Midterm Q2

Question 1

In impulse control disorders, the normal sequence of urge → thought → behavior becomes urge → ______.
A. cognition
B. emotion
C. behavior
D. consequence

Answer 1

C

Question 2

Intermittent Explosive Disorder outbursts are ______ rather than planned.
A. calculated
B. impulsive
C. instrumental
D. defensive

Answer 2

B

Question 3

A 28-year-old reports recurrent verbal aggression twice weekly for 3 months, grossly out of proportion to stressors, and not premeditated. Which diagnosis best fits?
A. Antisocial Personality Disorder
B. Intermittent Explosive Disorder
C. Bipolar I Disorder
D. Conduct Disorder

Answer 3

B

Question 4

A client sets fires repeatedly, feels tension before the act, fascination with fire, and relief afterward. No financial or revenge motive is present. What diagnosis applies?
A. Kleptomania
B. Antisocial Personality Disorder
C. Pyromania
D. Intermittent Explosive Disorder

Answer 4

C

Question 5

A person steals objects they do not need, feels tension before and guilt afterward, and reports underlying depression. Which diagnosis is most appropriate?
A. Conduct Disorder
B. Antisocial Personality Disorder
C. Pyromania
D. Kleptomania

Answer 5

D

Question 6

A survivor of partner violence reports learned helplessness, fear for safety, and belief that the partner is all-powerful. This pattern is most consistent with:
A. PTSD
B. Acute Stress Disorder
C. Battered Woman Syndrome
D. Dependent Personality Disorder

Answer 6

C

Question 7

Which disorder involves recurrent behavioral outbursts due to failure to control aggressive impulses?
A. Pyromania
B. Kleptomania
C. Intermittent Explosive Disorder
D. Antisocial Personality Disorder

Answer 7

C

Question 8

Which feature distinguishes Intermittent Explosive Disorder from Antisocial Personality Disorder?
A. Presence of aggression
B. Impulsive, anger-based outbursts
C. Legal consequences
D. Early childhood onset

Answer 8

B

Question 9

Which is required for a diagnosis of Pyromania?
A. Monetary gain
B. Delusional belief about fire
C. Fascination with fire
D. Conduct disorder history

Answer 9

C

Question 10

In Kleptomania, stolen items are typically:
A. Taken for financial gain
B. Needed for personal use
C. Of little value to the individual
D. Stolen to harm others

Answer 10

C

Question 11

Gaslighting is best described as:
A. Physical intimidation
B. Economic control
C. Manipulation causing the victim to question reality
D. Threats of violence

Answer 11

C

Question 12

Interpersonal violence is fundamentally about:
A. Poor impulse control alone
B. Anger dysregulation
C. Power and control
D. Substance intoxication

Answer 12

C

Question 13

Which phase of the cycle of violence involves apologies and affectionate behavior?
A. Tension-building
B. Acute battering
C. Contrite/loving phase
D. Escalation phase

Answer 13

C

Question 14

Which is a major risk factor category for perpetrators of violence?
A. Biological only
B. Intrapersonal factors
C. Cultural factors only
D. Victim provocation

Answer 14

B

Question 15

Children exposed to domestic violence are at increased risk for:
A. Secure attachment
B. Emotional resilience
C. Similar abusive relationships
D. No long-term effects

Answer 15

C

Question 16

Which behavior is an example of emotional abuse of a child?
A. Accidental injury
B. Developmentally appropriate discipline
C. Name-calling and humiliation
D. Consistent structure

Answer 16

C

Question 17

Which outcome is commonly associated with childhood physical abuse?
A. Improved coping skills
B. Aggression and revictimization
C. Emotional immunity
D. Secure attachment

Answer 17

B

Question 18

Witnessing domestic violence is considered:
A. Neutral exposure
B. Protective experience
C. A form of emotional abuse
D. Legally insignificant

Answer 18

C

Question 19

Which violence typology involves habitual instrumental violence directed at partner and others?
A. Type I
B. Type II
C. Type III
D. Type IV

Answer 19

C

Question 20

Which long-term effect is associated with childhood abuse?
A. Reduced stress response
B. Emotional detachment and dissociation
C. Enhanced self-esteem
D. Immunity to PTSD

Answer 20

B

Question 21

Economic abuse includes:
A. Verbal threats only
B. Restricting access to money or employment
C. Physical assault
D. Sexual coercion

Answer 21

B

Question 22

Psychological abuse differs from physical abuse in that it:
A. Causes no long-term harm
B. Is always intentional
C. Involves non-accidental symbolic or verbal acts
D. Requires physical injury

