Psychiatric Assessment and Diagnosis Practice Questions

Q: Persistent and inappropriate repetition of response beyond the point of relevance is called

Perseveration. ***Perseveration*** - **Perseveration** is the **inappropriate repetition of a response** (e.g., word, phrase, or gesture) beyond the point of relevance or despite the absence of a stimulus. - This symptom is often seen in conditions affecting the **frontal lobes**, such as **organic brain disorders**, **schizophrenia**, or following stroke. *Thought insertion* - **Thought insertion** is a **delusional belief** that one's thoughts are not their own but have been placed into their mind by an external source. - It is a **first-rank symptom of schizophrenia** and reflects a profound disturbance in the sense of self and agency. *Neologism* - A **neologism** is the **creation of new words** or the idiosyncratic use of existing words, often unintelligible to others. - This is a feature of **disorganized speech** commonly observed in conditions like **schizophrenia**. *Thought block* - **Thought block** is the sudden and abrupt cessation of the stream of thought, often in mid-sentence, leaving the person with no idea what they were about to say. - The individual may then resume speaking on an unrelated topic; it is also a **first-rank symptom of schizophrenia**.

Q: Taking off one's clothes and running in public is called:

Exhibitionism. ***Exhibitionism*** - **Exhibitionism** is characterized by recurrent, intense sexual urges, fantasies, or behaviors involving the exposure of one's genitals to an unsuspecting stranger. - The act of deliberately removing clothing and running naked in public is a paraphilic behavior consistent with exhibitionistic disorder, where the primary aim is to expose oneself to others for sexual gratification. - This is the psychiatric term used to describe such public exposure behaviors in the context of paraphilic disorders. *Undinism* - **Undinism** (urolagnia) is a paraphilic interest in urine, often involving sexual arousal from urination or being urinated upon. - This condition does not involve public nudity or exposure, differentiating it from the described scenario. *Mooning* - **Mooning** specifically involves the baring of one's buttocks as a form of insult, protest, or jest. - While it involves partial nudity in public, it is specifically limited to buttock exposure and does not involve complete disrobing or full-body nudity as described in the question. *Voyeurism* - **Voyeurism** is the act of obtaining sexual gratification from observing unsuspecting individuals who are naked, disrobing, or engaging in sexual activity. - In this scenario, the individual is the one exposing themselves, not observing others without consent, which is the opposite of voyeuristic behavior.

Q: A person of eonism derives pleasure from.

Wearing clothes of the opposite sex. ***Wearing clothes of the opposite sex*** - **Eonism**, also known as **transvestic fetishism**, is a paraphilia where an individual (typically male) derives sexual arousal from **wearing clothes and impersonating the opposite sex**. - This cross-dressing is typically for sexual pleasure and not due to gender identity issues, distinguishing it from transgender experiences. *Seeing the opposite partner nude* - While many individuals find pleasure in seeing their partner nude, this act is not categorized as **eonism** or a paraphilia. - It is a common and typically non-pathological aspect of sexual intimacy. *Fondling female body parts* - This describes a general sexual act and is not specific to **eonism**. - Sexual pleasure derived from touching female body parts is a common aspect of heterosexual sexual behavior. *Rubbing genitalia against the body of another person* - This behavior is characteristic of **frotteurism**, a paraphilia where a person derives sexual arousal from rubbing against a non-consenting person, often in crowded public places. - It is distinct from **eonism**, which involves cross-dressing for sexual gratification.

Q: Which of the following is not a paraphilia?

Adultery. ***Adultery*** - **Adultery** refers to consensual sexual activity between a married person and someone who is not their spouse. - While it may involve **moral** or **social transgression**, it does not inherently involve **unusual sexual fantasies** or **non-consenting partners** that define paraphilias. *Necrophilia* - **Necrophilia** is a paraphilia defined by sexual attraction to or sexual acts with **corpses**. - It involves a **deviation from typical sexual arousal** patterns towards a non-living object. *Fetishism* - **Fetishism** is a paraphilia characterized by recurrent, intense **sexual arousal from inanimate objects** (e.g., shoes, clothing) or specific non-genital body parts. - The object or body part is essential for **sexual gratification**. *Paedophilia* - **Paedophilia** is a paraphilia involving recurrent, intense sexual attraction to **prepubescent children**. - This paraphilia is characterized by the **sexual targeting of children**, which falls outside of typical sexual behaviors and is illegal.

Q: The definition of premature ejaculation, according to DSM-5 is ejaculation occurring in less than-

1 min. ***1 min*** - According to the **DSM-5 criteria**, premature ejaculation is defined as a persistent or recurrent pattern of ejaculation occurring within approximately **1 minute** of vaginal penetration. - This definition emphasizes an ejaculatory latency time that is unacceptably short for the individual, causing significant distress. *5 min* - This duration is **too long** to meet the DSM-5 criteria for premature ejaculation. - While an individual may feel unsatisfied, ejaculation occurring after 5 minutes of penetration would not typically be classified as premature based on diagnostic guidelines. *3 min* - This duration is **longer** than the 1-minute threshold established by the DSM-5 for premature ejaculation. - Although it might be considered rapid by some, it doesn't align with the specific diagnostic cutoff. *2 min* - This duration is also **longer** than the specified 1-minute cutoff for premature ejaculation in the DSM-5. - The diagnostic criteria are quite specific regarding the ejaculatory latency period for this condition.

