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WorksheetsChapter 7
Total questions: 100
Worksheet time: 50mins
A clinician focuses on lowering a patient’s hallucinations using antipsychotic medication but does not address housing insecurity that worsens symptoms. This most reflects:
Biomedical approach
Biopsychosocial approach
Humanistic approach
Social cognitive approach
A treatment plan includes medication, CBT for coping skills, and connecting the patient to a support group + family psychoeducation. This is best described as:
A) Biomedical only
B) Biopsychosocial with direct + indirect therapy
C) Biopsychosocial with indirect therapy only
D) Biomedical with indirect therapy
The DSM-5 primarily classifies disorders based on:
A) Etiology
B) Treatment response
C) Symptom patterns
D) Neuroimaging findings
Which is a positive symptom of psychotic disorders?
A) Avolition
B) Flat affect
C) Hallucinations
D) Anhedonia
Which is a negative symptom most classically linked to schizophrenia?
Delusions
Disturbance of affect
Echolalia
Thought insertion
A patient states: “The TV anchor is sending me secret instructions.” This is most consistent with:
Delusion of reference
Delusion of persecution
Delusion of grandeur
Derealization
A patient believes neighbors are plotting to poison them and monitoring their mail. This is most consistent with:
Delusion of grandeur
Delusion of persecution
Thought broadcasting
Illness anxiety disorder
A patient insists they are a divine messenger chosen to save humanity. This is most consistent with:
Delusion of reference
Delusion of grandeur
Thought withdrawal
Somatic symptom disorder
A patient says: “Everyone can hear my thoughts through the air.” This is:
Thought insertion
Thought broadcasting
Thought withdrawal
Delusion of persecution
A patient says: “Someone is putting thoughts into my head.” This is:
Thought insertion
Thought withdrawal
Thought broadcasting
Delusion of reference
A patient says: “Someone is removing thoughts from my mind.” This is:
Thought broadcasting
Thought insertion
Thought withdrawal
Delusion of grandeur
A patient hears voices arguing about them, with no external stimulus. This is:
Auditory hallucination
Delusion of reference
Neologism
Loose associations
A patient sees “spiders crawling on the wall” during alcohol withdrawal. This is most consistent with:
Negative symptoms
Visual hallucinations
Word salad
Catatonia
A patient’s speech shifts abruptly between loosely connected topics, making it difficult to follow. This is:
Loosening of associations
Echopraxia
Blunted affect
Avolition
A patient’s speech is incoherent with jumbled words and no meaningful structure. This is:
Word salad
Echolalia
Thought broadcasting
Depersonalization
A patient invents new words that others don’t recognize. This is:
Neologisms
Echolalia
Echopraxia
Catatonia
A patient cannot manage hygiene, bills, and appointments due to psychosis. This is:
Disorganized behavior
Delusion of grandeur
Avolition
Derealization
A patient repeatedly mimics the clinician’s movements during an interview. This is:
Echolalia
Echopraxia
Loosening of associations
Flat affect
A patient repeats the clinician’s words back verbatim. This is:
Echopraxia
Echolalia
Neologisms
Avolition
A patient maintains a rigid posture for hours and resists being moved. This behavior is most consistent with:
Catatonia
Panic disorder
Somatic symptom disorder
Conversion disorder
A patient shows almost no facial expression and speaks in a monotone regardless of topic. This finding is best described as
Flat affect
Inappropriate affect
Avolition
Anhedonia
A patient laughs uncontrollably while describing the death of a parent. This is an example of:
Blunted affect
Inappropriate affect
Avolition
Delusions of reference
A patient demonstrates markedly reduced motivation to engage in goal-directed behavior. This symptom is known as
Anhedonia
Avolition
Flight of ideas
Psychomotor agitation
For a diagnosis of schizophrenia, continuous signs of disturbance must be present for at least:
One month
Three months
Six months
One year
The diagnostic criteria for schizophrenia require that the six-month period include at least one month of:
Negative symptoms only
Mood symptoms
Positive symptoms
Catatonic behavior
The phase of schizophrenia characterized by social withdrawal, role impairment, and odd behavior prior to diagnosis is the:
Active phase
Prodromal phase
Residual phase
Catatonic phase
Following an acute psychotic episode, a patient regains clarity and feels distressed about past behavior. This describes the:
Prodromal phase
Residual phase
Active phase
Latent phase
A patient experiences hallucinations and delusions for 10 days and then returns fully to baseline. The most likely diagnosis is:
Brief psychotic disorder
Schizophreniform disorder
Schizophrenia
Delusional disorder
A patient presents with schizophrenia-like symptoms lasting two months. The most appropriate diagnosis is
Schizophrenia
Schizophreniform disorder
Brief psychotic disorder
Delusional disorder
A patient experiences persistent delusions for six weeks with otherwise normal functioning. The most likely diagnosis is:
Delusional disorder
Schizophrenia
Schizoaffective disorder
Schizophreniform disorder
Psychotic symptoms occurring alongside major mood episodes suggest which diagnosis?
