somatic, eating, sexual disorders

D. Distressing somatic symptoms and abnormal thoughts, feelings, and behaviors in response to these symptoms.

Somatoform Disorders in DSM-IV are referred to as Somatic Symptom and Related Disorders in DSM-5. Which of the following features characterizes the major diagnosis in this class, somatic symptom disorder?

A. Medically unexplained somatic symptoms.

B. Underlying psychic conflict.

C. Masochism.

D. Distressing somatic symptoms and abnormal thoughts, feelings, and be haviors in response to these symptoms.

E. Comorbidity with anxiety and depressive disorders

C. Somatic symptom disorder.

In DSM-IV, a patient with a high level of anxiety about having a disease and many associated somatic symptoms would have been given the diagnosis of hypochondriasis. What DSM-5 diagnosis would apply to this patient?

A. Hypochondriasis.

B. Illness anxiety disorder.

C. Somatic symptom disorder.

D. Generalized anxiety disorder.

E. Unspecified somatic symptom and related disorder

C. One.

In DSM-III and DSM-IV, a large number of somatic symptoms were needed to qualify for the diagnosis of somatization disorder. How many somatic symp toms are needed to meet symptom criteria for the DSM-5 diagnosis of somatic symptom disorder?

A. Four: at least one pseudoneurological, one pain, one sexual, and one gastro intestinal symptom.

B. Fifteen, distributed across several organ systems.

C. One.

D. At least one that is medically unexplained.

E. None

E. Somatic symptom disorder.

After an airplane flight, a 60-year-old woman with a history of chronic anxiety develops deep vein thrombophlebitis and a subsequent pulmonary embolism. Over the next year, she focuses relentlessly on sensations of pleuritic chest pain and repeatedly seeks medical attention for this symptom, which she worries is due to recurrent pulmonary emboli, despite negative test results. Review of systems reveals that she also has chronic back pain and that she has consulted many physicians for symptoms of culture-negative cystitis. What diagnosis best fits this clinical picture?

A. Post–pulmonary embolism syndrome.

B. Chest pain syndrome.

C. Hypochondriasis.

D. Pain disorder.

E. Somatic symptom disorder.

A. With predominant pain

Which of the following is a descriptive specifier included in the diagnostic cri teria for somatic symptom disorder?

A. With predominant pain.

B. With hypochondriasis.

C. With psychological comorbidity.

D. Psychotic type.

E. Undifferentiated

E. No diagnosis.

A 60-year-old man has prostate cancer with bony metastases that cause persis tent pain. He is treated with antiandrogen medications that result in hot flashes. He is unable to work because of his symptoms, but he is stoical, hope ful, and not anxious. What is the appropriate diagnosis?

A. Pain disorder.

B. Illness anxiety disorder.

C. Somatic symptom disorder.

D. Psychological factors affecting other medical conditions.

E. No diagnosis

D. Mild severity at most, but there need not be any somatic symptoms

Illness anxiety disorder involves a preoccupation with having or acquiring a serious illness. How severe must the accompanying somatic symptoms be to meet criteria for the diagnosis of illness anxiety disorder?

A. Mild to moderate severity.

B. Moderate to high severity.

C. Any level of severity.

D. Mild severity at most, but there need not be any somatic symptoms.

E. None of the above; the presence of any somatic symptoms rules out the di agnosis of illness anxiety disorder

B. Illness anxiety disorder.

Over a period of several years, a 50-year-old woman visits her dermatologist’s office every few weeks to be evaluated for skin cancer, showing the dermatol ogist various freckles, nevi, and patches of dry skin about which she has be come concerned. None of the skin findings have ever been abnormal, and the dermatologist has repeatedly reassured her. The woman does not have pain, itching, bleeding, or other somatic symptoms. She does have a history of occa sional panic attacks. What is the most likely diagnosis?

A. Unspecified anxiety disorder.

B. Illness anxiety disorder.

C. Hypochondriasis.

D. Somatic symptom disorder.

E. Factitious disorder.

C. Illness anxiety disorder.

A 45-year-old man with a family history of early-onset coronary artery disease avoids climbing stairs, eschews exercise, and abstains from sexual activity for fear of provoking a heart attack. He frequently checks his pulse, reads exten sively about preventive cardiology, and tries many health food supplements alleged to be good for the heart. When he experiences an occasional twinge of chest discomfort, he rests in bed for 24 hours; however, he does not go to doc tors because he fears hearing bad news about his heart from them. What diag nosis best fits this clinical picture?

