DSM-5 Study Guide Questions and Answers
A 10- year- old boy who has B. Echolalia
severe developmental delay
exhibits immediate and
involuntary repetition and
ambient sounds and vocalizations
made by other people. What is
the term for this phenomenon?
A. Dysarthria
B. Echolalia
C. Echopraxia
D. Word salad
The pathological, parrotlike, and apparently senseless repetition
Echolalia
(echoing) of a word or phrase just spoken by another person.
,A 19- year- old college freshman D. Schizotypal personality disorder.
wears a wizard hat every day
around campus. This disorder is characterized by a pattern of deficits in
When asked why, he tells interpersonal skills and a decreased capacity for close
people it is because "the hat relationships. Cognitive and perceptual distortions and eccentric
helps me think better." He has had behavior are also evident.
few friends but enjoys
participating in medieval role-
playing games. He earns
excellent grades in class and
grooms himself appropriately
every day. His speech is fluent.
His thought process is linear,
although he perseverates on
various wizard spells he has
learned online. His affect is
restricted. He denies any
hallucinations or any changes
in sleep, mood, appetitie, or
energy. His unusual "style" has
interfered with his getting a job,
which he needs to remain in
school. What is the likely
diagnosis?
A. Bipolar I disorder.
B. Schizoaffective disorder.
C. Schizophrenia
D. Schizotypal personality disorder.
,Theravada Buddhist monks D. Schizophrenia.
living at a temple bring a 27-
year-old Laotian man to the Is a psychotic disorder characterized by a combination of specific
hospital. The man apparently has positive and negative symptoms.
fasted for 17 days. The man is
acutely dehydrated and Positive symptoms of schizophrenia include hallucinations,
emaciated. The pt is admitted delusions, disorganized speech, inappropriate affect, and
to the medicine service. He is disorganized behavior (absence of goal- orientation often
delirious at first, but when he manifested in failure to perform activities of daily living).
improves, the psychiatric
consult service is called b/c of Negative symptoms of schizophrenia include a flat or blunted
his "odd manner". affect (the absence or a severe restriction of observable
The pt is unkempt and unshaven, emotion), avolition (a loss of willpower and decisiveness),
which is in sharp contrast to the alogia (a speech disturbance in schizophrenia involving poverty
two other members of his order. of speech), decrease in the amount of speech or poverty of
The pt does not speak English content of speech (speech that contains little or no meaningful
and one of the monks translates information), and anhedonia (a loss of ability to experience
to help the psychiatrist with the pleasure).
evaluation. The pt appears
withdrawn and responds very
briefly to the other monks, at times
laughing inappropriately. The
monks say that the man's
family, who had recently
emigrated from Laos, brought him
to the order nearly 1 year ago.
Although he has been withdrawn
since they have known him, the
monks say that this is the first
time he has embarked on such a
fast. He told them that he was
instructed to do so by "spirits",
who watch his daily activities and
comment on whether he is being
appropriately observant. The
members of his order are
familiar with the names of the
spirits from Lao folk traditions, but
they are not familiar with this
particular tradition of fasting. They
acknowledge that the man is
from a remote part of Laos, of
which the are unfamiliar with
the customs. What is the likely
diagnosis?
A. Culturally appropriate behavior.
B. Major depressive disorder.
, C. Psychotic disorder due to
another medical condition.
D. Schizophrenia.
Match each description with C. Histrionic personality disordder- Consistently uses physical
the personality disorder for appearance to draw attention to onself.
which it is most highly
characteristic (each disorder may A. Antisocial personality disorder - Failure to conform to social
be used once, more than once, norms and without remorse.
or not at all):
B. Borderline personality disorder- Frantic efforts to avoid real or
A. Antisocial personality disorder imagined abandonment.
B. Borderline personality disorder.
C. Histrionic personality disorder. D. Narcissistic personality disorder- Grandiose sense of self- importance.
D. Narcissistic personality disorder.
C. Histrionic personality disorder- Self- dramatization, theatricality,
_ Consistently uses physical and exaggerated expression of emotion.
appearance to draw attention to
onself.
_ Failure to conform to social
norms and without remorse.
_ Grandiose sense of self-
importance.
_ Self- dramatization, theratrically,
and exaggerated expression of
emotion.
Match each mental disorder with B. More prevalent among women - Restless legs syndrome.
the most accurate statement
regarding prevalence by gender B. More prevalent among women- Major depressive disorder.
(each item may be use once,
more than once, or not at all): B. More prevalent among women- Generalized anxiety disorder
A. More prevalent among men.
B. More prevalent among women.
C. Equally prevalent among
men and women.
_ Restless legs syndrome.
_ Major depressive disorder.
_ Generalized anxiety disorder.
A 45- year- old man presents to B. Illness anxiety disorder.
his primary care doctor,
complaining of chronic chest This disorder is characterized by a preoccupation with being sick
pain for the past year. He has or with developing a disease. There are few or no somatic
seen multiple specialists, who tell symptoms present, but the individual is primarily concerned with
him the pain is from the idea that he or she is ill. The diagnosis can be used for
uncomplicated acid reflux; individuals who do have a medical illness but whose anxiety is out
however, he thinks he must have of proportion to the diagnosis and who assume the worst possible
serious heart disease. He outcome. The anxiety is incapacitating and causes emotional
continues to worry about his distress or impairs the individual's ability to function. Some
A 10- year- old boy who has B. Echolalia
severe developmental delay
exhibits immediate and
involuntary repetition and
ambient sounds and vocalizations
made by other people. What is
the term for this phenomenon?
