Question 1

Which of the following best describes the difference between obsessions and compulsions in Obsessive-Compulsive Disorder (OCD)?

Accepted Answer

Obsessions are recurrent, persistent, intrusive thoughts, while compulsions are repetitive behaviors or mental acts performed in response to obsessions.

Question 2

A patient reports repetitive hand washing due to persistent fears of contamination. According to behavioral theory, what maintains this compulsive behavior?

Accepted Answer

Negative reinforcement, as the behavior reduces anxiety caused by obsessions.

Question 3

Which of the following statements about the epidemiology of OCD is TRUE?

Accepted Answer

OCD usually begins in late adolescence.

Question 4

Which disorder is characterized by excessive preoccupation with perceived defects in physical appearance, often leading to repetitive, ritualistic behaviors?

Accepted Answer

Body Dysmorphic Disorder

Question 5

A 35-year-old woman is unable to discard old newspapers, resulting in her living space becoming unusable. She also feels compelled to acquire new items. Which diagnosis best fits her symptoms?

Accepted Answer

Hoarding Disorder

Question 6

Which of the following is a key difference between Hoarding Disorder and OCD?

Accepted Answer

Hoarding thoughts are not intrusive and acquiring items does not reduce anxiety.

Question 7

Which of the following is NOT a common site for hair pulling in Trichotillomania?

Accepted Answer

Teeth

Question 8

A patient presents with recurrent skin picking resulting in ulcerations and scars, primarily on the arms and face. What is the most likely diagnosis?

Accepted Answer

Excoriation (Skin-Picking) Disorder

Question 9

Which of the following best describes the main feature of impulse-control disorders?

Accepted Answer

Problems with self-control of behavior that violate the rights of others and conflict with societal norms.

Question 10

Which treatment modality is considered most effective for Obsessive-Compulsive Disorder (OCD)?

Accepted Answer

Exposure and response prevention (ERP) combined with SSRIs

Question 11

Which of the following statements about the treatment of Body Dysmorphic Disorder (BDD) is correct?

Accepted Answer

BDD patients have a positive response rate of 50% to 70% to SSRIs.

Question 12

Which of the following is a recommended treatment for Trichotillomania (TTM)?

Accepted Answer

Habit reversal training

Question 13

A 17-year-old male sets fires deliberately for pleasure and is also noted to have aggression and peer rejection. Which diagnosis is most likely?

Accepted Answer

Pyromania

Question 14

Which of the following is TRUE regarding the prevalence of Kleptomania?

Accepted Answer

It is more common in women than men at a 3:1 ratio.

Question 15

Which of the following medications can be used to treat both Hoarding Disorder and Excoriation Disorder?

Accepted Answer

SSRIs, SNRIs, and N-acetylcysteine

Question 16

A patient with OCD receives cognitive therapy and ERP. What is the main goal of ERP in this context?

Accepted Answer

To expose the patient to anxiety-provoking stimuli and prevent the compulsive response

Question 17

Which of the following is a barrier to treatment for Body Dysmorphic Disorder?

Accepted Answer

Shame and embarrassment

Question 18

Which subtype of Trichotillomania is most likely to use hair pulling as a way to regulate negative feelings and shows the highest levels of impulsivity?

Accepted Answer

Impulsive/Perfectionistic Pullers

Question 19

Which of the following treatments is helpful for both pyromania and kleptomania?

Accepted Answer

Imaginal desensitization

Question 20

A 22-year-old woman is distressed by persistent thoughts about failing to perform adequately and engages in repetitive checking behaviors. Which treatment is most likely to be effective?

Accepted Answer

Exposure and response prevention (ERP) with SSRIs

Obsessive-Compulsive and Impulse-Control Disorders: Key Concepts and Treatments

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