Question 1

In conversion disorder

Accepted Answer

A)  there is excessive preoccupation with an imagined or exaggerated body disfigurement.
B)  people have long-standing fears,suspicions,or convictions about having a serious disease.
C)  a pattern of multiple,recurring,somatic complaints that have no diagnosable basis are observed,leading the individual to seek medical treatment.
D)  psychological factors are important in the onset,exacerbation,severity,or maintenance of the patient's pain complaints.
E)  symptoms are observed in voluntary motor or sensory functions that suggest neurological causes,but these cannot be confirmed. E

Question 2

Identify and describe the major characteristics of three types of dissociative disorders.

Accepted Answer

Dissociative amnesia: Inability to recall important personal information.
Dissociative Identity Disorder: Presence of two or more personalities.
Depersonalization/Derealization Disorder: Feeling of being detached from oneself

Question 3

Depersonalization/derealization disorder differs from the other dissociative disorders,in that

Accepted Answer

A)  there are no symptoms of memory impairment or identity confusion.
B)  there does not appear to be any sort of dissociative process going on.
C)  only with this disorder is there a loss of awareness of one's central and knowing self.
D)  there are reduced symptoms or no symptoms of a feeling of depersonalization/ derealization.
E)  it alone is associated with history of trauma,particularly emotional abuse. A

Question 4

Relative to previous editions of the DSM,the diagnostic criteria for DSM-5 dissociative identity disorder are:

Accepted Answer

A)  are far more restrictive.
B)  are far more wordy.
C)  more strongly grounded in psychodynamic theory.
D)  more strongly grounded in attachment theory.
E)  more flexible and emphasize less dramatic presentations of the disorder.

Question 5

Dissociative amnesia with fugue is a loss of memory with the added dimension of

Accepted Answer

A)  mania.
B)  substance abuse.
C)  psychosis.
D)  physical flight.
E)  depression.

Question 6

A disorder in which people are induced by therapists to remember events that have never occurred is referred to as

Accepted Answer

A)  iatrogenic memory syndrome.
B)  trauma-repression syndrome.
C)  creative recall syndrome.
D)  false memory syndrome.
E)  distorted memory syndrome.

Question 7

According to Merskey,cases of dissociative identity disorder

Accepted Answer

A)  represent a legitimate psychiatric disorder.
B)  are most frequently found in individuals with criminal inclinations.
C)  may be iatrogenic conditions unintentionally caused by practitioners.
D)  are frequently cases of individuals faking or malingering their illnesses.
E)  are more common outside of North America.

Question 8

The dissociative disorders have a high degree of comorbidity

Accepted Answer

A)  with physical complaints that clearly don't have a medical cause.
B)  with types of delirium,dementias and amnestic disorders.
C)  with anxiety,mood and personality disorders.
D)  in terms of severe maladaptive disruptions or alternations of identity,memory and consciousness that are experienced as being beyond one's control.
E)  in terms of physical symptoms suggestive of medical illness,but no organic basis can be found to account for them.

Question 9

What is the defining symptom of dissociative disorders? What were dissociative disorders categorized as in early editions of the DSM? What specific dissociative disorder has changed names recently?

Accepted Answer

The answer of What is the defining symptom of dissociative...

Question 10

Dysfunction in which physiological system is proposed to be implicated in the development of somatic symptom and related disorders?

Accepted Answer

A)  the parasympathetic nervous system.
B)  the prefrontal cortex-basal ganglia system.
C)  the hypothalamic-pituitary-adrenal axis.
D)  the reproductive system.
E)  the sensory-perceptual system.

Question 11

Which of the following is true regarding patterns of DID diagnosis over time?

Accepted Answer

A)  Prior to 1980,DID was second only to depression in terms of prevalence.
B)  Prior to 1980,only about 200 cases were documented in the entire world.
C)  Prior to 1980,DID was the 5th most diagnosed disorder.
D)  Since DSM-5,there has been a dramatic,unexplained increase in DID diagnoses.
E)  The prevalence of DID diagnoses has not changed over the last 50 years.

Question 12

Which of the following matches is incorrect?

Accepted Answer

A)  dissociative amnesia: inability to recall important personal information
B)  depersonalization/derealization disorder: presence of two or more personalities
C)  dissociative identity disorder: presence of two or more personalities
D)  dissociative amnesia with fugue: sudden,unexpected flight from home
E)  depersonalization/derealization disorder: feeling of being detached from oneself

Question 13

Approximately _______ of the general population have some type of dissociative disorder whereas _______ of psychiatric patients do.

Accepted Answer

A)  0.5%;1.5 to 3%
B)  1.5%;3 to 6%
C)  3%;5 to 11%
D)  6%;10 to 16%
E)  9.1%;15 to 21 %

Question 14

Deliberately adopting the sick role and complaining of symptoms to achieve some specific gain like receiving insurance money or avoiding duties is characteristic of

Accepted Answer

A)  la belle indifference.
B)  factitious disorders.
C)  somatic symptom disorder.
D)  malingering.
E)  illness anxiety disorder.

Question 15

With the rise of Christianity,biomedical theories of hysteria were replaced by supernatural explanations.

Accepted Answer

A) True 
 B)False

Question 16

Leanne experiences the sudden feeling of being detached from herself.The term best suited to describe her experience is

Accepted Answer

A)  depersonalization/derealization disorder.
B)  dissociative identity disorder.
C)  dissociative amnesia with fugue.
D)  dissociative amnesia.
E)  repression.

Question 17

Which of the following is TRUE of dissociative identity disorder?

Accepted Answer

A)  Alters may have different eyeglass prescriptions and allergies.
B)  For a diagnosis there must be at least 4 alters that control the person's behaviour.
C)  Alters typically share the same memories and have similar histories and mannerisms.
D)  The various personalities always claim to be of the same gender.
E)  The host is never aware of the various alters.

Question 18

Which of the following is true regarding the trauma model of dissociative disorders?

Accepted Answer

A)  This model was very popular but is no longer accepted.
B)  According to the model,dissociative disorders develop secondary to severe trauma in adulthood.
C)  The model posits that people are most likely to develop dissociative disorders after a motor vehicle accident.
D)  The model proposes that people who are high in agreeableness are susceptible to dissociation.
E)  According to the model,high hypnotizability is a risk factor for dissociative disorders.

Question 19

Which of the following is NOT one of the steps that is usually followed in the treatment of dissociative identity disorder?

Accepted Answer

A)  discussing emotionally charges memories of past trauma
B)  helping patients develop new coping skills
C)  integrating the various personalities
D)  using hypnosis to assist the patient in role playing the various alters
E)  the establishment of trust through a careful discussion of the risks and benefits of therapy

Question 20

Which of the following represents an overconcern about serious disease?

Accepted Answer

A)  malingering
B)  illness anxiety disorder
C)  conversion disorder
D)  factitious disorder
E)  dissociative identity disorder

Exam 6: Dissociative Disorder and Somatic Symptom and Related Disorders