DSM -5 STUDY GUIDE
QUESTION AND CORRECT
AND VERIFIED ANSWERS,DSM
5 ASWB EXAM STUDY GUIDE
(2024) TEST!!
,A 25- year- old man with no medical or psychiatric hx other than anemia travels frequently for
his job. He has trouble on long flights b/c he feels the need to move his legs about and unfasten
his seat belt to do so. When he is not permitted to get up, especially on "red eye" flights, he
feels symmetrical burning and tingling in his legs. He is also very exhausted and notes that his
sleep is not restful. He takes no medications except a daily multivitamin. What is the likely
diagnosis?
A. Adjustment disorder.
B. Akathisia.
C. Parkinson's disease.
D. Restless legs syndrome. - correct answer-D. Restless legs syndrome.
A 30- year- old retail manager at a cosmetics store with no previous psychiatric hx finds herself
experiencing distinct periods of intense anxiety two to three times per day. She is concerned b/c
she has never experienced anything like this in the past. During the episodes she feels
tremulous, hot, and faint, with palpitations and fear of loss of control. She denies any drug use
and any recent stressors. This problem has been getting worse over the past few months and
has affected her ability to function at work. She also has been losing weight and eating more.
She is worried that her health has affected her appearance b/c her skin looks different, her hair
is thinning, and she has swelling in her neck. What is the likely diagnosis?
A. Agoraphobia.
B. Anxiety disorder due to another medical condition.
C. Generalized anxiety disorder.
D. Social anxiety disorder (social phobia). - correct answer-B. Anxiety disorder due to another
medical condition.
A. 40- year- old woman sees a psychiatrist for the first time. She complains of having had low
energy and fatigue for the past year and endorses additional symptoms of depressed mood,
poor sleep, and decreased concentration. She exhibits significant psychomotor retardation on
exam. She denies any suicidal ideation or hallucinations. She takes medication for
,hypothyroidism but has not seen a primary care doctor in over 10 years. Her thyroid-
stimulating hormone level is 7.6, and her urine toxicology screen is negative. What is the likely
diagnosis?
A Bipolar II disorder.
B Depressive disorder due to another medical condition.
C. Insomnia disorder.
D. Major depressive disorder. - correct answer-B. Depressive disorder due to another medical
condition.
A 16- year- old boy presents to his high school counselor after running out of his programming
class b/c he was asked to explain a piece of code. He has trouble answering and had felt this
sort of difficulty in the past, but today it was worse. He is not able to explain clearly to the
counselor what happened b/c he is still having the same speaking problems that he has in class.
He speaks in broken words and keeps getting stuck on sounds like "aye" and "ah". He seems to
spit out words. He writes down on a piece of paper that he has been thinking about dropping
out of school b/c of his difficulty speaking; his older brother dropped out of school for similar
problems. The counselor later observes him working in the computer lab and notices no
abnormal behavior. What is the likely diagnosis?
A Autism spectrum disorder.
B. Childhood- onset fluency disorder (stuttering).
C. Social anxiety disorder (social phobia).
D. - correct answer-B. Childhood- onset fluency disorder (stuttering).
A 10- year- old boy who has 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 - correct answer-B. Echolalia
Echolalia - correct answer-The pathological, parrotlike, and apparently senseless repetition
(echoing) of a word or phrase just spoken by another person.
A 19- year- old college freshman wears a wizard hat every day around campus. When asked
why, he tells people it is because "the hat helps me think better." He has had 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. - correct answer-D. Schizotypal personality disorder.
This disorder is characterized by a pattern of deficits in interpersonal skills and a decreased
capacity for close relationships. Cognitive and perceptual distortions and eccentric behavior are
also evident.
Theravada Buddhist monks living at a temple bring a 27- year-old Laotian man to the hospital.
The man apparently has fasted for 17 days. The man is acutely dehydrated and emaciated. The
pt is admitted to the medicine service. He is delirious at first, but when he improves, the
psychiatric consult service is called b/c of his "odd manner". The pt is unkempt and unshaven,
which is in sharp contrast to the two other members of his order. The pt does not speak English
and one of the monks translates to help the psychiatrist with the 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
QUESTION AND CORRECT
AND VERIFIED ANSWERS,DSM
5 ASWB EXAM STUDY GUIDE
(2024) TEST!!
