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Diagnostic Reading Review & Application #1 15 points (each question worth .5) Name:_______________________________ Date:__________________________ 1. Mania is ______. a. required for a diagnosis of any bipolar disorder b. required for a diagnosis of bipolar I disorder c. not sufficient for a diagnosis of bipolar I disorder d. the first set of symptoms to develop in any individual’s bipolar disorder 2. Seana is afraid of driving on the freeway, especially to unfamiliar places. She learns of an internship that sounds perfect for her future career goals, but it requires her to drive on the freeway to get there. Seana decides she can’t go to the interview. This is an example of an anxiety that has an unusual degree of which of the following factors? a. intensity b. chronicity c. degree of impairment d. number of situations in which it occurs 3. Which of the following disorders has the shortest minimum duration for diagnosis? a. major depressive disorder b. disruptive mood dysregulation disorder c. persistent depressive disorder in adults d. persistent depressive disorder in children 4. In DSM-5 classification, a fear of enclosed places would fall into which category of phobias? a. natural environment b. specific situations c. other stimuli 5. Milo decides that he will read every book in his house. He makes a tower of 50 books and starts flipping through the pages of each of them, even though many have words that he can’t understand. This is most related to which symptom of mania? a. grandiosity b. increased activity Jennifer Coloma, Ph.D CPY 4217: Child & Adolescent Psychopathology Fall 2018 c. elevated or expansive mood. excessive involvement in activities with high potential of painful consequences 6. In order to meet criteria for diagnosis, children with Specific Phobia must ______. a. consistently and completely avoid situations in which they might encounter their feared stimulus b. know that their fear is excessive and unreasonable c. cling to their attachment figure when in the presence of a feared stimulus d. experience fear that is more extreme than the actual danger of the stimulus warrants 7. Melanie has lost a significant amount of weight and hasn’t been able to sleep since she broke up with her boyfriend a month ago. She feels guilty for not having spent enough time with him while they were together and is having difficulty thinking about anything else. She is still happy to go to dance class and her weekly pizza night with friends, but often finds that she’s moving more slowly throughout her day. Her parents have observed that she also seems to be moving more slowly than before. Can Melanie be diagnosed with major depressive disorder? a. Yes. b. No, because it was triggered by a break-up. c. No, because it hasn’t persisted long enough. d. No, because it’s not clear that she has depressed mood or a loss of interest or pleasure in most activities. 8. How is the distractibility seen in mania different than the distractibility seen in ADHD? a. The distractibility seen in mania typically has an earlier onset. b. The distractibility seen in mania reflects a marked change in typical behavior. c. The distractibility seen in mania is typically more long lasting. d. The distractibility seen in mania is a relatively rare symptom of mania whereas distractibility is a common symptom in ADHD. 9. Marlene accidentally falls off a step stool when she’s changing a lightbulb and hits the step stool, getting a large red mark on her leg. Is this self-injurious behavior? a. Yes. b. No, because it only happened once. c. No, because it is not deliberate. d. No, because the step stool was the instrument that hurt her, not Marlene herself. 10. Which of the following is a behavioral symptom of fear or anxiety? a. avoidance b. negative self-statements c. increased heart rate d. minimizing the ability to cope Jennifer Coloma, Ph.D CPY 4217: Child & Adolescent Psychopathology Fall 2018 11. Marco tells his football coach he has ideas for different and better plays. He also believes he cannot be tackled, and can kick a field goal from 80 yards away (which is impossible even for professional players). This relates to which symptom of mania? a. grandiosity b. flight of ideas c. elevated or expansive mood d. excessive involvement in activities with high potential of painful consequences 12. Which of the following is NOT a symptom of major depressive disorder? a. feelings of worthlessness or guilt b. depressed mood c. temper outbursts d. thought and concentration problems 13. Mindy has been diagnosed with bipolar I disorder. Lately, she’s begun believing that she is actually a lost princess. This is an example of a ______ and means that her diagnosis might instead have which specifier? a. hallucination, with mixed features b. delusion, with mixed features c. hallucination, with features d. delusion, with psychotic features 14. Two months ago, Judy had her first panic attack, and it was very severe. She’s been worrying about having another one ever since. Her panic attack occurred while she was at the gym, so she’s avoided the gym for the past two months, significantly cutting down her physical activity and leaving many of her cross-fit buddies to wonder where she is. Can Judy be diagnosed with panic disorder? a. Yes, because she’s been worried for months about having another attack and has changed her behavior as a result of the attack. b. No, because the duration of the worry and change in behavior is not long enough. c. No, because she has had only one panic attack. d. No, because these changes in her routines are not sufficient to constitute clinically significant distress or impairment. 