A. Persistent complex bereavement disorder.

B. Adjustment disorder.

C. Illness anxiety disorder.

D. Unspecified somatic symptom and related disorder.

E. Somatic symptom disorder.

D. Conversion disorder (functional neurological symptom disorder), with attacks or seizures.

A 25-year-old woman is hospitalized for evaluation of episodes in which she appears to lose consciousness, rocks her head from side to side, and moves her arms and legs in a nonsynchronous, bicycling pattern. The episodes occur a few times per day and last for 2–5 minutes. Electroencephalography during the episodes does not reveal any ictal activity. Immediately after a fit, her sensorium appears clear. What is the most likely diagnosis?

A. Epilepsy.

B. Malingering.

C. Somatic symptom disorder.

D. Conversion disorder (functional neurological symptom disorder), with attacks or seizures.

E. Factitious disorder.

A. Light-headedness upon standing up.

Which of the following symptoms is incompatible with a diagnosis of conver sion disorder (functional neurological symptom disorder)?

A. Light-headedness upon standing up.

B. Dystonic movements.

C. Tunnel vision.

D. Touch and temperature anesthesia with intact pinprick sensation over the left forearm.

E. Transient leg weakness in a patient with known multiple sclerosis

C. It has poor sensitivity

Why is la belle indifference (apparent lack of concern about the symptom) not included as a diagnostic criterion for conversion disorder (functional neurological symptom disorder)?

A. It has poor interrater reliability.

B. It has poor specificity.

C. It has poor sensitivity.

D. It pathologizes stoicism.

E. It has poor test-retest reliability.

C. Body dysmorphic disorder and conversion disorder (functional neurological symptom disorder).

A 20-year-old man presents with the complaint of acute onset of decreased vi sual acuity in his left eye. Physical, neurological, and laboratory examinations are entirely normal, including stereopsis testing, fogging test, and brain mag netic resonance imaging. The remainder of the history is negative except for the patient’s report that since his midteens he has felt that his left cheekbone and eyebrow are too big. He spends a lot of time comparing the right and left sides of his face in the mirror. He is planning to have plastic surgery as soon as he graduates from college. Which of the following diagnoses are suggested?

A. Somatic symptom disorder and delusional disorder, somatic subtype.

B. Somatic symptom disorder and illness anxiety disorder.

C. Body dysmorphic disorder and conversion disorder (functional neurological symptom disorder).

D. Somatic symptom disorder, illness anxiety disorder, and body dysmorphic disorder.

E. Delusional disorder, somatic subtype

E. Psychological factors affecting other medical conditions.

A 50-year-old man with hard-to-control hypertension acknowledges to his physician that he regularly “takes breaks” from his medication regimen be cause he was brought up with the belief that pills are bad and natural remedies are better. He is well aware that his blood pressure becomes dangerously high when he does not follow the regimen. Which diagnosis best fits this case?

A. Nonadherence to medical treatment.

B. Unspecified anxiety disorder.

C. Denial of medical illness.

D. Adjustment disorder.

E. Psychological factors affecting other medical conditions.

C. Somatic symptom disorder.

A 60-year-old man has prostate cancer with bony metastases that cause persis tent pain. He is being treated with antiandrogen medications that result in hot flashes. Although (by his own assessment) his pain is well controlled with an algesics, he states that he is unable to work because of his symptoms. Despite reassurance that his medications are controlling his metastatic disease, every instance of pain leads him to worry that he has new bony lesions and is about to die, and he continually expresses fears about his impending death to his wife and children. Which diagnosis best fits this patient’s presentation?

A. Panic disorder.

B. Illness anxiety disorder.

C. Somatic symptom disorder.

D. Psychological factors affecting other medical conditions.

E. Adjustment disorder with anxious mood.

B. Tobacco use disorder.

A 60-year-old man with a history of coronary disease and emphysema continues to smoke one pack of cigarettes daily despite his doctor’s clear advice that abstinence is important for his survival. He says he’s tried to quit a dozen times but has always relapsed due to withdrawal symptoms or feelings of tension relieved by smoking. What is the most likely diagnosis?

A. Psychological factors affecting other medical conditions.

B. Tobacco use disorder.

C. Denial of illness.

D. Nonadherence to medical treatment.

E. Adjustment disorder.

B. Conscious misrepresentation and deception.

What is the essential diagnostic feature of factitious disorder?

