1.Easy
In behaviour therapy, flooding means:
- ARewarding desired behaviour with tokens
- BGradually exposing the person to a fear hierarchy while they stay deeply relaxed
- CPairing an unwanted behaviour with an unpleasant stimulus
- DExposing the person to the most feared stimulus at once until anxiety falls
2.Easy
Hypomania differs from mania mainly because hypomania:
- AIs less severe and does not cause marked impairment or psychosis
- BLasts for at least two years with numerous periods of mild symptoms
- CAlways requires hospital admission
- DInvolves low mood and loss of interest
3.Easy
Which of these is a negative symptom of schizophrenia?
- APersecutory delusions
- BAvolition (lack of motivation)
- CAuditory hallucinations
- DDisorganised speech
4.Medium
Which defence mechanism is shown when someone with strong hostile feelings towards a colleague acts in an excessively friendly way towards them?
- ADisplacement
- BRationalisation
- CReaction formation
- DDenial
5.Medium
Which statement best distinguishes obsessive-compulsive personality disorder (OCPD) from OCD?
- AIn OCPD, intrusive unwanted thoughts trigger rituals that the person recognises as excessive
- BOCPD is a psychotic disorder
- CIn OCPD, perfectionism and rigidity are usually experienced as acceptable parts of the self
- DOCPD always involves hand washing
6.Medium
Which defence mechanism is shown by someone who is angry with their boss but shouts at their partner at home?
- ASublimation
- BReaction formation
- CProjection
- DDisplacement
7.Hard
A client's binge eating occurs at least once a week for three months, with loss of control and distress, but no vomiting, laxatives or excessive exercise. Which diagnosis fits?
- ABulimia nervosa
- BAnorexia nervosa, binge-purge type
- CAvoidant/restrictive food intake disorder
- DBinge-eating disorder
8.Hard
A man reports that his left arm became paralysed after a severe argument, but neurological examination shows findings inconsistent with any known neurological disease. Which DSM-5 diagnosis is most likely?
- AFunctional neurological symptom disorder (conversion disorder)
- BMalingering
- CIllness anxiety disorder
- DBody dysmorphic disorder
Answer key
- 1. D · Exposing the person to the most feared stimulus at once until anxiety falls
- 2. A · Is less severe and does not cause marked impairment or psychosis
- 3. B · Avolition (lack of motivation)
- 4. C · Reaction formation
- 5. C · In OCPD, perfectionism and rigidity are usually experienced as acceptable parts of the self
- 6. D · Displacement
- 7. D · Binge-eating disorder
- 8. A · Functional neurological symptom disorder (conversion disorder)
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