum and other psychotic disorders)
Panic attack (Anxiety disorders)
Dissociative fugue and amnesia (Dissociative disorders)
Autophobia, Isolaphobia, Monophobia (Anxiety disorders)
Bipolar disorder (Bipolar and related disorders)
Fetishism (Paraphilic disorders)

 Person A. I get sexual gratification by touching or looking at some objet ; sometimes the turn-on is a specific part of the body other than genitals.
 Person B. I have a persistent fear that I’m going to be left alone ; I can’t leave work or a party, or even get off the bus because I can’t stand the thought of going home and being alone. Please don’t hang up on me.
 Person C. I’m calling about my brother; he had been missing from home for 3 days and the police just found him. He claims that he remembers nothing about his flight from home. He’s very disoriented.
 Person D. I feel completely worthless about myself; I don’t feel attractive or bright; I’ve been contemplating suicide.
 Person E. My moods lately have been like an elevator -up one minute, down the next. When I’m up, I’m talking a mile a minute, can’t sleep, and feel absolutely euphoric. Then I hit rock bottom, feeling totally depressed.
 Person F. I am frightened that I may have breast cancer. I have discovered a new « lump » in one of my breast and I am angry at my doctor for dismissing it as a harmless cyst. I am very well read of breast cancer and can tell you of the latest treatment. I will switch doctor again to see if I can get the confirmation I know to be true.
 Person G. I turned on television last night and I think that television editors are somehow stealing my ideas for new television shows, using them to make big money. They have some sort of technological radar-scanner that picks up my every thought.
 Person H. I feel « trapped » in the wrong body ; this feeling is so strong that I may have an operation to change gender. What do you think of it ?
 Person I. I just had a horrible experience that lasted for about 20 minutes. I felt an overwhelming sense of disaster overtaking me. My heart was pounding, I was sweating and shivering, and my breathing was very shallow and difficult

Some help now : Some definitions :
Axis 1. Clinical Disorder
- Anxiety disorders = Feelings of apprehension with normal social and psychological functioning (panic disorder, obsessive-compulsive disorder, phobias, etc.).
- Somatoform disorders = A display of symptoms with no apparent organic causes (hypochondriasis, somatization disorder etc.)
- Dissociative disorders = Splitting off certain kinds of behaviors that are normally integrated (amnesia, fugue, depersonalization, etc.)
- Mood disorders = Mood disturbances (major depressive disorder, bipolar disorder, etc.…)
- Schizophrenia and other psychotic disorders = Disorders involving psychotic symptoms (delusion or hallucinations, distortion in perception of reality, impairment in thinking, affect, behavior and motivation)
Schizophrenia and its subtypes.
- Sexual disorders and sexual identity disorders = Maladaptive sexual responses, impulsive sexual behavior,
Identity disorders (Exhibitionism, fetishism, pedophilia, etc.)

Answer 25

La réponse correcte est :
 Person A. I get sexual gratification by touching or looking at some objet ; sometimes the turn-on is a specific part of the body other than genitals.
-»> Fetishism (Paraphilic disorders)
 Person B. I have a persistent fear that I’m going to be left alone ; I can’t leave work or a party, or even get off the bus because I can’t stand the thought of going home and being alone. Please don’t hang up on me.
-»> Autophobia, Isolaphobia, Monophobia (Anxiety disorders)
 Person C. I’m calling about my brother; he had been missing from home for 3 days and the police just found him. He claims that he remembers nothing about his flight from home. He’s very disoriented.
-»> Dissociative fugue and amnesia (Dissociative disorders).
 Person D. I feel completely worthless about myself; I don’t feel attractive or bright; I’ve been contemplating suicide.
-»> Major depressive episode (Depressive disorders)
 Person E. My moods lately have been like an elevator -up one minute, down the next. When I’m up, I’m talking a mile a minute, can’t sleep, and feel absolutely euphoric. Then I hit rock bottom, feeling totally depressed.
-»> Bipolar disorder (Bipolar and related disorders)
 Person F. I am frightened that I may have breast cancer. I have discovered a new « lump » in one of my breast and I am angry at my doctor for dismissing it as a harmless cyst. I am very well read of breast cancer and can tell you of the latest treatment. I will switch doctor again to see if I can get the confirmation I know to be true.
-»> Illness anxiety disorder (Somatic symptom and related disorders)
 Person G. I turned on television last night and I think that television editors are somehow stealing my ideas for new television shows, using them to make big money. They have some sort of technological radar-scanner that picks up my every thought.
-»> Schizophrenia (Schizophrenia spectrum and other psychotic disorders)
 Person H. I feel « trapped » in the wrong body ; this feeling is so strong that I may have an operation to change gender. What do you think of it ?
-»> Transsexualism (Gender dysphoria)
 Person I. I just had a horrible experience that lasted for about 20 minutes. I felt an overwhelming sense of disaster overtaking me. My heart was pounding, I was sweating and shivering, and my breathing was very shallow and difficult
-»> Panic attack (Anxiety disorders)

