EPPP COMP_Practice Exam

EPPP COMP_Practice Exam A women and her husband, who have been married for two years, present for marital therapy. The women complains about her husband's lack of interest affection toward her, and his lack of interest in sex. The husband, who says he does not want to come to therapy at all, states that he is a "loner", that he has always had few friends, and that he has never really been interested in his family. He seems quite aloof and emotionally unresponsive. Your tentative diagnosis is: A) Avoidant Personality Disorder B) Schizoid Personality Disorder C) Schizoaffective Disorder D) Schizotypal Personality Disorder - Schizoid Personality Disorder A 16-year-old suddenly exhibits a change in behavior that includes irritability, concentration problems at school, a decreased need for sleep, and increased sexual behavior. The boy's mother says that he has had behavioral problems at school for the past few years but that his current symptoms are new and developed about ten days ago. Based on this information, the most likely diagnosis is: A) ADHD B) Conduct Disorder C) Bipolar I Disorder D) Bipolar II Disorder - Bipolar I A 35-year old client has a client history of relationship problems. Although he usually makes a good first impression, his friendships don't last very long. He attributes this problem to the factor that other people are jealous of what he has accomplished. The client has a great idea that will revolutionize the field of telemarketing, "but, so far, no one has recognized the potential importance of his contribution. He left his wife 6-months ago and spends very little time with his 2-year old son. He has been busy given "doing what he wants to do", which has included moving an expensive condominium, buying a new sports car, and dating as many attractive women as possible. These characteristics are most suggestive as; A. Histrionic Personality Disorder B. Narcissistic Personality Disorder C. Schizotypal Personality Disorder D. Delusional Disorder, grandiose type - Narcissistic Personality Disorder Restlessness, psychomotor agitation, flushed face, diuresis, rambling speech, and muscle twitching are most suggestive of which of the following? A. Alcohol Withdrawal B. Caffeine Intoxication C. Cocaine Intoxication D. Hyperthyroidism - Caffeine Intoxication A person diagnosed with seasonal affective disorder (SAD) is most likely to experience which of the following symptoms? A. overeating and weight gain B. loss of appetite without weight loss C. Insomnia D. A craving for salty foods - Overeating and weight gain Linehan's (1993) dialect behavior therapy (DBT) for Borderline Personality Disorder is based on the assumption that this disorder is due to: A. a boundary disturbance B. learned helplessness C. emotion dysregulation D. pathological internalization object relations - emotional dysregulation A dimensional approach to diagnosis is based on the ____________of attributes. A. quantification B. categorization C. exclusion D. dichotomization - quantification John conger (1956) offered the tension-reduction model of alcohol consumption as an explanation for: A. satiation B. habituation C. addiction d. tolerance - addiction _________ is a cause of delirium and may result from kidney or liver failure or diabetes mellitus, hypo or hyperthyroidism, vitamin deficiency, electrolyte imbalance, severe dehydration, or other conditions A. Gerstmann's syndrome B. Cushing's syndrome C. Wernicke's encephalopathy D. Metabolic encephalopathy - metabolic encephalopathy Maxine M. states she believes that messages on a particular radio station are being broadcasted especially to her. Maxine is displaying which of the following? A. illusion B. hallucination C. delusions D. blocking - Delusions To assign a diagnosis of a personality disorder to someone under the age of 18, the features must be present for at least: A. one month B. six months C. one year D. two years - one year During the postpartum period, approximately_____of women experience postpartum depression. A. 1 to 2% B. 10-15% C. 25-30% D. 45-50% - 10-15% Cataplexy is often triggered by which of the following? A. smells associated with a traumatic event B. physical fatigue C. strong emotions D. stimuli associated with a feared object or event - strong emotion Based on the initial evaluation of a 15-year-old boy, q clinician believes the nature and number of his symptoms suggest a DSM-5 diagnosis of Attention-Deficit/Hyperactivity Disorder, predominately inattention presentation. Before assigning the diagnosis , the clinician will want to confirm that the same symptoms were present before the boy was ______years of age that he exhibits them in at least _________settings. A. 