Axis I Disorders

Question 1

3 types of dissociative disorders?

Answer 1

Dissociative identity disorder, depersonalization disorder, dissociative fugue

Question 2

What increases the risk of developing dissociative identity disorder (multiple personality disorder)?

Answer 2

History of sexual abuse

Question 3

What is a persistent feeling of detachment from oneself or environment?

Answer 3

Depersonalization disorder

Question 4

An abrupt change in geographic location with inability to recall past, confusion about personal identity, or assumption of new identity?

Answer 4

Dissociative fugue–assoc with traumatic circumstances

Question 5

Pt consciously fakes/claims to have a disorder to attain a specific secondary gain (avoid work, obtaining drugs)?

Answer 5

Malingering

Question 6

Pt consciously creates physical/psychological sxs in order to assume sick role and get primary gain (medical attention)?

Answer 6

Factitious disorder

Question 7

Who avoids medical personnel?

Answer 7

Malingering (not factitious)

Question 8

Example of factitious disorder?

Answer 8

Munchausen’s

Question 9

What is Munchausen’s?

Answer 9

Chronic factitious disorder with predominantly physical sxs (multiple hospital visits)

Question 10

Unconsciously driven physical sxs with no identifiable cause?

Answer 10

Somatoform disorder

Question 11

What is a variety of complaints in multiple systems over a period of years?

Answer 11

Somatization disorder

Question 12

What organ systems are involved in somatization disorder?

Answer 12

4 pain, 2 GI, 1 sexual, 1 pseudoneurologic

Question 13

What age does somatization disorder occur?

Answer 13

<30 years old

Question 14

What is conversion disorder?

Answer 14

Motor/sensory sxs (paralysis, seizures, blindness, mutism) often following an acute stressor

Question 15

Do pts with conversion disorder aware of their sxs?

Answer 15

Yes, but indifferent

Question 16

Hypochondriasis?

Answer 16

Preoccupation with/fear of having a serious illness despite medical evaluation

Question 17

Preoccupation with minor/imagined defect in appearance?

Answer 17

Body dismorphic disorder–seek cosmetic surgery

Question 18

Pain disorder?

Answer 18

Prolonged pain with no physical findings

Question 19

Excessive dieting +/- purging?

Answer 19

Anorexia nervosa

Question 20

Binge eating +/- purging?

Answer 20

Bulimia nervosa

Question 21

<85% below ideal body weight?

Answer 21

Anorexia

Question 22

Body weight maintained within normal range?

Answer 22

Bulimia

Question 23

Who self-induces vomiting or uses laxatives, diuretics?

Answer 23

Bulimia (bulimia barfs)

Question 24

Russell’s sign?

Answer 24

Dorsal hand calluses from induced vomiting

Question 25

Who exercises a lot due to intense fear of gaining weight?

Answer 25

Anorexia

Question 26

Assoc with electolyte disturbances and alkalosis?

Answer 26

Bulimia

Question 27

Assoc with decreased bone density, metatarsal stress fractures, amenorrhea and anemia?

Answer 27

Anorexia

Question 28

Assoc with parotitis?

Answer 28

Bulimia