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WorksheetsAbnormal Psychology [Quiz]
Total questions: 59
Worksheet time: 44mins
After surviving a jeepney accident where two passengers died, a 25-year-old man reports having nightmares, flashbacks, and difficulty riding public transport. These symptoms have persisted for 8 days. What is the most appropriate diagnosis?
Posttraumatic Stress Disorder
Acute Stress Disorder
Adjustment Disorder with Anxiety
Specific Phobia, Situational Type
A 32-year-old nurse assigned in a COVID-19 ward reports recurrent intrusive memories of patients dying, emotional numbness, and avoidance of hospitals. Symptoms began 4 weeks ago and cause distress and functional impairment. Which diagnosis best fits?
Acute Stress Disorder
Posttraumatic Stress Disorder
Major Depressive Disorder
Persistent Complex Bereavement
A 19-year-old student from Leyte lost several relatives during Typhoon Yolanda. Two years later, she still experiences intense fear during heavy rain, vivid flashbacks, and guilt for surviving. Which diagnostic feature confirms PTSD rather than Persistent Depressive Disorder?
Duration of more than two years
Avoidance of reminders of trauma
Feelings of worthlessness and hopelessness
Chronic anhedonia and fatigue
A 40-year-old police officer who witnessed a hostage crisis repeatedly recalls the screams of victims and startles easily at loud noises. He insists, “Hindi ako takot, sanay ako diyan.” This behavior best illustrates:
Dissociation
Denial as a coping defense
Hyperarousal symptoms
Cognitive distortion about guilt
Which of the following must be present for a diagnosis of PTSD according to DSM-5-TR?
Direct exposure to a life-threatening event
Indirect exposure via social media videos
Witnessing an event happening to a stranger online
Learning about a celebrity’s death
A survivor of an earthquake reports feeling detached, like watching herself from outside her body, during the event and for several days after. She remembers fragments of what happened but not the full event. This symptom pattern is most consistent with:
Dissociative Amnesia
Acute Stress Disorder
Posttraumatic Stress Disorder
Somatic Symptom Disorder
A 28-year-old call center agent robbed at gunpoint 6 months ago continues to experience flashbacks and avoids going out at night. He also blames himself for “not fighting back.” Which cluster of symptoms does this self-blame belong to?
Intrusion
Avoidance
Negative alterations in cognition and mood
Arousal and reactivity
A 36-year-old teacher’s house burned down during a fire. For 3 weeks, she has insomnia, irritability, and relives the event every night. She copes by excessive prayer and attending daily mass. What is the best interpretation?
Acute Stress Disorder
Posttraumatic Stress Disorder
Religious Delusion due to trauma
Adjustment Disorder with Mixed Features
A 45-year-old OFW who worked in a war zone reports emotional detachment from his family, difficulty feeling joy, and avoidance of conversations about his deployment. His employer says he has become “robotic.” Which symptom cluster does this illustrate?
Intrusion
Avoidance
Negative alterations in mood
Arousal/reactivity
A mother lost her child in a hit-and-run. She experiences intrusive memories but also reports moments of calmness and connection to her church community. Her symptoms have lasted for 9 days. What is the most accurate classification?
Acute Stress Disorder
PTSD
Adjustment Disorder with Depressed Mood
Normal Grief Reaction
In a post-disaster outreach in Mindanao, survivors describe seeing spirits of the dead days after the tragedy. The psychologist must first determine whether this experience reflects:
Psychotic Disorder due to trauma
Cultural bereavement experience consistent with local belief systems
Hallucination consistent with schizophrenia
Dissociative fugue
A 28-year-old woman from Pampanga reports “missing hours,” discovering objects she doesn’t recall buying, and being told by friends she spoke in a different voice. She describes her other self as “si Mica, the brave one.” Which diagnosis best fits?
Dissociative Amnesia with Fugue
Depersonalization/Derealization Disorder
Dissociative Identity Disorder
Schizophrenia, Disorganized Type
A trauma survivor reports feeling detached from her body during arguments with her husband. She says, “Parang nanonood lang ako sa sarili ko, parang hindi ako ‘yan.” What is the most accurate diagnosis?
