1.Easy
Which symptom is characteristic of a manic episode?
- AFeeling slowed down, hopeless and unable to enjoy activities
- BRepeated checking of locks
- CPersistent fear of specific objects
- DDecreased need for sleep and inflated self-esteem
2.Easy
Which is a core symptom of major depressive disorder?
- AHearing voices that others cannot hear, most days for two weeks
- BRepeated hand washing
- CElevated, euphoric mood for a week
- DLoss of interest or pleasure in most activities
3.Easy
Which personality disorder cluster in DSM-5 is described as "odd or eccentric"?
- ACluster A
- BCluster B
- CCluster D
- DCluster C
4.Medium
Which feature distinguishes generalised anxiety disorder from panic disorder?
- AFear of a single specific object, such as spiders or heights
- BRepetitive rituals
- CPersistent, excessive worry about many everyday matters
- DSudden attacks of intense fear peaking within minutes
5.Medium
Selective serotonin reuptake inhibitors (SSRIs) increase serotonin in the synapse by:
- ASpeeding up the breakdown of serotonin by monoamine oxidase enzymes
- BDestroying serotonin receptors
- CBlocking dopamine release
- DBlocking the reuptake of serotonin into the presynaptic neuron
6.Medium
A person spends hours daily worrying that a small mark on their nose is ugly, checks mirrors constantly, and others see nothing wrong. Which diagnosis fits?
- AAnorexia nervosa
- BBody dysmorphic disorder
- CIllness anxiety disorder
- DSocial anxiety disorder
7.Hard
A client with OCD checks the stove twenty times before leaving home. Why does checking maintain the disorder, according to the cognitive-behavioural model?
- AChecking is mainly caused by low intelligence and poor working memory
- BChecking produces a strong pleasure that the client becomes addicted to
- CRelief after checking reinforces it and blocks learning that the fear is unfounded
- DChecking raises anxiety each time, which punishes and gradually weakens the urge to check
8.Hard
A therapist using exposure therapy discovers that the client silently repeats "I'm safe" during sessions and is making little progress. What is the best explanation?
- AThe client needs more relaxation training before any further exposure is attempted
- BThe phrase acts as a safety behaviour that prevents full learning from exposure
- CThe phrase is a positive symptom of psychosis
- DExposure therapy never works for anxiety
Answer key
- 1. D · Decreased need for sleep and inflated self-esteem
- 2. D · Loss of interest or pleasure in most activities
- 3. A · Cluster A
- 4. C · Persistent, excessive worry about many everyday matters
- 5. D · Blocking the reuptake of serotonin into the presynaptic neuron
- 6. B · Body dysmorphic disorder
- 7. C · Relief after checking reinforces it and blocks learning that the fear is unfounded
- 8. B · The phrase acts as a safety behaviour that prevents full learning from exposure
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