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Counseling Exam > Rule Out > Flashcards

Rule Out Flashcards

1
Q

What needs to be ruled out before you make a diagnosis of:

TOURETTE DISORDER

A 
You need to rule out:
Abnormal movements from medical conditions 
Effects of a substance 
Choreiform, Dystonic, Athetoid, Myoclonic, Hemiballismic movements 
Spasms 
Hemifacial spasm 
Synkinesis 
Medication-induced disorder NOS 
Movement disorder 
Pervasive Developmental disorders 
Compulsions 
Schizophrenia 
Transient Tic Disorder 
Tourette disorder 
Chronic motor disorder 
Tic disorder NOS
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2
Q

What needs to be ruled out before you make a diagnosis of:

HYPOCHONDRASIS

A 
You need to rule out:
Somatic symptoms in children 
Generalized anxiety disorder 
Obsessive-compulsive disorder 
Major depressive episode 
Separation anxiety disorder 
Body dysmorphic disorder 
Specific phobias 
Psychotic disorders
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3
Q

What needs to be ruled out before you make a diagnosis of:

SOMATIZATION DISORDER

A 
You need to rule out:
Schizophrenia 
Anxiety disorders 
Panic disorder 
Generalized Anxiety Disorder 
Mood disorders 
Depressive disorders 
Pain disorder associated with psychological factors 
Sexual dysfunction 
Conversion disorder 
Dissociative disorder
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4
Q 
What needs to be ruled out before you make a diagnosis of:
CYCLOTHYMIC DISORDER (MINOR MOOD DISORDER)
A

You need to rule out:
Substance abuse
Major depressive disorder ( the residual phase is characterized by dysthymic disorder in some patients, so-called “double depression”)

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5
Q

What needs to be ruled out before you make a diagnosis of:

NARCISSISTIC PERSONALITY DISORDER

A

You need to rule out:
Histrionic Personality Disorder
Borderline Personality Disorder (both include emotionality and instability)
Obsessive-compulsive Personality Disorder (includes feelings of imperfection)

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6
Q

What needs to be ruled out before you make a diagnosis of:

SCHIZOPHRENIFORM DISORDER

A

You need to rule out:

Brief psychotic disorder

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7
Q

What needs to be ruled out before you make a diagnosis of:

INTERMITTENT EXPLOSIVE DISORDER

A

You need to rule out:
Alcohol or drug intoxication
Psychosis
Conduct disorder/antisocial personality disorder
Dementia
Dissociative disorders
Amok is a single episode of explosive behavior seen most commonly in Southeast Asian countries; dissociative symptoms are present

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8
Q

What needs to be ruled out before you make a diagnosis of:

SCHIZOPHRENIA

A 
You need to rule out:
Temporal lobe epilepsy 
Neurologic disease or trauma 
Poisoning 
Endocrine disorders 
Brief psychotic disorder 
Schizophreniform disorder 
Schizoaffective disorder 
Manic phase of bipolar disorder 
Delusional disorder 
Schizoid and schizotypal personality disorders 
Substance abuse
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9
Q

What needs to be ruled out before you make a diagnosis of:

DELUSIONAL DISORDER

A 
You need to rule out:
Delirium 
Dementia 
Psychotic disorder due to a gen med condition 
Substance-induced psychotic disorder 
Schizophrenia 
Schizophreniform 
Mood disorders with psychotic features 
Psychotic disorder NOS 
Depressive disorder NOS 
Bipolar disorder NOS
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10
Q

What needs to be ruled out before you make a diagnosis of:

PEDOPHILIA

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties

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11
Q

What needs to be ruled out before you make a diagnosis of:

NARCOLEPSY

A 
You need to rule out:
Sleep deprivation 
Sleep apnea leading to daytime sleepiness 
Abuse of sedative drugs 
Withdrawal from stimulant drugs
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12
Q

What needs to be ruled out before you make a diagnosis of:

ASPERGER DISORDER

A 
You need to rule out:
Autistic disorder 
Childhood schizophrenia 
Rett disorder (in girls) 
Obsessive-compulsive disorder 
Schizoid personality disorder
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13
Q

What needs to be ruled out before you make a diagnosis of:

