D571 HLTH 4320
Psychopathology
Final Assessment Review
(With Solutions)
2025
1
,1. A 28-year-old woman reports uncontrolled binge eating at least
twice weekly for six months, distress about her weight, but no
compensatory behaviors. Which DSM-5 diagnosis is most
appropriate?
a. Bulimia Nervosa
b. Binge-Eating Disorder
c. Other Specified Feeding or Eating Disorder
d. Unspecified Feeding or Eating Disorder
ANS: b. Binge-Eating Disorder
Rationale: DSM-5 requires recurrent binge episodes with marked
distress and absence of compensatory behaviors for a Binge-Eating
Disorder diagnosis.
2. A college student has experienced depressed mood most days for
three years, plus two major depressive episodes lasting two months
each. What is the correct diagnosis?
a. Major Depressive Disorder, recurrent
b. Persistent Depressive Disorder (Dysthymia)
c. Cyclothymic Disorder
d. Double Depression
ANS: d. Double Depression
Rationale: “Double depression” refers to a major depressive
episode superimposed on persistent depressive disorder.
3. A 35-year-old man presents with auditory hallucinations for one
month, disorganized speech, and flat affect. His symptoms emerged
two weeks after his spouse’s death. Which diagnosis best fits?
2
, a. Brief Psychotic Disorder
b. Schizophreniform Disorder
c. Major Depressive Disorder with psychotic features
d. Adjustment Disorder with psychotic symptoms
ANS: a. Brief Psychotic Disorder
Rationale: Brief Psychotic Disorder requires ≥1 psychotic
symptom lasting ≥1 day but <1 month, with stressor onset.
4. A 40-year-old firefighter relives a warehouse fire nightly for three
years, with hypervigilance and avoidance. He avoids talking about
work or smells of smoke. His symptoms have impaired his marriage.
What’s the primary diagnosis?
a. Acute Stress Disorder
b. Adjustment Disorder
c. Posttraumatic Stress Disorder
d. Generalized Anxiety Disorder
ANS: c. Posttraumatic Stress Disorder
Rationale: PTSD requires intrusion, avoidance, negative mood,
arousal for >1 month following trauma.
5. A 32-year-old accountant insists on meticulous order and rigid
adherence to rules, causing prolonged task completion. He also
perceives coworkers as disorganized. Which personality disorder is
most consistent?
a. Obsessive-Compulsive Personality Disorder
b. Schizoid Personality Disorder
c. Avoidant Personality Disorder
d. Borderline Personality Disorder
3
Psychopathology
Final Assessment Review
(With Solutions)
2025
1
,1. A 28-year-old woman reports uncontrolled binge eating at least
twice weekly for six months, distress about her weight, but no
compensatory behaviors. Which DSM-5 diagnosis is most
appropriate?
a. Bulimia Nervosa
b. Binge-Eating Disorder
c. Other Specified Feeding or Eating Disorder
d. Unspecified Feeding or Eating Disorder
ANS: b. Binge-Eating Disorder
Rationale: DSM-5 requires recurrent binge episodes with marked
distress and absence of compensatory behaviors for a Binge-Eating
Disorder diagnosis.
2. A college student has experienced depressed mood most days for
three years, plus two major depressive episodes lasting two months
each. What is the correct diagnosis?
a. Major Depressive Disorder, recurrent
b. Persistent Depressive Disorder (Dysthymia)
c. Cyclothymic Disorder
d. Double Depression
ANS: d. Double Depression
Rationale: “Double depression” refers to a major depressive
episode superimposed on persistent depressive disorder.
3. A 35-year-old man presents with auditory hallucinations for one
month, disorganized speech, and flat affect. His symptoms emerged
two weeks after his spouse’s death. Which diagnosis best fits?
2
, a. Brief Psychotic Disorder
b. Schizophreniform Disorder
c. Major Depressive Disorder with psychotic features
d. Adjustment Disorder with psychotic symptoms
ANS: a. Brief Psychotic Disorder
Rationale: Brief Psychotic Disorder requires ≥1 psychotic
symptom lasting ≥1 day but <1 month, with stressor onset.
4. A 40-year-old firefighter relives a warehouse fire nightly for three
years, with hypervigilance and avoidance. He avoids talking about
work or smells of smoke. His symptoms have impaired his marriage.
What’s the primary diagnosis?
a. Acute Stress Disorder
b. Adjustment Disorder
c. Posttraumatic Stress Disorder
d. Generalized Anxiety Disorder
ANS: c. Posttraumatic Stress Disorder
Rationale: PTSD requires intrusion, avoidance, negative mood,
arousal for >1 month following trauma.
5. A 32-year-old accountant insists on meticulous order and rigid
adherence to rules, causing prolonged task completion. He also
perceives coworkers as disorganized. Which personality disorder is
most consistent?
a. Obsessive-Compulsive Personality Disorder
b. Schizoid Personality Disorder
c. Avoidant Personality Disorder
d. Borderline Personality Disorder
3