A. Somatic symptoms.

B. Conscious misrepresentation and deception.

C. External gain associated with illness.

D. Absence of another medical disorder that may cause the symptoms.

E. Normal physical examination and laboratory tests.

E. The presence of a psychotic illness that better accounts for the symptoms precludes the diagnosis of factitious disorder.

A 19-year-old man is brought to the emergency department by his family with acute onset of hemoptysis. Although he denies any role in the genesis of the symptom, he is observed in the waiting area to be surreptitiously inhaling a so lution that provokes violent coughing. On confrontation he eventually ac knowledges his action but explains that he heard an angel’s voice instructing him to purify himself for a divine mission for which he will receive a heavenly reward. He was therefore trying to expunge all “evil vapors” from his lungs but felt obliged to keep this a secret. Why would this patient not be considered to have factitious disorder?

A. Consequences of religious or culturally normative practices are exempt from consideration as fabricated illnesses.

B. Factitious disorder occurs almost exclusively in women.

C. Repeated instances of illness fabrication are necessary for a diagnosis of factitious disorder.

D. The patient expects to receive an external reward and therefore should be considered to be malingering.

E. The presence of a psychotic illness that better accounts for the symptoms precludes the diagnosis of factitious disorder.

C. No diagnosis.

When a mother knowingly and deceptively reports signs and symptoms of illness in her preschool-aged child, resulting in the child’s hospitalization and subjection to numerous tests and procedures, what diagnosis would be recorded for the child?

A. Munchausen syndrome by proxy.

B. Factitious disorder by proxy.

C. No diagnosis.

D. Munchausen syndrome imposed on another.

E. Factitious disorder imposed on another.

C. Infective endocarditis, opioid use disorder, and factitious disorder

A 25-year-old woman with a history of intravenous heroin abuse is admitted to the hospital with infective endocarditis. Blood cultures are positive for sev eral fungal species. Search of the patient’s belongings discloses hidden sy ringes and needles and a small bag of dirt, which, when cultured, yields the same fungal species. Which of the following diagnoses are likely to apply?

A. Infective endocarditis, opioid use disorder, malingering, factitious disorder, and antisocial personality disorder.

B. Opioid use disorder and malingering.

C. Infective endocarditis, opioid use disorder, and factitious disorder.

D. Malingering and antisocial personality disorder.

E. Malingering and factitious disorder.

D. Other specified somatic symptom and related disorder.

After finding a breast lump, a 50-year-old woman with a family history of breast cancer is overwhelmed by feelings of anxiety. Consultation with a breast surgeon, mammogram, and biopsy show the lump to be benign. The surgeon tells her that she requires no treatment; however, she continues to ruminate about the possibility of cancer and surgery that will result in disfigurement. Her sleep is restless, and she is having trouble concentrating at work. After 6 weeks of these symptoms, her primary physician refers her for psychiatric consultation. Her medical and psychiatric history is otherwise negative. Which diagnosis best fits this presentation?

A. Somatic symptom disorder.

B. Illness anxiety disorder.

C. Unspecified somatic symptom and related disorder.

D. Other specified somatic symptom and related disorder.

E. Adjustment disorder with anxious mood.

C. Unspecified somatic symptom and related disorder.

After finding a breast lump, a 53-year-old woman with a family history of breast cancer is overwhelmed by feelings of anxiety. Consultation with a breast surgeon, mammogram, and biopsy show the lump to be benign. The surgeon indicates that she requires no treatment; however, she continues to ruminate about the possibility of cancer and surgery that will result in disfigurement. Her sleep is restless and she is having trouble concentrating at work. After 6 weeks in this state, her primary physician requests that she consult a psychi atrist. On initial evaluation the patient weeps throughout the interview, and is so distraught that the evaluator is unable to elicit details of her medical and psychiatric history beyond reviewing the current “crisis.” Which diagnosis best fits this presentation?

A. Somatic symptom disorder.

B. Illness anxiety disorder.

C. Unspecified somatic symptom and related disorder.

D. Other specified somatic symptom and related disorder.

E. Adjustment disorder with anxious mood

D. Avoidant/restrictive food intake disorder.

Which DSM-5 diagnosis replaced the DSM-IV diagnosis of feeding disorder of infancy or early childhood?

A. Anorexia nervosa.

B. Unspecified feeding or eating disorder.

C. Anorexia nervosa of early childhood.

D. Avoidant/restrictive food intake disorder.

E. Pica

B. The requirement for amenorrhea has been eliminated.

Which of the following statements about DSM-5 changes in the diagnostic cri teria for anorexia nervosa is true?