Bipolar I disorder
Schizoaffective disorder
Delusional disorder
Major depressive disorder
Which disorder is most strongly associated with increased dopamine signaling?
Parkinson’s disease
Schizophrenia
Alzheimer’s disease
Major depressive disorder
Most antipsychotic medications reduce psychotic symptoms primarily by:
Increasing dopamine release
Blocking dopamine receptors
Increasing acetylcholine
Blocking serotonin reuptake exclusively
Which factor is considered a risk factor for schizophrenia?
High acetylcholine levels
Birth trauma with hypoxemia
Low melatonin
Early childhood depression
Which exposure is associated with increased risk of schizophrenia?
Adolescent marijuana use
Vitamin D supplementation
Low dietary protein
Excessive aerobic exercise
The mnemonic used to recall depressive symptoms is:
DIG FAST
SIG E CAPS
PEN
OCEAN
A major depressive episode requires at least:
Four symptoms lasting one week
Five symptoms lasting two weeks
Six symptoms lasting one month
Nine symptoms lasting six months
Which symptom must be present to diagnose a major depressive episode?
Suicidal ideation
Psychomotor agitation
Depressed mood or anhedonia
Appetite disturbance
A patient reports five depressive symptoms including anhedonia but denies sadness. This still qualifies as MDD because:
Sadness is not required if anhedonia is present
Sleep disturbance substitutes for sadness
Appetite changes replace sadness
Guilt replaces sadness
Persistent depressive disorder requires depressed mood for at least:
Six months
One year
Two years
Five years
A child with chronic irritability and frequent temper outbursts across settings is most likely diagnosed with:
Bipolar I disorder
Disruptive mood dysregulation disorder
Cyclothymic disorder
Major depressive disorder
Depression occurring only during winter months is best classified as:
Persistent depressive disorder
Major depressive disorder with seasonal onset
Cyclothymic disorder
Premenstrual dysphoric disorder
Depressive symptoms occurring shortly after childbirth due to hormonal changes describe:
Schizoaffective disorder
Postpartum depression
Conversion disorder
Panic disorder
According to the monoamine theory, mania is associated with:
Low serotonin and norepinephrine
High serotonin and norepinephrine
Low dopamine only
High acetylcholine
Seven days of elevated mood with marked impairment defines a:
Hypomanic episode
Manic episode
Cyclothymic episode
Major depressive episode
A hypomanic episode must last at least:
One day
Four days
Seven days
Two weeks
Which symptom is included in the DIG FAST mnemonic?
Guilt
Talkativeness
Flat affect
Avolition
A patient has manic episodes but no depressive episodes. The diagnosis is:
Bipolar II disorder
Bipolar I disorder
Cyclothymic disorder
Major depressive disorder
Bipolar II disorder requires the presence of:
Manic episodes only
Hypomanic episodes only
Major depressive episodes and hypomanic episodes
Major depressive episodes and manic episodes
Cyclothymic disorder requires fluctuating symptoms for at least:
Six months
One year
Two years
Five years
Fear is best defined as:
Persistent worry about many domains
Response to immediate threat
Intrusive thoughts
Avoidance behavior
Anxiety differs from fear because anxiety is:
A response to immediate danger
Fear of future or anticipated threats
Always irrational
Always pathological
An irrational fear of elevators without concern about judgment is most consistent with:
Social anxiety disorder
Specific phobia
Agoraphobia
Generalized anxiety disorder
Separation anxiety disorder is characterized by fear that:
The individual will be judged negatively
The caregiver or individual will be harmed if separated
The individual has a medical illness
The individual must perform rituals
Social anxiety disorder differs from specific phobia because it involves:
Hallucinations
Fear of negative evaluation
Disorganized thinking
Avoidance of enclosed spaces
Selective mutism involves:
Sudden amnesia
Inability to speak in specific social contexts
Compulsive rituals
Obsessive fear of illness
Physiologically, panic attacks result from
Parasympathetic activation
Sympathetic nervous system misfiring
Dopamine blockade
Acetylcholine excess
Panic disorder is defined by:
Persistent worry for six months
Recurrent unexpected panic attacks
Fear of social situations
Fear of contamination
Agoraphobia is fear of situations where:
Social judgment may occur
Escape may be difficult
Illness may develop
Specific objects are present
Generalized anxiety disorder requires excessive worry lasting at least:
One month
Three months
Six months
Two years
Obsessive–compulsive disorder is characterized by:
Delusions and hallucinations
Obsessions that increase anxiety and compulsions that reduce it
Perfectionism without distress
Social withdrawal
Obsessions and compulsions in OCD are typically:
Ego-syntonic
Ego-dystonic
Psychotic
Mood-congruent
A key diagnostic requirement for OCD is that compulsions:
Are pleasurable
Cause functional impairment
Always involve cleaning
Occur only during stress
Body dysmorphic disorder involves:
Fear of social evaluation
Preoccupation with perceived physical flaws
Obsessions with disaster
Flashbacks of trauma
Trichotillomania requires which diagnostic feature?
