Session Summary
Avoidant personality disorders will avoid some medical
treatments and interpersonal contact because they fear
embarrassment or are not willing to take risks.
Symptoms will resolve in time. Any anxiety or depression
associated with avoidant personality disorders should be
treated.
Which of the following statements is true regarding
vascular dementia?
(A) Occurs more frequently in females
(B) Those patients with a stroke are at increased risk
(C) Chronic onset
(D) The patient has a normal fundoscopic
(E) The cardiac chambers are normal size - ✔ ✔ (B)
Those patients with a stroke are at increased risk
Which one of the following are criteria used to diagnose
depression?
,(A) Increased concentration
(B) Increased energy
(C) Decreased guilt
(D) Increased interest
(E) Suicidal ideation - ✔ ✔ (E) Suicidal ideation
A 56-year-old man presents to your office stating he has
no desire to have sex. He has recently gotten back into
dating after being divorced for 10 years and is being
pressured by his current girlfriend. The gentleman states
he has no desire to be with his girlfriend or any other
person. What would be the most likely diagnosis?
(A) Sexual aversion disorder
(B) Hypoactive sexual disorder
(C) Hyperactive sexual disorder
(D) Erectile disorder
(E) Sexual arousal disorder - ✔ ✔ (B) Hypoactive
sexual disorder
A misinterpretation of an external stimulus is
(A) Delusions
, (B) Hallucinations
(C) Illusions
(D) Neologisms
(E) Tactile hallucinations - ✔ ✔ (C) Illusions
A mother brings her 5-year-old child to the hospital after
the child collapses at home. The mother states the child
has been having diarrhea for the last 3 days. Examination
reveals the child to be responsive, but lethargic and
dehydrated. The child is admitted to the hospital and
mom is very involved in the child's care. While mom is
there, the child is improving slightly, but still having
multiple loose stools. When the mother had to leave to
go to work, the child responded well to treatment
without any further episodes of diarrhea. What is the
most likely diagnosis?
(A) Munchausen syndrome
(B) Schizophrenia
(C) Malingering
(D) Munchausen by proxy