Dissociative Identity Disorder
Depersonalization/Derealization Disorder
Conversion Disorder
Acute Stress Disorder
A 35-year-old male OFW returns home and suddenly cannot recall his name or family for several days. He is found wandering in Tagaytay and later regains memory but feels confused. No substance use or head injury is noted. What is the likely diagnosis?
Dissociative Amnesia with Fugue
Dissociative Identity Disorder
Brief Psychotic Disorder
Adjustment Disorder
A 20-year-old student who experienced childhood sexual abuse reports hearing distinct voices inside her head arguing over what clothes to wear. She denies external auditory hallucinations. Which statement supports Dissociative Identity Disorder rather than Schizophrenia?
Voices are perceived as external
Voices comment on behavior
Voices are internally experienced as parts of self
Presence of flat affect
A man from Bohol reports being “possessed” by different spirits that take control of his body during stress. He claims no memory of the episodes afterward. The clinician must first consider:
Schizoaffective Disorder
Culturally sanctioned possession trance phenomena
Bipolar Disorder with psychotic features
Factitious Disorder imposed on self
Which of the following is essential in differentiating Dissociative Identity Disorder from malingering or culturally normative possession?
Duration of symptoms
Presence of childhood trauma
Voluntary control over identity changes
Socioeconomic status of the client
A woman recalls being beaten by her stepfather as a child and now experiences recurrent “switches” between an angry and a timid personality. According to DSM-5-TR, which feature confirms Dissociative Identity Disorder?
Two or more distinct identity states with gaps in memory
Persistent hallucinations and delusions
Mood fluctuations lasting several days
Paranoia and grandiosity
A client under hypnosis recounts detailed events of her “alternate self,” who has a different handwriting and even allergies. What would strengthen a clinician’s suspicion of Dissociative Identity Disorder?
She fabricates stories under suggestion
The identity states have consistent, independent patterns of perception and behavior
The differences are exaggerated for attention
Symptoms appear only during hypnosis
A teenager in Quezon City who was repeatedly bullied says, “Minsan gusto kong mawala, tapos parang may ibang ako na humaharap sa kanila.” He describes this other self as fearless and aggressive. Clinically, this may indicate:
Ego-syntonic coping strategy
Early signs of Dissociative Identity formation as a trauma defense
Conduct Disorder
Normal adolescent experimentation with identity
A 40-year-old woman describes recurring blackouts. She wakes up in different locations wearing unfamiliar clothes. She denies alcohol use. CT scan and EEG are normal. Which DSM-5-TR diagnosis is most fitting?
Dissociative Fugue
Dissociative Identity Disorder
Conversion Disorder
Substance-Induced Amnestic Disorder
A survivor of a massacre in Mindanao reports feeling like “the child inside me still screams at night.” She occasionally switches to a high-pitched voice and curls into a fetal position without recollection afterward. What psychological function does this switching serve?
Projection of repressed hostility
Avoidance of overwhelming trauma memories through compartmentalization
Reality testing failure typical of psychosis
Secondary gain through attention
In some rural Filipino communities, individuals who experience identity alteration are described as being under the influence of ancestral spirits (“sinapian”). From a cross-cultural psychopathology lens, what should a clinician do first?
Diagnose dissociative identity disorder (DID) immediately if there is amnesia
Rule out culturally normative possession experiences before assigning a psychiatric label
Prescribe antipsychotic medication for delusional belief
Conduct a family exorcism session with consent
A 20-year-old nursing student has lost 10 kg in two months. She denies being underweight, saying, “Gusto ko lang maging kasing payat ni Kathryn.” Her BMI is 16.3, and she exercises excessively even with dizziness. Which diagnosis fits best?
Bulimia Nervosa
Anorexia Nervosa, Restricting Type
Body Dysmorphic Disorder
Obsessive-Compulsive Disorder
A 23-year-old man secretly binges on rice and sweets late at night, followed by guilt and vomiting. His weight remains normal. What distinguishes this from Anorexia Nervosa?
Presence of purging
Intense fear of gaining weight
Maintenance of normal body weight
Body image distortion
A 29-year-old call center agent eats excessively when stressed at work, averaging three fast-food meals per night shift. He reports feeling “wala akong control pag pagod ako.” He doesn’t vomit or use laxatives. Diagnosis?