Delusions lasting one month
Repeated unsuccessful attempts to stop hair pulling
Two years of symptoms
Presence of obsessions
PTSD symptom clusters include:
Intrusion, avoidance, arousal, negative cognition
DIG FAST
SIG E CAPS
Positive and negative symptoms
Trauma symptoms lasting less than one month are classified as:
PTSD
Acute stress disorder
Dissociative disorder
Panic disorder
Dissociative disorders differ from psychotic disorders because they typically involve:
Intact reality testing
Delusions
Hallucinations
Catatonia
Dissociative amnesia refers to:
Memory loss due to brain injury
Inability to recall experiences without neurological cause
Fear of illness
Avoidance behavior
Dissociative fugue involves:
Panic attacks
Sudden travel with identity confusion
Ritualistic behaviors
Mood swings
Dissociative identity disorder is characterized by:
Delusions only
Two or more identities controlling behavior
Persistent worry
Compulsions
Depersonalization involves feeling detached from:
The environment
One’s own body or mind
Other people
Reality due to delusions
Derealization involves feeling detached from:
One’s body
The surrounding environment
Memories
Future plans
Somatic symptom disorder requires:
Absence of symptoms
Disproportionate concern about physical symptoms
Psychotic symptoms
Mood episodes
Illness anxiety disorder is characterized by:
Severe physical symptoms
Preoccupation with having a serious illness
Compulsive washing
Delusions
Conversion disorder involves:
Fixed false beliefs
Neurological-like symptoms without neurological cause
Intrusive thoughts
Excessive worry
La belle indifférence refers to:
Severe guilt
Lack of concern about serious symptoms
Emotional blunting from medication
Manic euphoria
Personality disorders must impair functioning in at least two of the following domains:
Cognition, emotion, interpersonal function, impulse control
Sleep, appetite, energy, mood
Memory, attention, language, perception
Delusions, hallucinations, catatonia
Personality disorders are generally considered:
Ego-dystonic
Ego-syntonic
Episodic
Acquired after trauma only
Cluster A personality disorders are described as:
Dramatic and emotional
Anxious and fearful
Odd and eccentric
Mood-dependent
Paranoid personality disorder is marked by:
Social detachment
Pervasive distrust and suspicion
Attention-seeking behavior
Perfectionism
Schizotypal personality disorder involves:
Magical thinking and ideas of reference
Manic episodes
Dissociative fugue
Flat affect
Schizoid personality disorder is characterized by:
Fear of rejection
Detachment from social relationships
Grandiosity
Aggression
Cluster B personality disorders are described as:
Odd
Anxious
Dramatic, emotional, erratic
Withdrawn
Antisocial personality disorder involves:
Fear of abandonment
Disregard for others’ rights
Perfectionism
Social withdrawal
Borderline personality disorder includes
Stable relationships
Instability in mood, identity, and relationships
Delusions
Emotional detachment
Splitting is most characteristic of:
Antisocial PD
Borderline PD
Histrionic PD
Narcissistic PD
Histrionic personality disorder is marked by:
Emotional withdrawal
Attention-seeking and dramatic behavior
Ritualistic behavior
Suspiciousness
Narcissistic personality disorder involves:
Low self-esteem with no grandiosity
Grandiosity with fragile self-esteem
Fear of abandonment
Avoidance of attention
Cluster C personality disorders are described as:
Odd
Dramatic
Anxious and fearful
Psychotic
Avoidant personality disorder involves:
Lack of desire for relationships
Desire for relationships but fear of rejection
Aggression
Grandiosity
Dependent personality disorder involves:
Need for control
Excessive reliance on others
Emotional detachment
Fear of crowds
Obsessive–compulsive personality disorder differs from OCD because OCPD is:
Episodic
Ego-syntonic and lifelong
Driven by obsessions
Triggered by trauma
Which best distinguishes OCD from OCPD?
OCD is ego-dystonic; OCPD is ego-syntonic
OCD lacks compulsions
OCPD involves hallucinations
OCPD is episodic
Alzheimer’s disease most commonly presents initially with:
Motor tremor
Memory loss and disorientation
Hallucinations
Mood swings
Which pathology is associated with Alzheimer’s disease?
Dopamine depletion
β-amyloid plaques
Increased acetylcholine
Substantia nigra degeneration
Neurofibrillary tangles are composed of:
Hyperphosphorylated tau
β-amyloid
Dopamine
Serotonin
Parkinson’s disease results from dopamine loss in the:
Hippocampus
Substantia nigra
Amygdala
Cerebellum
Shuffling gait, pill-rolling tremor, and masklike facies indicate:
Alzheimer’s disease
Parkinson’s disease
Schizophrenia
Major depressive disorder
l-DOPA improves Parkinson’s symptoms by:
Blocking dopamine receptors
Acting as a dopamine precursor
Increasing acetylcholine
Reducing serotonin