A. The requirement for menorrhagia has been eliminated.

B. The requirement for amenorrhea has been eliminated.

C. The requirements for amenorrhea and menorrhagia have been eliminated.

D. Low body weight is no longer required.

E. Developmental stage is no longer a significant issue.

C. There is a reduction in the required minimum frequency of binge eating and inappropriate compensatory behavior frequency, from twice to once weekly

Which of the following statements about DSM-5 changes in the diagnostic cri teria for bulimia nervosa is true?

A. There is an increase in the required numbers of binge-eating episodes and inappropriate compensatory behaviors per week, from twice to three times weekly.

B. There is an increase in the numbers of episodes of using ipecac or vomiting per week, from three to four.

C. There is a reduction in the required minimum frequency of binge eating and inappropriate compensatory behavior frequency, from twice to once weekly.

D. There is a requirement for an episode of pica, at least once in the last year.

E. There is a requirement for electrolyte imbalances to be demonstrated at least twice in the past 2 years.

A. Once weekly for the last 3 months.

What is the minimum average frequency of binge eating required for a diagnosis of DSM-5 binge-eating disorder?

A. Once weekly for the last 3 months.

B. Once weekly for the last 4 months.

C. Every other week for the last 3 months.

D. Every other week for the last 4 months.

E. Once a month for the last 3 months.

B. Significant weight loss; significant nutritional deficiency; dependence on enteral feeding or oral nutritional supplements; marked interference with psychosocial functioning.

In avoidant/restrictive food intake disorder, the eating or feeding disturbance is manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with one or more of four specified features. Which of the following options correctly lists these four features?

A. Manic or hypomanic symptoms; ruminative behaviors; compulsive thoughts; marked interference with psychosocial functioning.

B. Significant weight loss; significant nutritional deficiency; dependence on enteral feeding or oral nutritional supplements; marked interference with psychosocial functioning.

C. Significant weight loss; ruminative behaviors; delusions or hallucinations; manic or hypomanic symptoms.

D. Significant nutritional deficiency; increased use of alcohol or other sub stances; manic or hypomanic symptoms; delusions or hallucinations.

E. Dependence on enteral feeding or oral nutritional supplements; ruminative behaviors; delusions or hallucinations; manic or hypomanic symptoms.

D. The disorder is more common in childhood and equally common in males and females.

Which of the following statements about onset and prevalence of avoidant/re strictive food intake disorder is true?

A. The disorder occurs mostly in females, with onset typically in older adolescence.

B. The disorder occurs mostly in males, with onset typically in early child hood.

C. The disorder is more common in childhood and more common in females than in males.

D. The disorder is more common in childhood and equally common in males and females.

E. The disorder is extremely common in elderly adults, who often manifest an age-related reduction in intake.

C. Avoidant/restrictive food intake disorder.

A 45-year-old woman had a choking episode 3 years ago after eating salad. Since that time she has been afraid to eat a wide range of foods, fearing that she will choke. This fear has affected her functionality and her ability to eat out with friends and has contributed to weight loss. Which diagnosis best fits this clinical picture?

A. Bulimia nervosa.

B. Schizophrenia.

C. Avoidant/restrictive food intake disorder.

D. Binge-eating disorder.

E. Adjustment disorder.

A. Restricting type and binge-eating/purging type.

What are the two subtypes of anorexia nervosa?

A. Restricting type and binge-eating/purging type.

B. Energy-sparing type and binge-eating/purging type.

C. Low-calorie/low-carbohydrate type and restricting type.

D. Low-carbohydrate/low-fat type and restricting type.

E. Restricting type and low-weight type.

D. Persistent restriction of energy intake, intense fear of be coming fat, and disturbance in self-perceived weight or shape.

What are the three essential diagnostic features of anorexia nervosa?

A. Persistently low self-confidence, intense fear of becoming fat, and disturbance in motivation.

B. Low self-esteem, disturbance in self-perceived weight or shape, and persistent energy restriction.

C. Restricted affect, disturbance in motivation, and low calorie intake.

D. Persistent restriction of energy intake, intense fear of becoming fat, and dis turbance in self-perceived weight or shape.

E. Persistent lack of weight gain, disturbance in motivation, and restricted af fect.

A. Elevated blood urea nitrogen (BUN); low triiodothyronine (T3); hyperadrenocorticism; low serum estrogen (females) or testosterone (males); bradycardia; low bone mineral density.

