Somatic Flashcards

1
Q

A patient who frequently visits different doctors for unexplained physical symptoms, despite reassurances of good health, is likely exhibiting:

a) Somatic Symptom Disorder
b) Illness Anxiety Disorder
c) Conversion Disorder
d) Factitious Disorder

A

Answer: a) Somatic Symptom Disorder

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2
Q

Illness Anxiety Disorder is characterized by:

a) Preoccupation with having or acquiring a serious illness without significant physical symptoms
b) Deliberate fabrication of physical symptoms for attention
c) Sudden loss of motor or sensory function following stress
d) Excessive focus on perceived physical defects

A

Answer: a) Preoccupation with having or acquiring a serious illness without significant physical symptoms

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3
Q

Conversion Disorder often manifests as:

a) Pain without medical cause
b) Neurological symptoms such as paralysis or blindness without a physical explanation
c) Persistent fear of contamination
d) Compulsive checking behaviors

A

Answer: b) Neurological symptoms such as paralysis or blindness without a physical explanation

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4
Q

A patient who intentionally produces or feigns symptoms to assume the “sick role” might be diagnosed with:

a) Malingering
b) Factitious Disorder
c) Somatic Symptom Disorder
d) Illness Anxiety Disorder

A

Answer: b) Factitious Disorder

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5
Q

Which disorder involves significant distress and preoccupation with perceived physical flaws that are not noticeable to others?

a) Somatic Symptom Disorder
b) Illness Anxiety Disorder
c) Body Dysmorphic Disorder
d) Factitious Disorder

A

Answer: c) Body Dysmorphic Disorder

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6
Q

The key difference between Factitious Disorder and Malingering is that:

a) Factitious Disorder involves intentional symptoms for external gain
b) Factitious Disorder involves intentional symptoms for internal psychological reasons
c) Malingering involves neurological symptoms, while Factitious Disorder does not
d) Malingering is a formal mental health diagnosis

A

Answer: b) Factitious Disorder involves intentional symptoms for internal psychological reasons

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7
Q

A sudden inability to speak following a highly stressful event might indicate:

a) Somatic Symptom Disorder
b) Conversion Disorder
c) Body Dysmorphic Disorder
d) Panic Disorder

A

Answer: b) Conversion Disorder

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8
Q

Which of the following is commonly associated with Somatic Symptom Disorder?

a) High levels of health-related anxiety
b) Intrusive and repetitive thoughts about contamination
c) Hallucinations and delusions
d) Compulsive rituals to reduce distress

A

Answer: a) High levels of health-related anxiety

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9
Q

In Illness Anxiety Disorder, reassurance from medical professionals typically results in:

a) Long-term relief of anxiety
b) Immediate reduction of symptoms
c) Temporary relief followed by continued preoccupation with illness
d) Complete resolution of the disorder

A

Answer: c) Temporary relief followed by continued preoccupation with illness

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10
Q

A person with Body Dysmorphic Disorder might:

a) Engage in excessive grooming or seek unnecessary cosmetic surgeries
b) Avoid public places due to fear of judgment
c) Develop uncontrollable motor tics
d) Fabricate symptoms to gain medical attention

A

Answer: a) Engage in excessive grooming or seek unnecessary cosmetic surgeries

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11
Q

Which therapeutic approach is most effective for treating Somatic Symptom Disorder?

a) Cognitive-Behavioral Therapy (CBT)
b) Psychoanalysis
c) Electroconvulsive Therapy (ECT)
d) Hypnosis

A

Answer: a) Cognitive-Behavioral Therapy (CBT)

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12
Q

A person who develops sudden blindness after witnessing a traumatic event, despite no physical damage to the eyes, likely has:

a) Conversion Disorder
b) Dissociative Amnesia
c) Illness Anxiety Disorder
d) Somatic Symptom Disorder

A

Answer: a) Conversion Disorder

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13
Q

Which of the following is a distinguishing feature of Illness Anxiety Disorder?

a) Neurological symptoms with no physical basis
b) Intense fear of specific physical deformities
c) Over-interpretation of minor symptoms as severe illness
d) Intentional exaggeration of symptoms for external gain

A

Answer: c) Over-interpretation of minor symptoms as severe illness

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14
Q

Factitious Disorder imposed on another (formerly Munchausen Syndrome by Proxy) involves:

a) Feigning illness in oneself to gain attention
b) Fabricating or inducing illness in another person, often a dependent
c) Persistent fear of acquiring a specific illness
d) Avoiding responsibilities due to perceived physical symptoms

A

Answer: b) Fabricating or inducing illness in another person, often a dependent

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15
Q

A person with persistent preoccupation about having a serious illness despite normal diagnostic results likely has:

a) Conversion Disorder
b) Illness Anxiety Disorder
c) Somatic Symptom Disorder
d) Generalized Anxiety Disorder

A

Answer: b) Illness Anxiety Disorder

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16
Q

Which term best describes physical symptoms that cannot be fully explained by medical conditions and cause distress?

a) Functional Neurological Symptoms
b) Hypochondriasis
c) Somatic Symptoms
d) Pseudo-neurological Symptoms

A

Answer: c) Somatic Symptoms

17
Q

A hallmark of Body Dysmorphic Disorder is:

a) Persistent avoidance of perceived triggers for physical symptoms
b) Preoccupation with an imagined or minor defect in appearance
c) Significant neurological impairments with no medical basis
d) Repeatedly seeking medical attention for multiple vague symptoms

A

Answer: b) Preoccupation with an imagined or minor defect in appearance

18
Q

The term “la belle indifférence” is often associated with:

a) Conversion Disorder, where patients display a lack of concern about serious symptoms
b) Illness Anxiety Disorder, marked by heightened concern for health
c) Body Dysmorphic Disorder, with obsessive grooming behaviors
d) Somatic Symptom Disorder, involving exaggerated pain responses

A

Answer: a) Conversion Disorder, where patients display a lack of concern about serious symptoms

19
Q

Which neurotransmitter imbalance is implicated in somatic symptom disorders?

a) Dopamine
b) Serotonin
c) Glutamate
d) Acetylcholine

A

Answer: b) Serotonin

20
Q

Which of the following is NOT a primary focus in treating Factitious Disorder?

a) Enhancing coping mechanisms for stress
b) Addressing underlying personality issues
c) Providing validation for fabricated symptoms
d) Establishing therapeutic boundaries

A

Answer: c) Providing validation for fabricated symptoms