Binge-Eating Disorder
Night Eating Syndrome
Bulimia Nervosa
Emotional Eating, Not Otherwise Specified
A teenager repeatedly eats tissue and chalk secretly. Her labs reveal iron deficiency. Which is the most accurate DSM-5-TR diagnosis?
Rumination Disorder
Avoidant/Restrictive Food Intake Disorder (ARFID)
Pica
Factitious Disorder
A 35-year-old woman from Davao reports recurrent binge episodes during “cheat days,” but denies distress, guilt, or compensatory behavior. According to DSM-5-TR, this presentation is best classified as:
Binge-Eating Disorder
Unspecified Feeding or Eating Disorder
Normal culturally sanctioned overeating
Bulimia Nervosa
A 40-year-old male barangay captain experiences loud snoring, frequent awakenings, and daytime fatigue. His wife says he stops breathing for a few seconds. What disorder fits best?
Central Sleep Apnea
Obstructive Sleep Apnea Hypopnea
Narcolepsy
Insomnia Disorder
A 16-year-old girl in Iloilo reports episodes of sleepwalking and eating uncooked rice during sleep, unaware of it until her mother shows CCTV footage. What disorder fits this pattern?
Sleep-Related Eating Disorder
Somnambulism
Binge-Eating Disorder
Parasomnia, Unspecified
A security guard on rotating night shifts complains of persistent insomnia and fatigue, especially when switching from night to day schedule. What diagnosis applies?
Insomnia Disorder
Circadian Rhythm Sleep-Wake Disorder, Shift Work Type
Delayed Sleep Phase Disorder
Hypersomnolence Disorder
A 33-year-old mother reports suddenly falling asleep during conversations, and at times, loses muscle tone when laughing hard. Which is the most likely diagnosis?
Narcolepsy
Hypersomnolence Disorder
Cataplexy due to Seizure
Sleep Paralysis
A college student keeps irregular sleeping hours, often awake until 3 AM scrolling on her phone. On weekends, she sleeps from 2 AM to noon. She complains, “Hindi ako makatulog pag gusto ko.” What is the most appropriate diagnosis?
Insomnia Disorder
Delayed Sleep Phase Type, Circadian Rhythm Disorder
Hypersomnolence Disorder
Adjustment Insomnia
A 25-year-old woman avoids eating with friends to prevent comments about her weight. She eats minimal portions, insists she’s “fat,” and has amenorrhea. Her lab results show mild bradycardia. Which diagnostic feature confirms Anorexia Nervosa rather than Bulimia?
Recurrent binge-purge behavior
Weight significantly below normal
Intense fear of gaining weight
Distorted body image
A 19-year-old student from a conservative family reports episodes of binge eating sweets after strict fasting during Lent, followed by guilt and secret vomiting. She maintains normal weight. Considering both cultural and diagnostic perspectives, the most accurate diagnosis is:
Bulimia Nervosa, Purging Type
Binge-Eating Disorder
Religious Fasting Syndrome
Anorexia Nervosa, Binge-Eating/Purging Type
Recent research on Filipino migrant workers (e.g., Garabiles et al.) found elevated PTSD symptoms in specific subgroups. Which pattern was reported in that local research?
Filipino migrant workers showed near-zero PTSD rates compared with host populations.
PTSD symptoms were concentrated among migrants who experienced interpersonal violence or exploitation, with prevalence substantially higher than community averages.
PTSD was uniformly distributed regardless of type of trauma exposure or working conditions.
PTSD in Filipino migrants was only observed in those with prior psychiatric history.
Systematic reviews of PTSD prevalence during the COVID-19 pandemic found which global trend?
PTSD prevalence rose dramatically in 2020 then steadily declined toward 2022, but remained elevated in high-exposure groups (e.g., frontline workers).
PTSD prevalence stayed constant worldwide (no pandemic effect).
PTSD disappeared in community samples because people became resilient.
PTSD exclusively increased only in children, not adults.
Climate-and-disaster-related trauma studies (recent reviews) in low- and middle-income countries report which important finding relevant to the Philippines?
Post-disaster PTSD rates are negligible if communities practice religious rituals.
Moderate-to-severe posttraumatic stress symptoms can be extremely high after major disasters, often co-occurring with depression and prolonged distress; rates vary by measurement and population.
