Final Exam NU664 Set 2 |! |! |! |! |!
with accurate detailed |! |! |!
answers |!
Somatic Symptom Disorder (Hypochondriasis) Diagnostic criteria - Correct answer ✔A. 1
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or more somatic symptoms that are distressing or cause significant disruption of daily
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life
B. Excessive thoughts, feelings, or behaviors r/t somatic symptoms or health concerns
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manifested by at least 1 of the following: |! |! |! |! |! |! |!
1. Disproportionate & persistent thoughts about the seriousness of one's symptoms
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2. Persistently high anxiety about health or symptoms
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3. Excessive time or energy devoted to symptoms or health concerns
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C. State of being symptomatic is persistent (more than 6 months)
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Somatic Symptom Disorder (Hypochondriasis) Common differentials and assessment
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strategies - Correct answer ✔Nonpsych medical conditions that show symptoms that are
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not easily diagnosed such as AIDS, endocrinopathies, myasthenia gravis, multiple
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sclerosis, degenerative diseases of the nervous system, systemic lupus erythematosus, and
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occult neoplastic disorders
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Somatic Symptom Disorder (Hypochondriasis) Epidemiology - Correct answer ✔A. Men
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& women equally affected
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B. More common in black people than white people
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,Somatic Symptom Disorder (Hypochondriasis) Onset, progression - Correct answer ✔A.
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Can occur at any age, but most commonly appears in people between age 20 to 30
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B. Usually episodic - episodes last from months to years separated by equally long
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periods of dormancy |! |!
Somatic Symptom Disorder (Hypochondriasis) General presentations and features of this
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diagnostic group - Correct answer ✔A. Believe they have a serious disease that has not
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yet been detected and cannot be persuaded otherwise
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B. Can present as pain, fatigue, nausea, dizziness, fainting, etc.
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C. Depressive and anxiety symptoms commonly accompany somatic symptoms
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Somatic Symptom Disorder (Hypochondriasis) Treatment - Correct answer ✔A. Most will
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not agree to treatment because they do not believe they have a psychiatric problem
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B. Psychotherapy
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C. Pharmacotherapy only works if they have an underlying condition such as anxiety or
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depressive disorder |!
Illness Anxiety Disorder Diagnostic criteria - Correct answer ✔A. Preoccupation with
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having or acquiring a serious illness
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B. Somatic symptoms are not present or if they are, they are only mild in intensity. If
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there is a medical condition or high risk for developing a medical condition,
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preoccupation is excessive and disproportionate |! |! |! |!
C. High level of anxiety about health and easily alarmed about health status
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D. Performs excessive health-related behaviors (ie. repeatedly checks body for signs of
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illness) or exhibits maladaptive avoidance (ie. avoiding doctors appts or hospitals)
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E. Present for at least 6 months
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F. Not better explained by another mental disorder (ie. somatic symptom disorder, panic
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disorder, generalized disorder, body dysmorphic disorder, OCD, delusional disorder -
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somatic type) |!
, Illness Anxiety Disorder Common differentials and assessment strategies - Correct
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answer ✔A. Same as Somatic Symptom Disorder
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B. Psych differentials include the following disorders: somatic symptom, adjustment,
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conversion, body dysmorphic, mood, anxiety, psychotic, and personality
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Illness Anxiety Disorder Onset, progression - Correct answer ✔A. Can occur at any age -
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no specific age of onset
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B. Typically chronic
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Illness Anxiety Disorder General presentations and features of this diagnostic group -
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Correct answer ✔A. Few to no somatic symptoms but person is primarily concerned that
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they are ill
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B. Can have a medical illness, but anxiety is out of proportion for the medical diagnosis
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and they assume the worst possible outcome
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C. Often there is an obsessive quality to person's fear
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Illness Anxiety Disorder Treatment - Correct answer ✔A. Most will not agree to
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treatment because they do not believe they have a psychiatric problem
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B. Psychotherapy
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C. Pharmacotherapy to treat anxiety
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Conversion Disorder Diagnostic criteria - Correct answer ✔A. 1 or more symptoms of
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altered voluntary motor or sensory function
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B. Clinical findings provide evidence of incompatibility between the symptom and
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recognized neurological or medical conditions |! |! |! |!
C. Symptom or deficit not better explained by another medical or mental disorder
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D. Symptom or deficit cause significant distress or impairment in social, occupational, or
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other areas of functioning or warrants medical evaluation
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with accurate detailed |! |! |!
answers |!
Somatic Symptom Disorder (Hypochondriasis) Diagnostic criteria - Correct answer ✔A. 1
|! |! |! |! |! |! |! |! |! |!
or more somatic symptoms that are distressing or cause significant disruption of daily
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
life
B. Excessive thoughts, feelings, or behaviors r/t somatic symptoms or health concerns
|! |! |! |! |! |! |! |! |! |! |! |!
manifested by at least 1 of the following: |! |! |! |! |! |! |!