HISTRIONIC PERSONALITY DISORDER

A

You need to rule out:
Borderline Personality Disorder (includes chronic feelings of boredom and emptiness and suicidal behavior)
Narcissistic Personality Disorder (includes feelings of superiority)
Dependent Personality Disorder (not characterized by flamboyance or an overly emotional state)
Hypomanic episode in bipolar II or cyclothymic disorder (symptoms remit when the episode ends)

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14
Q

What needs to be ruled out before you make a diagnosis of:

SEPARATION ANXIETY DISORDER

A 
You need to rule out:
Pervasive developmental disorders 
Schizophrenia 
Other psychotic disorders 
Generalized anxiety disorder 
Panic disorder with agoraphobia 
Agoraphobia without history of panic disorder 
Psychotic disorders 
Conduct disorder 
Developmentally appropriate levels of separation anxiety
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15
Q

What needs to be ruled out before you make a diagnosis of:

GENDER IDENTITY DISORDER

A

You need to rule out:
Hermaphroditism
Schizophrenia
Serious distress about homosexuality (sexual disorder NOS)

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16
Q

What needs to be ruled out before you make a diagnosis of:

PARANOID PERSONALITY DISORDER

A

You need to rule out:
Delusional disorder
Paranoid schizophrenia
Mood disorder with psychotic features ( al include frank psychotic symptoms)

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17
Q

What needs to be ruled out before you make a diagnosis of:

DELIRIUM

A

You need to rule out:
Dementia
Psychosis,
Depression

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18
Q

What needs to be ruled out before you make a diagnosis of:

MALE ERECTILE DISORDER

A

You need to rule out:
Presence of erections during REM sleep. morning erections, or erections with masturbation suggest a psychological rather than a physical cause.

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19
Q

What needs to be ruled out before you make a diagnosis of:

INSOMNIA

A

You need to rule out:
Use of stimulant drugs, particularly caffeine
Sedative abuser seeking drugs

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20
Q

What needs to be ruled out before you make a diagnosis of:

SEXUAL DESIRE DISORDER

A

You need to rule out:
Substance-induced sexual dysfunction
Another axis I disorder
Occasional problems with sexual desire

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21
Q

What needs to be ruled out before you make a diagnosis of:

ATTENTION DEFICIT HYPERACTIVITY DIOSRDER (ADHD)

A 
You need to rule out:
Normal temperamental characteristics 
Mood disorder 
Anxiety disorder 
Learning problems
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22
Q

What needs to be ruled out before you make a diagnosis of:

TELEPHONE SCATOLOGIA

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties

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23
Q

What needs to be ruled out before you make a diagnosis of:

MAJOR DEPRESSIVE DISORDER

A 
You need to rule out:
Cancers- present as depression 
Renal and cardiopulmonary diseases 
Infectious disease 
Neurologic illnesses (e.g. Parkinson disease, multiple sclerosis, dementia, stroke (particularly left frontal) 
Nutritional deficiency 
Endocrinologic abnormalities, particularly thyroid dysfunction 
Prescription drugs
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24
Q

What needs to be ruled out before you make a diagnosis of:

VOYEURISM

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties

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25
Q

What needs to be ruled out before you make a diagnosis of:

PAIN DISORDER

A 
You need to rule out:
Somatization disorder 
Dyspareunia 
Conversion disorder 
Malingering 
Factitious disorder
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26
Q

What needs to be ruled out before you make a diagnosis of:

VAGINISMUS

A

You need to rule out:
Dyspareunia
Another axis I condition

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27
Q

What needs to be ruled out before you make a diagnosis of:

SCHIZOID PERSONALITY DISORDER

A

You need to rule out:
Delusional disorder
Schizophrenia (both include frank psychotic symptoms)
Asperger disorder
Mild autistic disorder (stereotyped behavior patterns as well as impaired social behavior)

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28
Q

What needs to be ruled out before you make a diagnosis of:

POSTTRAUMATIC STRESS DISORDER

A 
You need to rule out:
Head injury caused by the traumatic event 
Substance abuse 
Borderline personality disorder 
Factitious disorder 
Malingering 
Generalized anxiety disorder
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29
Q

What needs to be ruled out before you make a diagnosis of:

