Chapter 6: ABPSYCH MOCK TEST: Somatic Symptom and Related Disorders and Dissociative Disorders

all of the above are correct (underlying medical injury, illness, and substance abuse)

Your friend Jorge is always complaining that he doesn’t feel well. He thinks his symptoms are serious, has a high level of anxiety about his symptoms, and often Googles his symptoms. What must be ruled out before Jorge can be diagnosed for Somatic Symptom Disorder?

a sign that something is seriously wrong with his stomach

Joe just ate six chili dogs and drank a liter of soda. If Joe suffers from illness anxiety disorder, he would probably interpret any resulting stomach discomfort as what?

illness anxiety disorder

Although Jill feels fine now and believes that she is healthy, she still worries endlessly about developing a serious illness. Most likely Jill would be diagnosed with what?

tend to fear immediate catastrophe, while those with somatic symptom disorder tend to fear long-term illness

What is the main difference in how panic disorder patients versus those with somatic symptom disorder interpret and fear bodily sensations?

somatic symptom disorder with predominant pain

Joe injured his back at work several years ago. Although treated and considered healed, he still complains of severe and debilitating back pain. Other than minor scar tissue, his doctors can't find anything causing more than stiffness. What is his likely diagnosis?

conversion disorder

George has completely lost his sight during the past year, but medical experts can find no physical reason for his blindness. This could be an example of what disorder?

conversion disorder

George has completely lost his sight during the past year, but medical experts can find no physical reason for his blindness. This could be an example of what disorder?

There is no obvious reason for voluntarily producing symptoms

Which of the following statements is TRUE about factitious disorders, specifically regarding motivation for symptoms?

malingerer; factitious

A person who fakes symptoms for a goal is called a ___, while a person who fakes a disease for no clear goal has a ____ disorder.

deliberate actions directed toward making a child sick

Factitious disorder imposed on another (Munchausen syndrome by proxy) is characterized by what?

shortly after some marked stress

Conversion disorder symptoms generally appear when?

reduction of any reinforcing or supportive consequences of the conversion symptoms

What is the treatment for conversion disorder that involves reducing any reinforcing or supportive consequences of the conversion symptoms?

derealization

Jason suddenly notices that the world looks weird to him. Some objects look bigger than normal and others look smaller. Cars passing by seem oddly shaped and people appear dead or mechanical. Joe is experiencing what?

depersonalization

While driving alone in her car, Sarah suddenly looks around and, for a moment, she can't remember where she is, how she arrived at this point on the road, or even why she is driving her car. Sarah is experiencing what?

selective events, particularly those involving trauma

In dissociative amnesia, the individual typically has no memory of what?

dissociative amnesia with dissociative fugue

A man who finds himself living in a small town in Alaska with no recall of how he got there may have what disorder?

switch

Vanna, who is 40, apparently believes that she is a 20-year-old woman. Suddenly, she starts to speak and behave very differently, and claims to be Elise, a 10-year-old child. It is likely that Vanna has just experienced a what?

asks for treatment and becomes the patient

In dissociative identity disorder, the "host" personality is usually the one that does what?

usually eager to demonstrate their symptoms

One distinction that may help determine those with DID from individuals who are malingering (faking their symptoms) is that malingerers are what?

reliving the trauma (catharsis)

The part of the treatment plan for DID that is similar to the treatment plan for posttraumatic stress disorder is what?