NRNP 6675 MIDTERM EXAM QUESTIONS
200 QUESTIONS WITH ANSWERS AND RATIONALES
1. Which of the following neurotransmitters is most implicated in the
pathophysiology of schizophrenia?
• A. Serotonin
• B. Dopamine
• C. GABA
• D. Norepinephrine
Correct Answer: B. Dopamine
Rationale: The dopamine hypothesis of schizophrenia suggests that
excess dopamine activity, particularly in the mesolimbic pathway,
contributes to positive symptoms such as hallucinations and delusions.
Antipsychotic medications work primarily by blocking dopamine D2
receptors.
2. A patient presents with preoccupation with sexual urges and
fantasies involving being humiliated, beaten, bound, or made to
suffer. This is consistent with which diagnosis?
• A. Frotteurism
• B. Sexual Sadism
• C. Sexual Masochism
• D. Other Specified Paraphilic Disorder
,Correct Answer: C. Sexual Masochism
Rationale: Sexual masochism disorder involves recurrent, intense sexual
arousal from the act of being humiliated, beaten, bound, or otherwise
made to suffer. The correct answer is C as this directly matches the
description provided.
3. Which of the following is NOT consistent with the typical onset of
Obsessive-Compulsive Disorder (OCD)?
• A. More than half of patients have a sudden onset of symptoms
• B. Onset for 50-70% of patients occurs after a stressful event
• C. Most patients keep their symptoms secret initially
• D. Onset is typically preceded by OCD personality traits
Correct Answer: D. Onset is typically preceded by OCD personality
traits
Rationale: While OCD may be preceded by obsessive-compulsive
personality traits in some cases, this is not typical or consistent. Sudden
onset occurs in more than half of cases, stressful events precipitate
symptoms in 50-70% of patients, and most patients initially keep
symptoms secret due to shame or embarrassment.
4. Which neurotransmitter increases libido?
• A. GABA
• B. Serotonin
, • C. Oxytocin
• D. Dopamine
Correct Answer: D. Dopamine
Rationale: Dopamine plays a key role in the brain's reward system and is
associated with increased sexual desire and libido. Serotonin typically
inhibits sexual function, GABA is inhibitory, and oxytocin is more
associated with bonding and attachment rather than libido directly.
5. The discrepancy between anatomical sex and gender identity is
known as:
• A. Gender role behavior
• B. Gender discordance
• C. Gender nonconformity
• D. Internalized sexual prejudice
Correct Answer: B. Gender discordance
Rationale: Gender discordance refers to the discrepancy between an
individual's anatomical sex and their gender identity. This is distinct
from gender nonconformity (which refers to behavior that does not
match gender stereotypes) and internalized sexual prejudice (negative
attitudes toward one's own sexual orientation).
6. The fear of social situations involving scrutiny or contact with
strangers is known as:
, • A. Specific phobia
• B. Social anxiety disorder
• C. Generalized anxiety disorder
• D. Avoidant personality disorder
Correct Answer: B. Social anxiety disorder
Rationale: Social anxiety disorder (social phobia) is characterized by
marked fear or anxiety about social situations in which the individual
may be scrutinized by others. This includes situations involving contact
with strangers, performance situations, and social interactions.
7. Which of the following is consistent with current data on alcohol
consumption prevalence?
• A. Men and women with higher education and income are less
likely to drink alcohol
• B. Men and women with higher education and income are more
likely to drink alcohol
• C. Men and women with lower education and higher income are
more likely to drink alcohol
• D. Education and income are not factors in alcohol consumption
prevalence
Correct Answer: B. Men and women with higher education and
income are more likely to drink alcohol
Rationale: Research consistently demonstrates that individuals with
higher education and income levels are more likely to consume alcohol.
200 QUESTIONS WITH ANSWERS AND RATIONALES
1. Which of the following neurotransmitters is most implicated in the
pathophysiology of schizophrenia?
• A. Serotonin
• B. Dopamine
• C. GABA
• D. Norepinephrine
Correct Answer: B. Dopamine
Rationale: The dopamine hypothesis of schizophrenia suggests that
excess dopamine activity, particularly in the mesolimbic pathway,
contributes to positive symptoms such as hallucinations and delusions.
Antipsychotic medications work primarily by blocking dopamine D2
receptors.
2. A patient presents with preoccupation with sexual urges and
fantasies involving being humiliated, beaten, bound, or made to
suffer. This is consistent with which diagnosis?
• A. Frotteurism
• B. Sexual Sadism
• C. Sexual Masochism
• D. Other Specified Paraphilic Disorder
,Correct Answer: C. Sexual Masochism
Rationale: Sexual masochism disorder involves recurrent, intense sexual
arousal from the act of being humiliated, beaten, bound, or otherwise
made to suffer. The correct answer is C as this directly matches the
description provided.
3. Which of the following is NOT consistent with the typical onset of
Obsessive-Compulsive Disorder (OCD)?
• A. More than half of patients have a sudden onset of symptoms
• B. Onset for 50-70% of patients occurs after a stressful event
• C. Most patients keep their symptoms secret initially
• D. Onset is typically preceded by OCD personality traits
Correct Answer: D. Onset is typically preceded by OCD personality
traits
Rationale: While OCD may be preceded by obsessive-compulsive
personality traits in some cases, this is not typical or consistent. Sudden
onset occurs in more than half of cases, stressful events precipitate
symptoms in 50-70% of patients, and most patients initially keep
symptoms secret due to shame or embarrassment.
4. Which neurotransmitter increases libido?
• A. GABA
• B. Serotonin
, • C. Oxytocin
• D. Dopamine
Correct Answer: D. Dopamine
Rationale: Dopamine plays a key role in the brain's reward system and is
associated with increased sexual desire and libido. Serotonin typically
inhibits sexual function, GABA is inhibitory, and oxytocin is more
associated with bonding and attachment rather than libido directly.
5. The discrepancy between anatomical sex and gender identity is
known as:
• A. Gender role behavior
• B. Gender discordance
• C. Gender nonconformity
• D. Internalized sexual prejudice
Correct Answer: B. Gender discordance
Rationale: Gender discordance refers to the discrepancy between an
individual's anatomical sex and their gender identity. This is distinct
from gender nonconformity (which refers to behavior that does not
match gender stereotypes) and internalized sexual prejudice (negative
attitudes toward one's own sexual orientation).
6. The fear of social situations involving scrutiny or contact with
strangers is known as:
, • A. Specific phobia
• B. Social anxiety disorder
• C. Generalized anxiety disorder
• D. Avoidant personality disorder
Correct Answer: B. Social anxiety disorder
Rationale: Social anxiety disorder (social phobia) is characterized by
marked fear or anxiety about social situations in which the individual
may be scrutinized by others. This includes situations involving contact
with strangers, performance situations, and social interactions.
7. Which of the following is consistent with current data on alcohol
consumption prevalence?
• A. Men and women with higher education and income are less
likely to drink alcohol
• B. Men and women with higher education and income are more
likely to drink alcohol
• C. Men and women with lower education and higher income are
more likely to drink alcohol
• D. Education and income are not factors in alcohol consumption
prevalence
Correct Answer: B. Men and women with higher education and
income are more likely to drink alcohol
Rationale: Research consistently demonstrates that individuals with
higher education and income levels are more likely to consume alcohol.