Answer 22

C

Question 23

Which criterion is required for a diagnosis of Voyeuristic Disorder?
A. Sexual arousal involving consenting adults
B. Individual is at least 18 years old
C. Behavior occurs only once
D. No distress or impairment

Answer 23

B

Question 24

Which paraphilic disorder involves exposure of one’s genitals to an unsuspecting person?
A. Voyeuristic Disorder
B. Exhibitionistic Disorder
C. Frotteuristic Disorder
D. Sexual Sadism Disorder

Answer 24

B

Question 25

Frotteuristic Disorder is best defined as sexual arousal from: A. Observing others naked B. Causing suffering to others C. Rubbing against a non-consenting person D. Using nonliving objects

Answer 25

C

Question 26

Which specifier is unique to Sexual Masochism Disorder? A. With fetishism B. With autogynephilia C. With asphyxiophilia D. Exclusive type

Answer 26

C

Question 27

Sexual Sadism Disorder differs from consensual BDSM primarily because: A. BDSM never involves pain B. The individual feels guilt afterward C. It involves non-consenting victims or distress/impairment D. The behavior is illegal in all cases

Answer 27

C

Question 28

Pedophilic Disorder requires the individual to be at least how many years older than the child? A. 2 B. 3 C. 5 D. 10

Answer 28

C

Question 29

Which specifier applies to Pedophilic Disorder but not other paraphilic disorders? A. In full remission B. Limited to incest C. With asphyxiophilia D. With fetishism

Answer 29

B

Question 30

Fetishistic Disorder excludes which of the following objects? A. Shoes B. Underwear C. Sex toys designed for genital stimulation D. Leather garments

Answer 30

C

Question 31

Transvestic Disorder includes which possible specifier? A. With voyeurism B. With autogynephilia C. Exclusive type D. Generalized

Answer 31

B

Question 32

Which diagnosis is most appropriate when paraphilic symptoms cause impairment but do not meet full criteria for a specific disorder and the reason is stated? A. Unspecified Paraphilic Disorder B. Other Specified Paraphilic Disorder C. Fetishistic Disorder D. Transvestic Disorder

Answer 32

B

Question 33

A 40-year-old man previously diagnosed with Exhibitionistic Disorder has not experienced urges or behaviors for 4 years after treatment. What is the correct diagnosis? A. Exhibitionistic Disorder, in a controlled environment B. Exhibitionistic Disorder, in full remission C. Voyeuristic Disorder, in remission D. No diagnosis can be given

Answer 33

B

Question 34

A woman reports pain, fear, and pelvic muscle tightening during attempted vaginal penetration for over 6 months, causing distress. What is the best diagnosis? A. Female Sexual Interest/Arousal Disorder B. Female Orgasmic Disorder C. Genito-Pelvic Pain/Penetration Disorder D. Unspecified Sexual Dysfunction

Answer 34

C

Question 35

A man can achieve erections during masturbation but not during intercourse with his partner following relationship conflict. Which specifier applies? A. Lifelong B. Acquired C. Generalized D. Situational

Answer 35

D

Question 36

Female Sexual Interest/Arousal Disorder requires at least how many symptoms? A. 1 B. 2 C. 3 D. 6

Answer 36

C

Question 37

Which sexual dysfunction requires symptoms to be present in 75–100% of sexual encounters? A. Premature Ejaculation B. Erectile Disorder C. Delayed Ejaculation D. Female Orgasmic Disorder

Answer 37

C

Question 38

Premature (Early) Ejaculation is defined by ejaculation occurring: A. Before penetration B. Within 30 seconds of arousal C. Within approximately 1 minute of penetration D. Before orgasm

Answer 38

C

Question 39

Which disorder includes the specifier 'never experienced an orgasm under any situation'? A. Female Sexual Interest/Arousal Disorder B. Female Orgasmic Disorder C. Genito-Pelvic Pain/Penetration Disorder D. Delayed Ejaculation

Answer 39

B

Question 40

Which diagnosis is most appropriate when sexual dysfunction symptoms develop during substance intoxication? A. Erectile Disorder B. Other Specified Sexual Dysfunction C. Substance/Medication-Induced Sexual Dysfunction D. Unspecified Sexual Dysfunction

Answer 40

C

Question 41

Which factor must be ruled out before diagnosing most sexual dysfunctions? A. Age B. Sexual orientation C. Severe relationship distress or medical causes D. Cultural norms

Answer 41

C

Question 42

Psychological issues such as unresolved anger, control issues, and false expectations most directly affect: A. Only erectile disorder B. Only female sexual disorders C. Only male sexual disorders D. Sexual dysfunctions broadly

