Question 1

Nonpharmacological treatment of obsessive-compulsive disorder (OCD)would most likely include which of the following?

Accepted Answer

A) Electroconvulsive therapy 
B) Cognitive behavioral therapy 
C) Milieu therapy 
D) Dialectical behavioral therapy B

Question 2

The obsessive-compulsive spectrum disorder that is characterized by pulling out hair is

Accepted Answer

A) Erotomania 
B) Pyromania 
C) Trichotillomania 
D) Dermatillomania C

Question 3

In obsessive-compulsive disorder,obsession/compulsion symptom cluster types include all of the following except

Accepted Answer

A) Dirt and contamination 
B) Counting and checking 
C) Lying and stealing 
D) Hoarding and collecting,saving C

Question 4

Deficits of functioning of the striatum (part of the basal ganglia)are believed to be involved in the symptoms of OCD through impaired ability to

Accepted Answer

A) Receive information from the amygdala 
B) Filter information going to the thalamus 
C) Receive sensory information 
D) Receive information from the cerebral cortex

Question 5

Obsessions are often accompanied by compulsive behaviors.Which of the following is not true?

Accepted Answer

A) Obsession of contamination is linked with excessive cleaning. 
B) Obsession of pathological doubt is linked with hoarding. 
C) Obsession of symmetry is linked with arranging things until they are perfect. 
D) Somatic obsession is linked with checking the body for signs of illness.

Question 6

Which of the following tricyclic antidepressants is most effective in the treatment of OCD?

Accepted Answer

A) Imipramine 
B) Amitriptyline 
C) Desipramine 
D) Clomipramine

Question 7

It can be said of the obsession of hoarding that it is associated with

Accepted Answer

A) A fear of making a wrong decision in discarding things that might be needed in the future 
B) Abnormalities of the fear/anxiety circuitry 
C) A feeling that hoarding is ego-syntonic 
D) Less severe symptoms and impairment of functioning than other obsessions

Question 8

In selecting treatment for a patient with trichotillomania,which of the following evidence-based treatment options would be a logical first choice?

Accepted Answer

A) Reminiscence therapy 
B) Monotherapy with clomipramine (Anafranil) 
C) Habit reversal therapy 
D) Exposure and ritual prevention therapy

Question 9

On clinical presentation,patients with OCD tend to

Accepted Answer

A) Be eager to discuss their symptoms 
B) Have good insight into their obsessions and compulsions 
C) Describe a sudden intrusion of unwanted distressful thoughts and the need to do something to reduce their distress 
D) Be aware of the influence of their symptoms on their families

Question 10

For one-third to one-half of patients with OCD,the onset of the symptoms is

Accepted Answer

A) After the age of 30 years 
B) In the 30s and 40s 
C) During childhood or adolescence 
D) In middle age

Question 11

In obsessive-compulsive disorder,patients are likely to experience

Accepted Answer

A) Obsessions as ego-syntonic 
B) Extreme worrying about everyday concerns such as being late 
C) Specific worries about the sight of blood 
D) Obsessions of symmetry and need to have things just right

Exam 12: Obsessive-Compulsive Disorder and Obsessive-Compulsive Spectrum Disorders

Nonpharmacological treatment of obsessive-compulsive disorder (OCD) would most likely include which of the following?