7; 2 B. 12; 2 C. 6; 3 D. 10; 3 - 12;2 as described in the DSM-5,_________________is likely diagnosed for an adult client who has experienced a depressed mood, a poor appetite, and impaired concentration for most of the day on most days for over 2 years A. dysthymic disorder B. mood disorder NOS C. persistent depressive disorder D. unspecified depressive disorder - Persistent Depressive Disorder Which of the following suggests that a DSM-5 diagnosis of Anorexia Nervosa is more appropriate than a diagnosis of Bulimia Nervosa? A. the presence of episodes of binging and purging B. a disturbance in body image C. menstrual irregularities D. persistent restriction of energy intake - Persistent restriction of energy intake Your new client, a college freshman, says she sometimes has an "out of body" experience in which she is doing from outside herself. She describes a recent experience in which she was in her dorm room writing a paper when she realized she couldn't feel her fingers on the computer keyboard or her feet on the floor and then suddenly felt like she was watching herself from her ceiling. The client says that these episodes make her feel like she is "going crazy" and interfere with her ability to attend class and complete course assignments. The client's symptoms are most suggestive of a DSM-5 diagnosis of: A. delusional disorder B. dissociative fugue C. depersonalization/derealization disorder D. depersonalization disorder - Depersonalization/Derealization Disorder The DSM-5 requires which of the following for a diagnosis of autism spectrum disorder? A. An onset of symptoms at three years of age B. an onset of symptoms during the early developmental period C. Apparent normal development for at least six months followed by a loss previously acquired skills D. Apparent normal development for at least 2 years followed by a loss of previously acquired skills - an onset of symptoms during the early development period The most likely DSM-5 diagnosis for a person who experience pelvic pain during sexual intercourse that causes significant distress and cannot be better explained by a non-sexual mental disorder, relationship to distress, or a medical condition is which of the following? A. dyspareunia B. vaginismus C. genito-pelvic pain/penetration disorder D. other specified sexual dysfunction - Genito-Pelvic/Penetration Disorder Renaldo, age 20 is afraid his boss will fire him from his job as an inventory stocker at a large warehouse because he frequently "loses track" of inventory and does not follow-through on his boss's instructions. He says he has always been forgetful and never did well in school because he had a hard time focusing on his schoolwork. Based on this information, the best DSM-5 diagnosis for Renaldo is which of the following? A. Attention-Deficit/Hyperactivity disorder, combined with presentation B. Attention-Deficit/Hyperactivity Disorder, in partial admission C. Other specified Attention-Deficit/Hyperactivity Disorder, with insufficient inattention symptoms D. Attention-Deficit/Hyperactivity Disorder, predominantly hyperactivity/impulsive presentation - other specified attention-deficit/hyperactivity disorder with sufficient inattention symptoms The essential feature of oppositional defiant disorder is a recurrent pattern of an angry/irritable mood, argumentative/defiant behavior, or vindictiveness as evidenced by at least four symptoms that are exhibited during interactions with: A. at least one person who is not a sibling B. at least one person who is a sibling C. at least one parent or teacher D. at least one authority figure - at least one person who is not a sibling According to research, which of the following is the strongest predictor of intellectual disability, with an unknown etiology? A. maternal health B. Female gender C. low birth weight D. large family size - low birth weight A 12-year-old boy's mother says her son is very argumentative, doesn't do what he is asked to do, and frequently bullies and threatens his sister and classmates at school. Also, in the past year, the boy has skipped school at least a half a dozen times, ran away from home for two days on three different occasions, and was expelled from school for throwing a rock through a school window. The mother has been divorced for four years, and she says these problems started several months after she divorced for four years, and she says that these problems several months after she remarried 2 years ago. Based on these symptoms, the most likely diagnosis for the boy is: A. child or adolescent antisocial behavior B. adjustment disorder with disturbance of conduct C. oppositional defiant disorder D. conduct disorder - Conduct Disorder