What laboratory abnormalities are commonly found in individuals with anorexia nervosa?

A. Elevated blood urea nitrogen (BUN); low triiodothyronine (T3); hyperadrenocorticism; low serum estrogen (females) or testosterone (males); brady cardia; low bone mineral density.

B. Low BUN; hypercholesterolemia; high thyroxine (T4); hypoadrenocorticism; short QTc; low bone mineral density.

C. Blast cells; thrombocytosis; hyperphosphatemia; hypoamylasemia; high serum estrogen (females) or testosterone (males).

D. Hyperzincemia; hypermagnesemia; hyperchloremia; hyperkalemia.

E. C and D

B. Further evaluate the obsessive-compulsive features, be cause if they are not related to anorexia nervosa, a new diagnosis of obsessive-compulsive disorder might be warranted.

A 27-year-old graduate student has a 10-year history of anorexia nervosa. Her boyfriend is quite concerned because she has extreme fears related to cleanli ness. She washes her hands more than 12 times a day and is excessively wor ried about contamination. What would be the best decision by the mental health professional at this point regarding these symptoms?

A. Assume that the patient’s obsessive-compulsive symptoms are related to her anorexia nervosa.

B. Further evaluate the obsessive-compulsive features, because if they are not related to anorexia nervosa, a new diagnosis of obsessive-compulsive dis order might be warranted.

C. Ask the patient to wait 1 year and see how this evolves.

D. Make a diagnosis of body dysmorphic disorder.

E. Refer the patient for a colonoscopy.

A. Recurrent episodes of binge eating; recurrent inappropriate compensatory behaviors to prevent weight gain; self-evaluation that is unduly influenced by body shape and weight.

What are the three essential diagnostic features of bulimia nervosa?

A. Recurrent episodes of binge eating; recurrent inappropriate compensatory behaviors to prevent weight gain; self-evaluation that is unduly influenced by body shape and weight.

B. Recurrent restriction of food; self-evaluation that is unduly influenced by body shape and weight; mood instability.

C. Delusions regarding body habitus; obsessional focus on food; recurrent purging.

D. Hypomanic symptoms for 1 month; mood instability; self-evaluation that is unduly influenced by body shape and weight.

E. Self-evaluation that is unduly influenced by body shape and weight; his tory of anorexia nervosa; recurrent inappropriate compensatory behaviors to gain weight.

D. None.

What are the subtypes of bulimia nervosa?

A. Restrictive.

B. Purging.

C. Restrictive and purging.

D. None.

E. With normal weight/abnormal weight.

A. At least once a week for 3 months.

What minimum average frequency of binge eating is required to qualify for a diagnosis of binge-eating disorder?

A. At least once a week for 3 months.

B. At least twice a week for 3 months.

C. At least once a week for 6 months.

D. At least twice a week for 6 months.

E. None of the above.

B. Female orgasmic disorder.

According to “Highlights of Changes From DSM-IV to DSM-5” in the DSM-5 Appendix, which of the following DSM-IV sexual dysfunction diagnoses is still included in DSM-5?

A. Sexual aversion disorder.

B. Female orgasmic disorder.

C. Dyspareunia.

D. Vaginismus.

E. None of the above.

B. Absent/reduced sexual excitement/pleasure during sexual activity with the opposite sex.

Female sexual interest/arousal disorder requires a lack of, or significantly re duced, sexual interest/arousal, as manifested by at least three of six possible indicators. Which of the following is not one of these six indicators?

A. No/reduced initiation of sexual activity, and typically unreceptive to a partner’s attempts to initiate.

B. Absent/reduced sexual excitement/pleasure during sexual activity with the opposite sex.

C. Absent/reduced genital or nongenital sensations during sexual activity in almost all or all sexual encounters.

D. Absent/reduced interest in sexual activity.

E. Absent/reduced sexual/erotic thoughts or fantasies.

C. Approximately 75%–100%.

Several of the sexual dysfunctions have criteria that contain the phrase “almost all or all”; for example, “Absent/reduced sexual excitement/pleasure during sexual activity in almost all or all sexual encounters.” How is “almost all or all” defined?

A. At least 75%.

B. At least 90%.

C. Approximately 75%–100%.

D. Approximately 90%–100%.

E. In the clinician’s best estimate.

A. Lifelong

Which of the following is a subtype of sexual dysfunction in DSM-5?