Q: Which of the following features differentiates malingering and hysteria?

Conscious motive is seen in malingering. ***Conscious motive is seen in malingering*** - **Malingering** involves the **conscious production** of false or exaggerated symptoms for clearly identifiable external incentives, such as financial gain or avoiding work. - In contrast, **hysteria** (now often referred to as **conversion disorder**) involves **unconscious** symptom production and is not driven by external incentives. *Malingering has poor prognosis* - The **prognosis of malingering** is variable and depends on the underlying motives and access to desired external incentives. - While it can be challenging to treat due to the conscious deception, it doesn't inherently have a "poor prognosis" in the same way some chronic mental health conditions do. *Hypnosis is more effective in hysteria* - **Hypnosis** and other psychotherapeutic techniques can be effective in treating **conversion disorder (hysteria)**, as they help access unconscious psychological conflicts. - **Malingering**, being a conscious act, is generally not responsive to hypnosis, as the individual is intentionally deceiving. *Hysteria is common in females* - While historically, **hysteria** was believed to be more common in females, modern epidemiological studies of **conversion disorder** show a more balanced gender distribution or only a slight female predominance. - This statement is an outdated generalization and does not serve as a definitive differentiating factor between malingering and hysteria.

Q: A 39-year-old woman claims that she injured her hand at work. She states that the pain caused by her injury prevents her from working. She has no further hand problems after she receives a Rs1 Lakh workers' compensation settlement. This clinical presentation is an example of

malingering. ***Malingering*** - This scenario describes **intentional feigning** of symptoms for an **external incentive** (the workers' compensation settlement). - The rapid resolution of symptoms post-settlement is characteristic, indicating the pain was not solely due to a genuine physical injury but rather a means to achieve financial gain. *Conversion disorder* - Involves neurological symptoms (e.g., paralysis, blindness) that are **incompatible with neurological pathways** and are not intentionally produced. - There is no evidence of an external incentive; symptoms are often linked to psychological stress, but the patient genuinely believes they are suffering from the symptoms. *Factitious disorder by proxy* - This involves a caregiver (e.g., parent) **falsifying or inducing illness** in another person (e.g., child) to assume the **sick role by proxy**. - The described case involves the patient themselves presenting with symptoms, not a proxy. *Factitious disorder* - Involves **intentional production or feigning of physical or psychological symptoms** with the primary motivation being to assume the **sick role**. - Unlike malingering, there are no obvious external incentives (like financial gain); the primary gain is the psychological satisfaction of being a patient.

Question 1

Persistent and inappropriate repetition of response beyond the point of relevance is called

Accepted Answer

Perseveration

Answer

Thought insertion

Answer

Neologism

Answer

Thought block

Question 2

Perseveration is -

Accepted Answer

Persistent and inappropriate repetition of the same thoughts

Answer

When a patient feels very distressed about it

Answer

Characteristic of obsessive compulsive disorder (OCD)

Answer

Characteristic of schizophrenia

Question 3

Taking off one's clothes and running in public is called:

Accepted Answer

Exhibitionism

Answer

Undinism

Answer

Mooning

Answer

Voyeurism

Question 4

A person of eonism derives pleasure from.

Accepted Answer

Wearing clothes of the opposite sex

Answer

Seeing the opposite partner nude

Answer

Fondling female body parts

Answer

Rubbing genitalia against the body of another person

Question 5

Which of the following is not a paraphilia?

Accepted Answer

Adultery

Answer

Necrophilia

Answer

Fetishism

Answer

Paedophilia

Question 6

Voyeurism is characterized by which of the following?

Accepted Answer

Sexual gratification by watching the act of sexual intercourse

Answer

Sexual gratification by self-inflicted pain

Answer

Use of objects for sexual gratification

Answer

Sexual gratification by rubbing against others in crowded places

Question 7

The definition of premature ejaculation, according to DSM-5 is ejaculation occurring in less than-

Accepted Answer

1 min

Answer

5 min

Answer

3 min

Answer

2 min

Question 8

Which of the following features differentiates malingering and hysteria?

Accepted Answer

Conscious motive is seen in malingering

Answer

Malingering has poor prognosis

Answer

Hypnosis is more effective in hysteria

Answer

Hysteria is common in females

Question 9

Frotteurism is:

Accepted Answer

Sexual satisfaction by rubbing the genitalia against a nonconsenting person's body

Answer

Sexual satisfaction by contact with articles belonging to the opposite sex like hanky, sandals, clothes

Answer

Sexual satisfaction by watching the sexual act.

Answer

Sexual gratification by exposing one's genitalia.

Question 10

A 39-year-old woman claims that she injured her hand at work. She states that the pain caused by her injury prevents her from working. She has no further hand problems after she receives a Rs1 Lakh workers' compensation settlement. This clinical presentation is an example of

Accepted Answer

malingering

Answer

conversion disorder

Answer

factitious disorder by proxy

Answer

factitious disorder

Psychiatric Assessment and Diagnosis — MCQs

Psychiatric Assessment and Diagnosis — MCQs

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