PTSD after disasters is always lower than after interpersonal violence.
There is no association between disaster exposure and mental health.
Recent Filipino research and outreach shows that cultural idioms like “bahala na” and reliance on religious coping often:
Eliminate PTSD risk completely.
Act solely as risk factors (always increase pathology).
Can both buffer distress and mask symptom reporting (leading to under-recognition in screening).
Are irrelevant to clinical assessment.
Global surveillance and systematic reviews (CDC, global meta-analyses) show the most accurate current statement about ASD prevalence trends:
ASD prevalence is decreasing worldwide.
ASD prevalence estimates have generally increased over recent decades, likely reflecting improved detection, broadened diagnostic practices, and surveillance.
ASD occurs only in high-income countries.
The global prevalence of ASD is stable at exactly 0.1% across regions.
What does recent Philippines-specific information (national requests / HERDIN / FOI inquiries and small local studies) indicate about ASD data locally?
The Philippines has no data infrastructure and therefore no estimates of ASD at all.
There are increasing requests and scattered local studies/registries but national, standardized prevalence data are still incomplete — surveillance/registry efforts are growing.
The Philippines reports ASD rates identical to US CDC data by region.
ASD has been eradicated in the Philippines.
Recent Filipino studies on families of children with ASD during the COVID-19 “new normal” found:
Parents reported no change in stress or service needs.
Increased caregiver burden, disruption of services, and changes in children’s behavioral profiles (worsening for some) — highlighting gaps in local support systems.
Universal improvement in ASD symptoms during lockdown.
Complete availability of telehealth services for all families.
Concerning DID and dissociation in the Philippines, recent case reports and reviews suggest which cautious clinical point?
DID is common and easily diagnosed with a single screening item.
Reports emphasize the importance of differentiating culturally normative possession/trance from DID; local case studies exist but diagnoses require careful trauma history and ruling out cultural or neurological explanations.
All possession reports should be labeled DID.
Neurological workups are unnecessary in dissociative presentations.
Global DID research trends emphasize:
DID is solely iatrogenic and never linked to severe childhood trauma.
Most DID research supports strong associations with complex childhood trauma and high dissociative symptomatology; cultural framing affects presentation and help-seeking.
DID and schizophrenia are clinically indistinguishable by history.
DID always presents with clear psychosis.
Global and local research during the COVID-19 era found which pattern for eating disorders?
Eating disorder incidence and severe presentations (hospitalizations) decreased.
Studies reported increases in disordered eating behaviors and a rise in hospitalizations for eating disorders in many countries during the pandemic period.
No change anywhere.
Eating disorders shifted entirely to older adults only.
Worldwide prevalence estimates for binge-eating disorder (BED) indicate which approximate range in adults (pre-COVID literature syntheses)?
0.001–0.01%.
0.3–1.8% depending on sex and region (higher in women).
>20% in all adult samples.
BED does not exist.
Philippines-focused research (surveys, student studies, FOI requests) highlights which key point about disordered eating locally?
There are no disordered eating attitudes among Filipino youth.
There is evidence of disordered eating and body-image concerns among Filipino adolescents and college students; social media, beauty ideals, and pandemic stress contributed — but national prevalence estimates remain patchy.
Filipino youth have the lowest ED risk in the world.
Bulimia is the only ED occurring in the Philippines.
Recent epidemiological and clinical studies (global + inpatient samples) suggest which about common sleep disorders?
Insomnia and obstructive sleep apnea (OSA) are among the most prevalent sleep disorders with substantial comorbidity with mood and medical conditions.
Sleep disorders are vanishing due to better sleep hygiene.
Only children have sleep disorders.
Sleep disorders never co-occur with mental health problems.
Philippine research on shift workers (BPO/call centers, healthcare night staff) and sleep shows which practical finding relevant for local practice?
Shift work has no measurable effect on sleep quality or mental health.
Night-shift workers in the Philippines often report disrupted sleep, poorer sleep quality, and higher fatigue/stress — highlighting occupational health needs and links to circadian rhythm disorders in this population.
All shift workers sleep better than day workers.
Shift schedules automatically protect sleep.