Question 26

What does “managed mental heath” mean ?
Veuillez choisir une réponse :
a. It’s a health insurance program for all people who can pay for private health insurance.
b. It’s a health insurance program for the elderly
c. It’s a health insurance program for those in financial need
d. It’s a health insurance program dedicated to children and adolescents

Answer 26

a. It’s a health insurance program for all people who can pay for private health insurance.

Question 27

According to the DSM V, which is likely true about people with somatoform disorders ?
Veuillez choisir une réponse :
a. They intentionally produce their symptoms
b. They have symptoms that are caused by a medical condition
c. They may pay too much attention to bodily symptoms
d. They do not experience real symptoms

Answer 27

c. They may pay too much attention to bodily symptoms

Question 28

True or False regarding Personality theory of Hippocrates ?

Excess blood – optimistic/confident
Excess Phlegm – placid/apathetic
Excess yellow bile – Gloomy
Excess black bile – Bad tempered

Answer 28

Excess blood – optimistic/confident -> TRUE
Excess Phlegm – placid/apathetic –> TRUE
Excess yellow bile – Gloomy –> FALSE
Excess black bile – Bad tempered –> FALSE

Question 29

___?___ result (s) from the tendency of an interviewer (or therapist) to develop a general impression of a person and then infer other seemingly related characteristics.
Veuillez choisir une réponse :
a. Racial Bias
b. Cognitive dissonance
c. Halo Effects
d. Ambulatory sensors
e. Psychological Reactance

Answer 29

c. Halo Effects

Question 30

Peter seems to be suffering from prolonged, vague, unexplained but intense fears that do not seem to be attached to any particular object. If you were a clinical psychologist, you might diagnose Peter with :
Veuillez choisir une réponse :
a. obsessive compulsive disorder
b. social phobia
c. generalized anxiety disorder
d. dysthymia
e. All of these disorders are relevant
f. All of these disorders are irrelevant

Answer 30

c. generalized anxiety disorder

Question 31

Jerrold, a psychiatric aide working in a mental ward, was asked why one of the patients had delusional thought patterns. Jerrold responded, “He’s schizophrenic.” “How do you know he’s schizophrenic ?” he was asked in return. “Because he has delusions,” he replied. Jerrold is illustrating one problem in using psychiatric labels. What is that problem in this situation ? (choose the statement that corresponds the best to the situation)
Veuillez choisir une réponse :
a. Labels stigmatize people.
b. Labels are unreliably applied.
c. Labels give the illusion of explanation.
d. Labels treat people as “sick.”

Answer 31

c. Labels give the illusion of explanation.

Question 32

The official coding system in use in the United States as of publication of the DSM-5-TR is the :
Veuillez choisir une réponse :
a. National Nomenclature Nosology (NMN)
b. International Classification of Diseases (ICD)
c. Prevention Plus III System (PP-3-S)
d. Height Report (HR)
e. Health Codes (HC)

Answer 32

b. International Classification of Diseases (ICD)

Question 33

People with obsessive-compulsive disorder often do which of the following ?
Veuillez choisir une réponse :
a. Have sensory or perceptual experiences that occur without an external stimulus
b. Experience anxiety-producing thoughts, impulses, or images
c. Have panic attacks
d. Have false beliefs that they hold despite contradictory evidence

Answer 33

b. Experience anxiety-producing thoughts, impulses, or images.

Question 34

Wendy Pullin is talking about an ethic dilemma she has been confronted with when giving a DSM diagnosis to a “battered woman”, which one is it ?
Veuillez choisir une réponse :
a. Better diagnose her patient as having a “schizophrenia” instead of a “personality disorder”, so she can get psychotherapy
b. Better diagnose her patient has having a severe mental disorder, if her case had to go to court and her children taken away from her
c. Better diagnose her patient as having a “depression” instead of an “adjustment disorder”, so she can get psychotherapy
d. Better diagnose her patient as having a slight-to-moderate mental disorder, if her case had to go to court and her children taken away from her.

Answer 34

d. Better diagnose her patient as having a slight-to-moderate mental disorder, if her case had to go to court and her children taken away from her.