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

Question 1

In obsessive-compulsive disorder,patients are likely to experience

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

Answer 1

Obsessions of symmetry and need to have things just right

Question 2

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

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

Answer 2

A fear of making a wrong decision in discarding things that might be needed in the future

Question 3

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

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

Answer 3

Lying and stealing

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

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

On clinical presentation,patients with OCD tend to

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 6

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

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

Question 7

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

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

Question 8

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

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 9

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

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

Question 10

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

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

Question 11

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

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