,A 25- year- old man with no medical or psychiatric hx other than anemia travels frequently for
his job. He has trouble on long flights b/c he feels the need to move his legs about and unfasten
his seat belt to do so. When he is not permitted to get up, especially on "red eye" flights, he
feels symmetrical burning and tingling in his legs. He is also very exhausted and notes that his
sleep is not restful. He takes no medications except a daily multivitamin. What is the likely
diagnosis?
A. Adjustment disorder.
B. Akathisia.
C. Parkinson's disease.
D. Restless legs syndrome. - correct answer-D. Restless legs syndrome.
A 30- year- old retail manager at a cosmetics store with no previous psychiatric hx finds herself
experiencing distinct periods of intense anxiety two to three times per day. She is concerned b/c
she has never experienced anything like this in the past. During the episodes she feels
tremulous, hot, and faint, with palpitations and fear of loss of control. She denies any drug use
and any recent stressors. This problem has been getting worse over the past few months and
has affected her ability to function at work. She also has been losing weight and eating more.
She is worried that her health has affected her appearance b/c her skin looks different, her hair
is thinning, and she has swelling in her neck. What is the likely diagnosis?
A. Agoraphobia.
B. Anxiety disorder due to another medical condition.
C. Generalized anxiety disorder.
D. Social anxiety disorder (social phobia). - correct answer-B. Anxiety disorder due to another
medical condition.
A. 40- year- old woman sees a psychiatrist for the first time. She complains of having had low
energy and fatigue for the past year and endorses additional symptoms of depressed mood,
poor sleep, and decreased concentration. She exhibits significant psychomotor retardation on
exam. She denies any suicidal ideation or hallucinations. She takes medication for
,hypothyroidism but has not seen a primary care doctor in over 10 years. Her thyroid-
stimulating hormone level is 7.6, and her urine toxicology screen is negative. What is the likely
diagnosis?
A Bipolar II disorder.
B Depressive disorder due to another medical condition.
C. Insomnia disorder.
D. Major depressive disorder. - correct answer-B. Depressive disorder due to another medical
condition.
A 16- year- old boy presents to his high school counselor after running out of his programming
class b/c he was asked to explain a piece of code. He has trouble answering and had felt this
sort of difficulty in the past, but today it was worse. He is not able to explain clearly to the
counselor what happened b/c he is still having the same speaking problems that he has in class.
He speaks in broken words and keeps getting stuck on sounds like "aye" and "ah". He seems to
spit out words. He writes down on a piece of paper that he has been thinking about dropping
out of school b/c of his difficulty speaking; his older brother dropped out of school for similar
problems. The counselor later observes him working in the computer lab and notices no
abnormal behavior. What is the likely diagnosis?
A Autism spectrum disorder.
B. Childhood- onset fluency disorder (stuttering).
C. Social anxiety disorder (social phobia).
D. - correct answer-B. Childhood- onset fluency disorder (stuttering).
A 10- year- old boy who has 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 - correct answer-B. Echolalia
Echolalia - correct answer-The pathological, parrotlike, and apparently senseless repetition
(echoing) of a word or phrase just spoken by another person.
A 19- year- old college freshman wears a wizard hat every day around campus. When asked
why, he tells people it is because "the hat helps me think better." He has had 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. - correct answer-D. Schizotypal personality disorder.
This disorder is characterized by a pattern of deficits in interpersonal skills and a decreased
capacity for close relationships. Cognitive and perceptual distortions and eccentric behavior are
also evident.
Theravada Buddhist monks living at a temple bring a 27- year-old Laotian man to the hospital.
The man apparently has fasted for 17 days. The man is acutely dehydrated and emaciated. The
pt is admitted to the medicine service. He is delirious at first, but when he improves, the
psychiatric consult service is called b/c of his "odd manner". The pt is unkempt and unshaven,
which is in sharp contrast to the two other members of his order. The pt does not speak English
and one of the monks translates to help the psychiatrist with the 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