1. Disproportionate & persistent thoughts about the seriousness of one's symptoms
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2. Persistently high anxiety about health or symptoms
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3. Excessive time or energy devoted to symptoms or health concerns
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C. State of being symptomatic is persistent (more than 6 months)
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Somatic Symptom Disorder (Hypochondriasis) Common differentials and assessment
|! |! |! |! |! |! |! |!
strategies - Correct answer ✔Nonpsych medical conditions that show symptoms that are
|! |! |! |! |! |! |! |! |! |! |! |!
not easily diagnosed such as AIDS, endocrinopathies, myasthenia gravis, multiple
|! |! |! |! |! |! |! |! |! |!
sclerosis, degenerative diseases of the nervous system, systemic lupus erythematosus, and
|! |! |! |! |! |! |! |! |! |! |!
occult neoplastic disorders
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Somatic Symptom Disorder (Hypochondriasis) Epidemiology - Correct answer ✔A. Men
|! |! |! |! |! |! |! |! |! |!
& women equally affected
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B. More common in black people than white people
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,Somatic Symptom Disorder (Hypochondriasis) Onset, progression - Correct answer ✔A.
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Can occur at any age, but most commonly appears in people between age 20 to 30
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B. Usually episodic - episodes last from months to years separated by equally long
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periods of dormancy |! |!
Somatic Symptom Disorder (Hypochondriasis) General presentations and features of this
|! |! |! |! |! |! |! |! |! |!
diagnostic group - Correct answer ✔A. Believe they have a serious disease that has not
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
yet been detected and cannot be persuaded otherwise
|! |! |! |! |! |! |!
B. Can present as pain, fatigue, nausea, dizziness, fainting, etc.
|! |! |! |! |! |! |! |! |!
C. Depressive and anxiety symptoms commonly accompany somatic symptoms
|! |! |! |! |! |! |! |!
Somatic Symptom Disorder (Hypochondriasis) Treatment - Correct answer ✔A. Most will
|! |! |! |! |! |! |! |! |! |!
not agree to treatment because they do not believe they have a psychiatric problem
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
B. Psychotherapy
|!
C. Pharmacotherapy only works if they have an underlying condition such as anxiety or
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
depressive disorder |!
Illness Anxiety Disorder Diagnostic criteria - Correct answer ✔A. Preoccupation with
|! |! |! |! |! |! |! |! |! |! |!
having or acquiring a serious illness
|! |! |! |! |!
B. Somatic symptoms are not present or if they are, they are only mild in intensity. If
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
there is a medical condition or high risk for developing a medical condition,
|! |! |! |! |! |! |! |! |! |! |! |! |!
preoccupation is excessive and disproportionate |! |! |! |!
C. High level of anxiety about health and easily alarmed about health status
|! |! |! |! |! |! |! |! |! |! |! |!
D. Performs excessive health-related behaviors (ie. repeatedly checks body for signs of
|! |! |! |! |! |! |! |! |! |! |! |!
illness) or exhibits maladaptive avoidance (ie. avoiding doctors appts or hospitals)
|! |! |! |! |! |! |! |! |! |!
E. Present for at least 6 months
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F. Not better explained by another mental disorder (ie. somatic symptom disorder, panic
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disorder, generalized disorder, body dysmorphic disorder, OCD, delusional disorder -
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somatic type) |!
, Illness Anxiety Disorder Common differentials and assessment strategies - Correct
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answer ✔A. Same as Somatic Symptom Disorder
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B. Psych differentials include the following disorders: somatic symptom, adjustment,
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conversion, body dysmorphic, mood, anxiety, psychotic, and personality
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Illness Anxiety Disorder Onset, progression - Correct answer ✔A. Can occur at any age -
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
no specific age of onset
|! |! |! |!
B. Typically chronic
|! |!
Illness Anxiety Disorder General presentations and features of this diagnostic group -
|! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔A. Few to no somatic symptoms but person is primarily concerned that
|! |! |! |! |! |! |! |! |! |! |! |! |!
they are ill
|! |! |!
B. Can have a medical illness, but anxiety is out of proportion for the medical diagnosis
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
and they assume the worst possible outcome
|! |! |! |! |! |!
C. Often there is an obsessive quality to person's fear
|! |! |! |! |! |! |! |! |!
Illness Anxiety Disorder Treatment - Correct answer ✔A. Most will not agree to
|! |! |! |! |! |! |! |! |! |! |! |! |!
treatment because they do not believe they have a psychiatric problem
|! |! |! |! |! |! |! |! |! |!
B. Psychotherapy
|!
C. Pharmacotherapy to treat anxiety
|! |! |! |!
Conversion Disorder Diagnostic criteria - Correct answer ✔A. 1 or more symptoms of
|! |! |! |! |! |! |! |! |! |! |! |! |!
altered voluntary motor or sensory function
|! |! |! |! |!
B. Clinical findings provide evidence of incompatibility between the symptom and
|! |! |! |! |! |! |! |! |! |! |!
recognized neurological or medical conditions |! |! |! |!
C. Symptom or deficit not better explained by another medical or mental disorder
|! |! |! |! |! |! |! |! |! |! |! |!
D. Symptom or deficit cause significant distress or impairment in social, occupational, or
|! |! |! |! |! |! |! |! |! |! |! |! |!
other areas of functioning or warrants medical evaluation
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