A. Dysarthria
B. Echolalia
C. Echopraxia
D. Word salad
The pathological, parrotlike, and apparently senseless repetition
Echolalia
(echoing) of a word or phrase just spoken by another person.
,A 19- year- old college freshman D. Schizotypal personality disorder.
wears a wizard hat every day
around campus. This disorder is characterized by a pattern of deficits in
When asked why, he tells interpersonal skills and a decreased capacity for close
people it is because "the hat relationships. Cognitive and perceptual distortions and eccentric
helps me think better." He has had behavior are also evident.
few friends but enjoys
participating in medieval role-
playing games. He earns
excellent grades in class and
grooms himself appropriately
every day. His speech is fluent.
His thought process is linear,
although he perseverates on
various wizard spells he has
learned online. His affect is
restricted. He denies any
hallucinations or any changes
in sleep, mood, appetitie, or
energy. His unusual "style" has
interfered with his getting a job,
which he needs to remain in
school. What is the likely
diagnosis?
A. Bipolar I disorder.
B. Schizoaffective disorder.
C. Schizophrenia
D. Schizotypal personality disorder.
,Theravada Buddhist monks D. Schizophrenia.
living at a temple bring a 27-
year-old Laotian man to the Is a psychotic disorder characterized by a combination of specific
hospital. The man apparently has positive and negative symptoms.
fasted for 17 days. The man is
acutely dehydrated and Positive symptoms of schizophrenia include hallucinations,
emaciated. The pt is admitted delusions, disorganized speech, inappropriate affect, and
to the medicine service. He is disorganized behavior (absence of goal- orientation often
delirious at first, but when he manifested in failure to perform activities of daily living).
improves, the psychiatric
consult service is called b/c of Negative symptoms of schizophrenia include a flat or blunted
his "odd manner". affect (the absence or a severe restriction of observable
The pt is unkempt and unshaven, emotion), avolition (a loss of willpower and decisiveness),
which is in sharp contrast to the alogia (a speech disturbance in schizophrenia involving poverty
two other members of his order. of speech), decrease in the amount of speech or poverty of
The pt does not speak English content of speech (speech that contains little or no meaningful
and one of the monks translates information), and anhedonia (a loss of ability to experience
to help the psychiatrist with the pleasure).
evaluation. The pt appears
withdrawn and responds very
briefly to the other monks, at times
laughing inappropriately. The
monks say that the man's
family, who had recently
emigrated from Laos, brought him
to the order nearly 1 year ago.
Although he has been withdrawn
since they have known him, the
monks say that this is the first
time he has embarked on such a
fast. He told them that he was
instructed to do so by "spirits",
who watch his daily activities and
comment on whether he is being
appropriately observant. The
members of his order are
familiar with the names of the
spirits from Lao folk traditions, but
they are not familiar with this
particular tradition of fasting. They
acknowledge that the man is
from a remote part of Laos, of
which the are unfamiliar with
the customs. What is the likely
diagnosis?
A. Culturally appropriate behavior.
B. Major depressive disorder.
, C. Psychotic disorder due to
another medical condition.
D. Schizophrenia.
Match each description with C. Histrionic personality disordder- Consistently uses physical
the personality disorder for appearance to draw attention to onself.
which it is most highly
characteristic (each disorder may A. Antisocial personality disorder - Failure to conform to social
be used once, more than once, norms and without remorse.
or not at all):
B. Borderline personality disorder- Frantic efforts to avoid real or
A. Antisocial personality disorder imagined abandonment.
B. Borderline personality disorder.
C. Histrionic personality disorder. D. Narcissistic personality disorder- Grandiose sense of self- importance.
D. Narcissistic personality disorder.
C. Histrionic personality disorder- Self- dramatization, theatricality,
_ Consistently uses physical and exaggerated expression of emotion.
appearance to draw attention to
onself.
_ Failure to conform to social
norms and without remorse.
_ Grandiose sense of self-
importance.
_ Self- dramatization, theratrically,
and exaggerated expression of
emotion.
Match each mental disorder with B. More prevalent among women - Restless legs syndrome.
the most accurate statement
regarding prevalence by gender B. More prevalent among women- Major depressive disorder.
(each item may be use once,
more than once, or not at all): B. More prevalent among women- Generalized anxiety disorder
A. More prevalent among men.
B. More prevalent among women.
C. Equally prevalent among
men and women.
_ Restless legs syndrome.
_ Major depressive disorder.
_ Generalized anxiety disorder.
A 45- year- old man presents to B. Illness anxiety disorder.
his primary care doctor,
complaining of chronic chest This disorder is characterized by a preoccupation with being sick
pain for the past year. He has or with developing a disease. There are few or no somatic
seen multiple specialists, who tell symptoms present, but the individual is primarily concerned with
him the pain is from the idea that he or she is ill. The diagnosis can be used for
uncomplicated acid reflux; individuals who do have a medical illness but whose anxiety is out
however, he thinks he must have of proportion to the diagnosis and who assume the worst possible
serious heart disease. He outcome. The anxiety is incapacitating and causes emotional
continues to worry about his distress or impairs the individual's ability to function. Some