15. Brandon had been about a C student for most of his middle school career, but once he started ninth grade, his functioning really declined. He started failing classes and not going to school. He stopped showering on a regular basis and became much more touchy and less involved with his family. He even stopped going to the skateboard park, which he used to love. His mom had a history of depression and thought that maybe he was depressed. But 2 years later, when he started hearing whistles and songs that others did not, she realized he had been ______. Jennifer Coloma, Ph.D CPY 4217: Child & Adolescent Psychopathology Fall 2018 a. in the premorbid stage of schizophrenia b. in the prodromal stage of schizophrenia c. in the acute stage of schizophrenia d. in the residual stage of schizophrenia 16. Mary spends most of the day thinking about fairies. Sometimes, when she’s at school, thoughts about fairies will just pop into her head. Mary’s thoughts about fairies, therefore, sometimes interfere with her school work, but Mary can’t help it—she just loves thinking about fairies. Is Mary experiencing an obsession with fairies? a. Yes. b. No, because we don’t know how long this has been going on. c. No, because she likes these thoughts. d. No, because these thoughts don’t spur her to complete compulsions. 17. A panic attack includes which of the following? a. cognitive symptoms, such as feelings of unreality or detachment b. emotional systems, such as thoughts of losing control c. somatic symptoms, such as the desire to flee a situation d. intense autonomic arousal 18. Sarah had a manic episode at age 6, but since then has not had another one. About a year ago, she experienced a depressive episode and more recently seems to be experiencing hypomania. Which of the following would be considered for a diagnosis for Sarah? a. major depressive disorder b. cyclothymia c. bipolar I disorder d. bipolar II disorder 19. Mary believes that the rapper Jay-Z is her real father, despite the fact that she’s met her real father many times and he even has a DNA test that shows he’s her father. Mary’s belief is which of the following? a. a hallucination. b. a delusion of control c. a delusion of reference d. a delusion of grandiosity 20. Alyssa is suspected of having bipolar disorder She’s experiencing grandiosity, flight of ideas, and psychomotor agitation. She could be diagnosed with bipolar I disorder only if she also experienced which of the following? Jennifer Coloma, Ph.D CPY 4217: Child & Adolescent Psychopathology Fall 2018 a. irritability b. changes in mood and energy c. pressured speech and decreased need for sleep d. excessive involvement in activities with a high potential for painful consequences and distractibility 21. Jo has just been adopted. Since his adoption, he has not spoken to his adoptive parents. Which of the following would NOT help in assessing whether or not he has selective mutism? a. knowing Jo’s age b. knowing if Jo’s language background is the same as that of his adoptive parents c. knowing if he speaks to others d. knowing if he has any biological siblings 22. Which is the longest lasting bipolar disorder in children? a. bipolar I disorder b. bipolar II disorder c. cyclothymia d. schizophrenia 23. Benny is 14 months old and every time his mom leaves for work, he cries for about 5 minutes. This is ______. a. developmentally normative b. inappropriate because of its unusual intensity c. inappropriate because of its unusual chronicity d. inappropriate because of its unusually high degree of impairment 24. Which of the following manic symptoms is LEAST useful in identifying bipolar disorder in children? 1. 2. 3. 4. pressured speech grandiosity decreased need for sleep involvement in high-risk sexual activity 25. Differences between typical worrying and the worrying done by those with generalized anxiety disorder seem to be all of the following EXCEPT ______. a. the topics of the worry b. the amount of problem-solving engaged in while worrying c. the persistence of the worry d. the number and degree of cognitive distortions Jennifer Coloma, Ph.D CPY 4217: Child & Adolescent Psychopathology Fall 2018 26. Howi was referred to mental health care for long-standing anxiety about losing his parents and fears about contracting a severe disease. Howi’s acute fear of illness began five weeks prior to consultation, when he watched a show about fatal diseases. Parents reported Howi having three “panic attacks,” however, Howi reports that he is just afraid of being sick and left alone. Howi has difficulty with separation from parents, in the past, since kindergarten. Howi’s persistent fear revolves around his parent’s safety and them doing daily activities without him. Does Howi meet criteria for illness anxiety disorder? 1. 2. 3. 4. Yes, his fear of being sick and left alone is concerning. No, the duration of his fear of illness is not six months. No, he meets criteria for generalized anxiety disorder. Yes, the duration of his fear of illness meets criteria. True/False 27. Temper outbursts must be physical to meet criteria for DMDD. a. True b. False 28. The combination of hypersexual behavior and elation is only associated with bipolar disorder. a. True b. False 29. Bipolar I disorder and bipolar II disorder cannot be comorbid. Bipolar disorder cannot be comorbid with ADHD. a. True b. False 30. A person can be diagnosed with schizophrenia even if he or she has no delusions or hallucinations. a. True b. False
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