Clinical Scenarios 2025 COMPLETE EXAM QUESTIONS AND VERIFIE
Clinical Scenarios
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1. A 30yo man says his wife has been cheating on him be- Paranoid personality dis-
cause he does not have a good enough job to provide order
for her needs. He also claims that in his previous job, (Cluster A)
his boss laid him off because he did a better job than
his boss. He has initiated several lawsuits. Refuses cou- Tx: psychotherapy +/-
ples therapy because he believes the therapist will side short course of antipsy-
with his wife. Believes neighbors are critical of him. chotics for transient psy-
chosis
What is the diagnosis? Treatment?
**avoid group therapy**
2. A 45yo scientist works in the lab most of the day and Schizoid personality disor-
has no friends, according to his coworkers. Has not der
been able to keep his job because of failure to col- (Cluster A)
laborate with others. He expresses no desire to make
friends and is content with his single life. He has no Tx: maybe day programs
evidence of a thought disorder. or drop-in centers
+ antidepressants if co-
What is the diagnosis? Treatment? morbid MDD
3. A 35yo man dresses in a wizard costume every week- Schizotypal personality
end with friends as part of a live action role-playing disorder
community. He spends a great deal of time on his (Cluster A)
computer set up in his basement for video games and
to "detect the presence of extraterrestrial communica- Tx: psychotherapy for so-
tions in space." He has no auditory or visual hallucina- cial skills +/- short course
tions. of low-dose antipsychotics
for transient psychosis
What is the diagnosis? Treatment?
4. A 30yo unemployed man has been accused of killing Antisocial personality dis-
three senior citizens after robbing them. He is surpris- order
ingly charming in the interview. In his adolescence, (Cluster B)
, Clinical Scenarios
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he was arrested several times for stealing cars and
assaulting other kids. Tx: none really!
pharmacotherapy *some-
What is the diagnosis? Treatment? times* used for sx of anxi-
ety or depression, but may
be addictive
5. A 23yo medical student attempted to cut her wrist Borderline personality dis-
because things did not work out with a man she had order
been dating over the past 3 weeks. She states that guys (Cluster B)
are jerks and "not worth her time." She often feels that
she is "alone in this world." Tx: psychotherapy (DBT)
+ pharmacotherapy for
What is the diagnosis? Treatment? psychotic or depressive sx
6. A 33yo scantily clad woman comes to your office com- Histrionic personality dis-
plaining that her fever feels like "she is burning in hell." order
She vividly describes how the fever has affected her (Cluster B)
work as a teacher.
Tx: psychotherapy
What is the diagnosis? Treatment? + pharmacotherapy for
associated depressive or
anxious sx
7. A 48yo company CEO is rushed to the ED after an Narcissistic personality
automobile accident. He does not let the residents op- disorder
erate on him and requests the Chief of trauma surgery (Cluster B)
because he is "vital to the company." He makes several
business phone calls in the ED to stay on "top of his Tx: psychotherapy
game." + antidepressants if co-
morbid mood disorder
What is the diagnosis? Treatment?
Clinical Scenarios
ANSWERS |RECENTLY TESTING REAL EXAM QUESTIONS| 100%
Study online at https://quizlet.com/_2g64vr
SOLVED!!
1. A 30yo man says his wife has been cheating on him be- Paranoid personality dis-
cause he does not have a good enough job to provide order
for her needs. He also claims that in his previous job, (Cluster A)
his boss laid him off because he did a better job than
his boss. He has initiated several lawsuits. Refuses cou- Tx: psychotherapy +/-
ples therapy because he believes the therapist will side short course of antipsy-
with his wife. Believes neighbors are critical of him. chotics for transient psy-
chosis
What is the diagnosis? Treatment?
**avoid group therapy**
2. A 45yo scientist works in the lab most of the day and Schizoid personality disor-
has no friends, according to his coworkers. Has not der
been able to keep his job because of failure to col- (Cluster A)
laborate with others. He expresses no desire to make
friends and is content with his single life. He has no Tx: maybe day programs
evidence of a thought disorder. or drop-in centers
+ antidepressants if co-
What is the diagnosis? Treatment? morbid MDD
3. A 35yo man dresses in a wizard costume every week- Schizotypal personality
end with friends as part of a live action role-playing disorder
community. He spends a great deal of time on his (Cluster A)
computer set up in his basement for video games and
to "detect the presence of extraterrestrial communica- Tx: psychotherapy for so-
tions in space." He has no auditory or visual hallucina- cial skills +/- short course
tions. of low-dose antipsychotics
for transient psychosis
What is the diagnosis? Treatment?
4. A 30yo unemployed man has been accused of killing Antisocial personality dis-
three senior citizens after robbing them. He is surpris- order
ingly charming in the interview. In his adolescence, (Cluster B)
, Clinical Scenarios
Study online at https://quizlet.com/_2g64vr
he was arrested several times for stealing cars and
assaulting other kids. Tx: none really!
pharmacotherapy *some-
What is the diagnosis? Treatment? times* used for sx of anxi-
ety or depression, but may
be addictive
5. A 23yo medical student attempted to cut her wrist Borderline personality dis-
because things did not work out with a man she had order
been dating over the past 3 weeks. She states that guys (Cluster B)
are jerks and "not worth her time." She often feels that
she is "alone in this world." Tx: psychotherapy (DBT)
+ pharmacotherapy for
What is the diagnosis? Treatment? psychotic or depressive sx
6. A 33yo scantily clad woman comes to your office com- Histrionic personality dis-
plaining that her fever feels like "she is burning in hell." order
She vividly describes how the fever has affected her (Cluster B)
work as a teacher.
Tx: psychotherapy
What is the diagnosis? Treatment? + pharmacotherapy for
associated depressive or
anxious sx
7. A 48yo company CEO is rushed to the ED after an Narcissistic personality
automobile accident. He does not let the residents op- disorder
erate on him and requests the Chief of trauma surgery (Cluster B)
because he is "vital to the company." He makes several
business phone calls in the ED to stay on "top of his Tx: psychotherapy
game." + antidepressants if co-
morbid mood disorder
What is the diagnosis? Treatment?