A 32-year-old nurse developed PTSD after repeated exposure to patient deaths during the pandemic. She has nightmares, avoidance, and hypervigilance that started 3 months ago. You plan treatment that targets trauma memories and core symptoms and prefer an evidence-based, short-to-medium term psychotherapy. Which is the BEST first-line psychosocial intervention?
Psychodynamic psychotherapy focusing on childhood relationships
Prolonged Exposure (PE) or Cognitive Processing Therapy (CPT) — trauma-focused CBT
Supportive counseling only with community prayer groups
Long-term psychoanalysis with dream interpretation
A 40-year-old male with chronic PTSD reports severe trauma-related nightmares and insomnia. He has tried trauma-focused CBT without full relief of nightmares. Which adjunct pharmacological option has the strongest evidence specifically for trauma-related nightmares?
High-dose benzodiazepine nightly
Prazosin (alpha-1 blocker) as adjunct for nightmares
Long-acting antipsychotic injection monthly
Trazodone at very high dose as the only PTSD treatment
For a Filipino client presenting with GAD (generalized worry across domains ≥6 months) with moderate functional impairment, which combined treatment strategy is MOST consistent with best practice?
Start benzodiazepines indefinitely; avoid psychotherapy to save time
Begin SSRI or SNRI (e.g., sertraline/venlafaxine) + evidence-based CBT (worry exposure, cognitive restructuring)
Use only herbal remedies and workplace adjustment recommendations
Immediate ECT because of anxiety severity
A patient with severe Major Depressive Disorder has had two adequate SSRI trials without response and expresses active suicidal ideation with plan. Which step is the MOST appropriate next clinical action?
Add benzodiazepine and discharge with outpatient follow-up
Start ECT (electroconvulsive therapy) as a high-efficacy option for treatment-resistant or suicidal depression
Wait another 6 months to reassess
Replace SSRI with beta-blocker for mood stabilization
A teen with Anorexia Nervosa, severe malnutrition, and family conflict is admitted. Evidence-based psychosocial intervention with best outcomes for adolescents is:
Family-Based Treatment (FBT / Maudsley) focused on parental refeeding and restoring weight
Individual psychodynamic therapy emphasizing separation issues only
Long-term mood stabilizer medication alone
Group weight-loss counseling to promote control
A 28-year-old woman with Bulimia Nervosa binge-purge type has moderate symptom severity. Which pharmacological intervention has demonstrated efficacy in reducing binge–purge frequency?
Fluoxetine 60 mg daily (SSRI)
Mirtazapine 15 mg nightly only for weight gain
Lithium carbonate as monotherapy
High-dose olanzapine as first-line
A 35-year-old with Binge-Eating Disorder (BED) has moderate-to-severe impairment. Which pharmacologic treatment is FDA-approved and supported by RCTs for reducing binge frequency?
Lisdexamfetamine (stimulant)
Haloperidol daily
Long-term benzodiazepines
Fluvoxamine only
A client with Dissociative Identity Disorder (DID) presents with severe fragmentation, frequent switching, and comorbid depression. Which of the following is the BEST overall treatment approach?
Phase-oriented trauma therapy (stabilization → trauma processing → integration) with focus on safety, grounding, and later trauma work; medication for comorbid symptoms as needed
Immediate high-dose antipsychotic medication to suppress alters
Rapid hypnosis to force alter integration in first session
No psychotherapy; treat only with long-term benzodiazepines
For acute stress disorder (symptoms within 3 days–1 month of trauma), the MOST appropriate immediate clinical approach for a symptomatic but medically stable survivor is:
Start long-term SSRI immediately and avoid any psychosocial support
Psychological first aid, trauma-informed stabilization, and short-term CBT if symptoms persist or are severe
Immediate inpatient ECT for prevention
Enroll in intense exposure therapy within 24 hours of trauma
A Filipino community clinic is designing an intervention program for PTSD, depression, and anxiety after a major typhoon. Which integrated program design is MOST evidence-based and culturally appropriate?
Hospitalize everyone and treat only with medication; exclude community leaders
Combine community-based psychoeducation and group trauma-informed CBT, strengthen social support (barangay networks, faith leaders), and provide access to pharmacotherapy for severe cases — culturally adapted and stepped care model
Rely solely on prayer gatherings and telling people to “bahala na” as resilience training
Provide only standardized Western manuals without cultural adaptation or community involvement