HOMOSEXUALITY

A

You need to rule out:
Nonconformity to stereotypical sex role behavior
Transvestic fetishism
Concurrent congenital intersex condition
Schizophrenia

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30
Q

What needs to be ruled out before you make a diagnosis of:

OBSESSIVE-COMPULSIVE PERSONALITY DISORDER

A

You need to rule out:

Obsessive-compulsive disorder (presence of actual obsessions and compulsions with anxiety if they are not carried out)

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31
Q

What needs to be ruled out before you make a diagnosis of:

FEMALE ORGASMIC DISORDER

A

You need to rule out:

Incompatible sexual technique

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32
Q

What needs to be ruled out before you make a diagnosis of:

AVOIDANT PERSONALITY DISORDER

A

You need to rule out:
Social phobia (experiences significant anxiety symptoms in social situations)
Dependent Personality Disorder (mainly seeks care from others)
Schizoid Personality Disorder (is content with little social contact)

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33
Q

What needs to be ruled out before you make a diagnosis of:

AMNESTIC DISORDERS

A 
You need to rule out:
Dementia 
Delirium 
Normal aging 
Dissociative disorders 
Factitious disorder
34
Q

What needs to be ruled out before you make a diagnosis of:

SCHIZOAFFECTIVE DISORDER

A 
You need to rule out:
Psychotic disorder due to a general medical condition 
Delirium 
Dementia 
Substance-induced psychotic disorder 
Substance-induced delirium
35
Q

What needs to be ruled out before you make a diagnosis of:

DEPENDENT PERSONALITY DISORDER

A

You need to rule out:

Depression (more episodic and not as chronic)

36
Q

What needs to be ruled out before you make a diagnosis of:

FROTTEURISM

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties

37
Q

What needs to be ruled out before you make a diagnosis of:

DISSOCIATIVE AMNESIA

A 
You need to rule out:
Seizure disorders 
Delirium 
Dementia 
Dissociative fugue 
Dissociative identity disorder 
Depersonalization disorder 
Posttraumatic stress disorder 
Acute stress disorder 
Somatization disorder 
Malingering
38
Q

What needs to be ruled out before you make a diagnosis of:

SHARED PSYCHOTIC DISORDER (FOLIE A DEUX)

A 
You need to rule out:
Delirium 
Dementia of the Alzheimer's type 
Vascular Dementia 
Substance-induced psychotic disorder 
Primary psychotic disorder 
Primary mood disorder with psychotic features 
Hypnagogic hallucinations 
Hypnopompic Hallucinations
39
Q 
What needs to be ruled out before you make a diagnosis of:
DYSTHYMIC DISORDER ( MINOR MOOD DISORDER)
A

You need to rule out:
Bereavement or adjustment disorder with depressed mood
Substance abuse
Major depressive disorder ( the residual phase is characterized by dysthymic disorder in some patients, so-called “double depression”)

40
Q 
What needs to be ruled out before you make a diagnosis of:
FACTITIOUS DISORDER ( MUNCHAUSEN SYNROME)
A

You need to rule out:
Somatoform disorders
Malingering

41
Q

What needs to be ruled out before you make a diagnosis of:

KLEPTOMANIA

A

You need to rule out:
Stealing for actual gain
Faking kleptomania (malingering) to avoid prosecution for stealing
Conduct disorder in childhood and antisocial personality disorder in adulthood
A manic episode
Dementia

42
Q

What needs to be ruled out before you make a diagnosis of:

GENERALIZED ANXIETY DISORDER

A

You need to rule out:

Other anxiety disorders, particularly panic disorder

43
Q

What needs to be ruled out before you make a diagnosis of:

DISSOCIATIVE FUGUE

A 
You need to rule out:
Dissociative identity disorder 
Dissociative amnesia 
Depersonalization disorder 
Manic episode 
Schizophrenia 
Malingering
44
Q

What needs to be ruled out before you make a diagnosis of:

ALZHEIMER DISEASE

A

You need to rule out:
Normal aging
Depression
Delirium

45
Q

What needs to be ruled out before you make a diagnosis of:

FETISHISM

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties

46
Q

What needs to be ruled out before you make a diagnosis of:

BULIMIA NERVOSA

A

You need to rule out:
Anorexia nervosa with binge eating and purging (body weight is much below normal)
Kleine-Levin syndrome (episodic eating binges and hypersomnia)
Borderline personality disorder (poor impulse control including impulsive eating)

47
Q

What needs to be ruled out before you make a diagnosis of:

SEXUAL MASOCHISM

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties

48
Q

What needs to be ruled out before you make a diagnosis of:

BIPOLAR DISORDER

A 
You need to rule out:
Schizophrenia 
Schizoaffective disorder 
Substance abuse 
Delirium 
Cyclothymic disorder
49
Q

What needs to be ruled out before you make a diagnosis of:

PATHOLOGIC GAMBLING

A 
You need to rule out:
Manic episode (Obvious mood elevation seen)
50
Q

What needs to be ruled out before you make a diagnosis of:

SCHIZOTYPAL PERSONALITY DISORDER

A

You need to rule out:
Delusional disorder
Schizophrenia
Mood disorder with psychotic features

51
Q

What needs to be ruled out before you make a diagnosis of:

PYROMANIA

A

You need to rule out:
Insurance gain
Normal curiosity about fire
Impaired judgment due to another mental condition

52
Q

What needs to be ruled out before you make a diagnosis of:

CONDUCT DISORDER

A

You need to rule out:
Mood disorder
ADHD

53
Q

What needs to be ruled out before you make a diagnosis of:

SLEEP APNEA

A 
You need to rule out:
Narcolepsy 
Hypersomnia related to depression 
Use of sedative drugs 
Withdrawal from stimulant drugs
54
Q

What needs to be ruled out before you make a diagnosis of:

EXHIBITIONISM

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties (i.e., lack of suitable partners)

55
Q

What needs to be ruled out before you make a diagnosis of:

PHOBIAS

A 
You need to rule out:
OCD 
Hypochondriasis 
Paranoid personality disorder 
Panic disorder 
Normal shyness 
Schizoid personality disorder 
Major depressive disorder
56
Q

What needs to be ruled out before you make a diagnosis of:

BORDERLINE PERSONALITY DISORDER

A

You need to rule out:
Histrionic Personality Disorder
Narcissistic Personality Disorder
Paranoid Personality Disorder ( do not include self-destructive behavior or feelings of aloneness)

57
Q 
What needs to be ruled out before you make a diagnosis of:
PANIC DISORDER ( WITH OR WITHOUT AGORAPHOBIA)
A 
You need to rule out:
Myocardial infarction 
Social or specific phobias 
Generalized anxiety disorder 
Depression 
Malingering 
Hypochondriasis 
Factitious disorder
58
Q

What needs to be ruled out before you make a diagnosis of:

ANTISOCIAL PERSONALITY DISORDER

A 
You need to rule out:
Criminal behavior 
Substance abuse 
Narcissistic Personality Disorder 
Paranoid Personality Disorder 
Hypomanic episode in bipolar II or cyclothymic disorder
59
Q

What needs to be ruled out before you make a diagnosis of:

DEPERSONALIZATION DISORDER

A 
You need to rule out:
Schizophrenia 
Depression 
Anxiety 
Histrionic personality disorder
60
Q

What needs to be ruled out before you make a diagnosis of:

AUTISTIC DISORDER

A 
You need to rule out:
Congenital hearing impairment 
Schizophrenia with childhood onset 
Mixed receptive/expressive language disorder 
Psychosocial deprivation
61
Q

What needs to be ruled out before you make a diagnosis of:

SELECTIVE MUTISM

A 
You need to rule out:
Communication disorder 
Phonological disorder 
Expressive language disorder 
Mixed-receptive-expressive language disorder 
Stuttering 
Lack of knowledge of the language 
Pervasive developmental disorder] 
Schizophrenia 
Other psychotic disorder 
Severe mental retardation 
Social phobia
62
Q

What needs to be ruled out before you make a diagnosis of:

ANOREXIA NERVOSA

A

You need to rule out:
Medical condition causing weight loss
Major depressive disorder resulting in lack of appetite and weight loss

63
Q

What needs to be ruled out before you make a diagnosis of:

CHILDHOOD DISINTEGRATIVE DISORDER

A

You need to rule out:
Autistic disorder
Rett disorder (in girls)
Asperger disorder

64
Q

What needs to be ruled out before you make a diagnosis of:

OBSESSIVE-COMPULSIVE DISORDER

A 
You need to rule out:
Tourette disorder 
Temporal lobe epilepsy 
Schizophrenia 
Obsessive-compulsive personality disorder
65
Q

What needs to be ruled out before you make a diagnosis of:

DYSPAREUNIA

A

You need to rule out:
Substance-induced sexual dysfunction
Another axis I disorder
Occasional pain associated with sexual intercourse

66
Q

What needs to be ruled out before you make a diagnosis of:

BODY DYSMORPHIC DISORDER

A 
You need to rule out:
Anorexia nervosa 
Gender identity disorder 
Major depressive disorder 
Avoidant personality disorder 
Obsessive-compulsive disorder 
Delusional disorder, somatic type 
Koro
67
Q

What needs to be ruled out before you make a diagnosis of:

VASCULAR DEMENTIAS

A

You need to rule out:

Delirium

68
Q

What needs to be ruled out before you make a diagnosis of:

PREMATURE EJACULATION

A

You need to rule out:
Occasional problems with premature ejaculation
Substance-induced sexual dysfunction

69
Q

What needs to be ruled out before you make a diagnosis of:

TRANSVESTIC FETISHISM

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties

70
Q

What needs to be ruled out before you make a diagnosis of:

TRICHOTILLOMANIA

A

You need to rule out:
Alopecia due to a medical condition
Obsessive-compulsive disorder, which is commonly not limited to one compulsion

71
Q

What needs to be ruled out before you make a diagnosis of:

NECROPHILIA

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties

72
Q

What needs to be ruled out before you make a diagnosis of:

CONVERSION DISORDER

A 
You need to rule out:
Substance (including medication) induced etiologies 
Pain disorder 
Sexual dysfunction 
Somatization disorder 
Schizophrenia 
Mood disorder 
Panic attack 
Body dysmorphic disorder 
Dissociative disorders
73
Q

What needs to be ruled out before you make a diagnosis of:

RETT DISORDER

A

You need to rule out:
Autistic disorder
Childhood disintegrative disorder
Asperger disorder

74
Q

What needs to be ruled out before you make a diagnosis of:

DISSOCIATIVE IDENTITY DISORDER (MULTIPLE PERSONALITY DISORDER)

A 
You need to rule out:
Mild forms may resemble: 
Borderline personality disorder 
Schizophrenia 
Malingering must be ruled out when the patient presents in a forensic (legal) context
75
Q

What needs to be ruled out before you make a diagnosis of:

MALE ORGASMIC DISORDER

A

You need to rule out:

Incompatible sexual technique

76
Q

What needs to be ruled out before you make a diagnosis of:

BRIEF PSYCHOTIC DISORDER

A 
You need to rule out:
Psychotic disorder due to a general medical condition 
Delirium 
Substance-induced psychotic disorder 
Substance-induced delirium 
Substance intoxication 
Mood episode 
Schizophreniform disorder 
Delusional disorder 
Mood disorder with psychotic features 
Psychotic disorder NOS 
Factitious disorder with psychological signs and symptoms 
Malingering 
Personality disorders
77
Q

What needs to be ruled out before you make a diagnosis of:

ADJUSTMENT DISORDERS

A

You need to rule out:
Acute stress disorder (extremely severe stressor that elicits multiple psychological symptoms, e.g., anxiety, withdrawal, or dissociation lasting up to 2-4 weeks.)

78
Q

What needs to be ruled out before you make a diagnosis of:

OPPOSITIONAL DEFIANT DISORDER

A

You need to rule out:
Normal oppositional behavior
Conduct disorder
Mood disorder

79
Q

What needs to be ruled out before you make a diagnosis of:

FEMALE AROUSAL DISORDER

A

Substance-induced sexual dysfunction

80
Q

What needs to be ruled out before you make a diagnosis of:

ZOOPHILIA

A

You need to rule out:
Dementia
Schizophrenia
Situational difficulties

Counseling Exam (3 decks)

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