A. Lifelong.

B. Secondary to a medical condition.

C. Due to relationship factors.

D. Due to psychological factors.

E. None of the above.

C. Approximately 6 months.

In all of the sexual dysfunctions except substance/medication-induced sexual dysfunction, symptoms must be present for what minimum duration to qualify for the diagnosis?

A. Approximately 1 month.

B. Approximately 3 months.

C. Approximately 6 months.

D. Approximately 1 year.

E. Approximately 2 years.

E. No diagnosis

A 65-year-old man who presented with difficulty in obtaining an erection due to diabetes and severe vascular disease had received a DSM-IV diagnosis of Sexual Dysfunction Due to...[Indicate the General Medical Condition] (coded as 607.84 male erectile disorder due to diabetes mellitus). What DSM-5 diagnosis would be given to a person with this presentation?

A. Sexual dysfunction due to a general medical condition.

B. Erectile disorder.

C. Somatic symptom disorder.

D. A dual diagnosis of erectile disorder and somatic symptom disorder.

E. No diagnosis.

B. Erectile disorder.

A 35-year-old man with new-onset diabetes presents with a 6-month history of inability to maintain an erection. His erectile dysfunction had a sudden onset: he was fired from his job a month before the symptoms began. His serum glucose is well controlled with oral hypoglycemic medication. What is the appropriate DSM-5 diagnosis?

A. Sexual dysfunction due to a general medical condition.

B. Erectile disorder.

C. Adjustment disorder.

D. Unspecified sexual dysfunction.

E. No diagnosis

E. All of the above.

Which of the following factors should be considered during assessment and diagnosis of a sexual dysfunction?

A. Partner factors.

B. Relationship factors.

C. Cultural or religious factors.

D. Individual vulnerability factors, psychiatric comorbidity, or stressors.

E. All of the above

E. No diagnosis, because she does not have clinically significant distress or impairment.

A 30-year-old woman comes to your office and reports that she is there only because her mother pleaded with her to see you. She tells you that although she has a good social network with friends of both sexes, she has never had any feelings of sexual arousal in response to men or women, does not have any erotic fantasies, and has little interest in sexual activity. She has found other like-minded individuals, and she and her friends accept themselves as asexual. What is the appropriate diagnosis, if any?

A. Female sexual interest/arousal disorder, lifelong, mild.

B. Female sexual interest/arousal disorder, lifelong, severe.

C. Hypoactive sexual desire disorder.

D. No diagnosis, because she does not have the minimum number of symptoms required (Criterion A) for female sexual interest/arousal disorder.

E. No diagnosis, because she does not have clinically significant distress or impairment.

E. Presence of symptoms for less than 3 months.

Which of the following symptoms or conditions would rule out a diagnosis of erectile disorder?

A. Presence of diabetes mellitus.

B. Marked decrease in erectile rigidity.

C. Age over 60 years.

D. Presence of alcohol use disorder.

E. Presence of symptom for less than 3 months.

B. Criterion A for both diagnoses specifies “partnered sexual activity.”

Which of the following statements about the diagnoses of premature (early) ejaculation and delayed ejaculation is true?

A. Criterion A for both diagnoses includes a specific time period following penetration during which ejaculation must or must not have occurred.

B. Criterion A for both diagnoses specifies “partnered sexual activity.”

C. Early ejaculation, but not delayed ejaculation, may be diagnosed even when there is no clinically significant distress.

D. Estimated and measured intravaginal ejaculatory latencies are poorly correlated.

E. For both diagnoses, the severity is based on the level of distress experienced by the individual.

C. It occurs in approximately 50% of patients taking antipsychotics.

Which of the following statements about sexual dysfunction occurring in the context of substance or medication use is true?

A. It is more frequently caused by buprenorphine than by methadone.

B. It occurs more commonly in 3,4-methylenedioxymethamphetamine (MDMA) abusers than in heroin abusers.

C. It occurs in approximately 50% of patients taking antipsychotics.

D. Less than 10% of individuals with orgasm delay from antidepressants will experience spontaneous remission of the dysfunction within 6 months.

E. The overall incidence and prevalence of medication-induced sexual dys function are well delineated, based on extensive research

B. Sexual aversion.

Which of the following conditions would be appropriately diagnosed as “other specified sexual dysfunction”?

A. Substance/medication-induced sexual dysfunction.

B. Sexual aversion.

C. Erectile dysfunction.

D. Female sexual interest/arousal disorder.

E. Delayed ejaculation