Answer 42

D

Question 43

Gender dysphoria requires a marked incongruence between experienced gender and assigned gender lasting at least _____ months. A. 3 B. 6 C. 9 D. 12

Answer 43

B

Question 44

In children, at least _____ criteria must be present for a diagnosis of gender dysphoria, including a strong desire to be another gender. A. 2 B. 4 C. 6 D. 8

Answer 44

C

Question 45

A 15-year-old assigned female at birth has experienced distress for over a year related to developing breasts and menstruation and strongly desires male secondary sex characteristics. She has clinically significant impairment at school. Which diagnosis is most appropriate? A. Gender dysphoria in children B. Gender dysphoria in adolescents C. Body dysmorphic disorder D. Transvestic disorder

Answer 45

B

Question 46

A 22-year-old individual with documented complete androgen insensitivity syndrome experiences distress due to incongruence between experienced gender and assigned gender. Which specifier should be used? A. Posttransition B. With autism spectrum disorder C. With a disorder/difference of sex development D. Unspecified

Answer 46

C

Question 47

A 30-year-old transgender woman has socially transitioned and is receiving estrogen therapy. She continues treatment to support her gender role. Which specifier applies? A. With disorder of sex development B. Posttransition C. Early onset D. Late onset

Answer 47

B

Question 48

A 10-year-old child meets full symptom criteria for gender dysphoria but symptoms have lasted only 4 months. Which diagnosis is most appropriate? A. Gender dysphoria B. Other specified gender dysphoria C. Unspecified gender dysphoria D. Gender nonconformity

Answer 48

B

Question 49

Which feature is required for a diagnosis of gender dysphoria across age groups? A. Gender nonconforming behavior B. Clinically significant distress or impairment C. Desire for surgery D. Cross-dressing

Answer 49

B

Question 50

Which term refers to an individual whose gender identity aligns with birth-assigned gender? A. Transsexual B. Transgender C. Cisgender D. Gender diverse

Answer 50

C

Question 51

Which of the following is NOT part of the diagnostic criteria for gender dysphoria in adolescents and adults? A. Desire to be rid of primary sex characteristics B. Conviction of having feelings of another gender C. Persistent cross-dressing D. Clinically significant distress

Answer 51

C

Question 52

Gender dysphoria differs from gender nonconformity because it includes: A. Cross-gender play B. Cultural variation C. Distress and impairment D. Early onset

Answer 52

C

Question 53

Which condition may co-occur with gender dysphoria and requires separate diagnosis if criteria are met? A. Autism spectrum disorder B. Transvestic disorder C. Schizophrenia D. All of the above

Answer 53

D

Question 54

In children, which criterion is mandatory for diagnosis? A. Dislike of sexual anatomy B. Preference for cross-gender roles C. Strong desire to be another gender D. Avoidance of same-gender peers

Answer 54

C

Question 55

Which population shows increased prevalence of autism spectrum traits? A. Cisgender adults B. Individuals with gender dysphoria C. Individuals with body dysmorphic disorder D. Individuals with transvestic disorder

Answer 55

B

Question 56

Which factor increases persistence of gender dysphoria into adolescence? A. Younger age at presentation B. Low severity of symptoms C. Older age and greater intensity of gender nonconformity D. Absence of distress

Answer 56

C

Question 57

What is the estimated prevalence of diagnosed gender dysphoria in the general population? A. 1–2% B. 0.5–1% C. Less than 0.1% D. 5%

Answer 57

C

Question 58

Which diagnosis focuses on perceived defect in body part unrelated to gender identity? A. Gender dysphoria B. Body dysmorphic disorder C. Transvestic disorder D. Autism spectrum disorder

Answer 58

B

Question 59

Which statement about suicidality in gender dysphoria is accurate? A. Risk disappears after social transition B. Risk is unrelated to stigma C. Risk is elevated before gender-affirming treatment D. Risk occurs only in adults

Answer 59

C

Question 60

Which term describes distress due to incongruence between experienced and assigned gender? A. Gender identity B. Gender reassignment C. Gender dysphoria D. Gender nonconformity

Answer 60

C

Question 61

Which of the following best distinguishes psychotic gender-themed delusions from gender dysphoria? A. Age of onset B. Cultural context C. Presence of bizarre content and psychotic symptoms D. Desire for medical treatment

Answer 61

C

Question 62

Which diagnosis applies when symptoms cause distress but criteria duration is not met and reason is specified? A. Unspecified gender dysphoria B. Other specified gender dysphoria C. Gender nonconformity D. Transvestic disorder

Answer 62

B