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Course Test

Compared with the DSM-5, the DSM-5-TR: [Help]

A Is more trauma-informed.

B Has many new diagnoses.

C De-emphasizes suicide risk factors.

D All of the above

Which factor increases the risk of suicidal ideation or behavior in individuals with tic disorders? [Help]

A Concurrent diagnosis of epilepsy

B Exposure to stimulant medication

C Focused activities that temporarily reduce symptoms

D Co-occurring anxiety, depression, or social withdrawal

According to the DSM-5-TR, which factor is emphasized when distinguishing delusions from culturally normative beliefs? [Help]

A The individual's educational level

B The degree of religiosity present in the community

C Cultural context and whether a belief is normative within that culture

D The speed at which the belief developed

Which of the following is identified as a key risk factor associated with increased schizophrenia diagnoses among racialized or ethnic minority groups? [Help]

A Clinical bias and misinterpretation of culturally shaped psychotic experiences

B Overexposure to digital media

C Higher levels of treatment adherence

D Increased rates of progressive neurodegenerative decline

Which temperament or trait is newly highlighted in the DSM-5-TR as being associated with Bipolar I Disorder? [Help]

A Melancholic temperament

B Hyperthymic temperament

C Obsessive temperament

D Avoidant temperament

In Major Depressive Disorder (MDD), the DSM-5-TR clarifies that symptoms must be: [Help]

A Present for at least 3 years.

B Reported only through self-report.

C Attributable to cultural norms.

D New or significantly worsened relative to baseline.

According to DSM-5-TR updates, which anxiety disorders show the strongest association with transitioning from suicidal ideation to suicide attempts? [Help]

A Separation anxiety disorder and agoraphobia

B Panic disorder, generalized anxiety disorder, and specific phobia

C Social anxiety disorder and selective mutism

D Illness anxiety disorder and somatic symptom disorder

Separation anxiety disorder must be distinguished from prolonged grief disorder because: [Help]

A Grief focuses on yearning for the deceased, whereas separation anxiety focuses on fear of losing living attachment figures.

B Both involve panic-like symptoms.

C Separation anxiety disorder always develops after trauma.

D Prolonged grief disorder occurs only in children.

What cultural pattern in OCD expression is highlighted in the DSM-5-TR? [Help]

A Sexual obsessions are universally common across cultures.

B Violent obsessions are rare outside clinical settings.

C Underreporting of sexual obsessions in certain religious or cultural groups.

D Compulsions are culturally absent in collectivist societies.

Muscle dysmorphia is most common in which group, and with what comorbid tendency? [Help]

A Women; comorbid bulimia

B Men; comorbid substance use disorders

C Men; comorbid anxiety disorders

D Women; comorbid obsessive-compulsive traits

Which of the following can qualify as a Criterion A trauma for PTSD according to DSM-5-TR updates? [Help]

A Financial stress

B Divorce

C Academic failure

D Non-contact sexual events, such as being photographed sexually without consent

Which factor increases the risk of suicidal ideation in individuals with prolonged grief disorder? [Help]

A Traumatic or violent nature of the death

B Low grief intensity

C Short-term bereavement (less than one month)

D Absence of comorbid conditions

Which factor increases suicide risk in dissociative amnesia? [Help]

A Stable and mild memory loss

B Sudden recovery of previously inaccessible memories

C Avoidance of traumatic reminders

D Absence of comorbid disorders

Cultural factors in Somatic Symptom Disorder may influence: [Help]

A How distress is expressed.

B The presence of neurological symptoms.

C Genetic susceptibility to SSD.

D Physical severity of somatic symptoms.

Illness Anxiety Disorder shows which pattern across adulthood? [Help]

A Higher prevalence in older adults only

B Higher prevalence in younger adults only

C Age does not significantly differentiate presentation

D Primarily occurs in adolescence

Suicide risk in individuals with anorexia nervosa is approximately: [Help]

A Equal to the general population.

B 18 times higher than matched peers.

C 5 times higher than matched peers.

D Only elevated if comorbid depression is present.

Which developmental or cultural consideration is important when diagnosing anorexia nervosa? [Help]

A Onset after age 40 is typical.

B Food restriction is always driven by fear of fatness.

C Cultural explanations, such as gastrointestinal discomfort, may account for restriction.

D Service use is highest in underserved racial and ethnic groups.

Which comorbid conditions are commonly observed in children with enuresis? [Help]

A Delays in speech, language, learning, and motor development

B Autism spectrum disorder exclusively

C Adult psychiatric disorders

D Cardiovascular disease

Polysomnography in DSM-5-TR sleep-wake disorders is used to measure: [Help]

A Only REM sleep.

B REM and three NREM stages N1, N2, N3).

C Only daytime sleepiness.

D Circadian rhythm changes exclusively.

Insomnia is considered an independent predictor of: [Help]

A Obstructive sleep apnea.

B Suicidal thoughts and behaviors.

C Narcolepsy.

D REM sleep behavior disorder.

Substance/medication-induced sexual dysfunction may present differently by gender. Which statement is correct according to DSM-5-TR? [Help]

A Women more often report desire issues, while men report arousal difficulties.

B Men are more likely to report issues with desire and orgasm, while women more often report arousal difficulties.

C Both men and women report equal rates of orgasmic difficulties.

D Substance use does not contribute to sexual dysfunction.

What is a commonly observed neurodevelopmental feature in individuals with gender dysphoria? [Help]

A Down syndrome

B Autism spectrum traits

C ADHD exclusively

D Intellectual disability

According to DSM-5-TR, which factor is associated with a greater likelihood of persistence of gender dysphoria? [Help]

A Early, intense gender nonconformity

B Young age at first presentation

C Absence of family support

D Late social transition without medical intervention

Which of the following factors is highlighted in DSM-5-TR as increasing risk for oppositional defiant disorder (ODD) in children? [Help]

A Stable caregiving environment

B High academic achievement

C Disrupted caregiving, such as frequent changes in primary caregivers

D Participation in structured extracurricular activities

Which of the following is true regarding sex- and gender-related diagnostic considerations for ODD? [Help]

A Boys are unaffected by harsh parenting.

B Harsh parenting may be a stronger risk factor for girls than boys.

C Girls cannot be diagnosed with ODD.

D ODD is far more common in girls than boys globally.

Intermittent explosive disorder (IED) comorbid with PTSD is particularly associated with: [Help]

A Decreased risk of anxiety disorders.

B Exclusively aggressive behaviors without emotional dysregulation.

C Significantly increased risk of lifetime suicide attempts.

D Improved impulse control over time.

According to DSM-5-TR, gambling disorder can be diagnosed when symptoms are: [Help]

A Only present without medication use.

B Induced by dopaminergic medications if diagnostic criteria are met.

C Present only in men.

D Only in strategic gambling games.

Persistent cognitive symptoms after mild TBI should prompt consideration of: [Help]

A Co-occurring mental health disorders, negative expectations, and sleep problems.

B Only neurological factors.

C Exclusively genetic disorders.

D Substance use only.

Cultural considerations for sexual masochism disorder include distinguishing it from: [Help]

A Substance use.

B Non-sexual self-harm or self-mortification in cultural/religious contexts.

C Hyperactive delirium.

D TBI-related cognitive changes.

Which code should be used for a patient currently engaging in nonsuicidal self-injury, such as cutting, without suicidal intent? [Help]

A T14.91XA

B Z91.51

C R45.88

D Z91.52

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