Personality Disorders Exam

Which of the following is a characteristic of personality disorders as defined by the DSM 5?

An enduring pattern of inner experience and behavior impairs functioning in which of the following areas?

A patient is reluctant to confide in others due to a persistent unwarranted suspiciousness that others are using or deceiving them. Which personality disorder does this describe?

A 25-year-old patient expresses a need to be the center of attention and often engages in seductive behavior. Which personality disorder is most likely?

A patient with a long history of unstable relationships, marked impulsivity, and intense mood swings is most likely to have which of the following personality disorders?

Which of the following is a key characteristic of antisocial personality disorder?

Which treatment approach is considered the treatment of choice for Borderline Personality Disorder?

A patient presents with a pervasive pattern of grandiosity, a need for admiration, and a lack of empathy. Which personality disorder is most congruent with these traits?

What is the primary focus of Dialectical Behavior Therapy (DBT) in the treatment of personality disorders?

What is a primary characteristic of avoidant personality disorder?

A patient demonstrates an excessive need to be taken care of, leading to submissive and clinging behavior. Which personality disorder is suggested by this presentation?

Which of the following best describes a primary characteristic of Obsessive-Compulsive Personality Disorder (OCPD)?

Which of the following is true regarding the general treatment of Cluster A personality disorders?

A patient with antisocial personality disorder is most likely to exhibit which behavior?

A patient with borderline personality disorder expresses paranoia by saying, “When I’m under stress, I feel like people are ganging up against me.” Which of the following best describes this symptom?

A clinician is treating a patient with Narcissistic Personality Disorder (NPD). Which approach is most likely to be effective?

How should a healthcare provider approach the diagnosis of personality disorders in the context of cultural differences?

Under what legal circumstances does a provider have a duty to warn?

When assessing a patient for a suspected personality disorder, what is the first step a clinician should take?

Which cluster does Avoidant, Dependent and Obsessive-Compulsive PD belong to?

Which PDs belong to Cluster A

A patient being indifferent to praise or criticism may have:

Which personality disorder is MOST associated with legal issues, especially before the age of 18?

Which of the following class of medications may be helpful for a patient with Borderline Personality Disorder?

Which of the following best represents the four components of Dialectical Behavior Therapy (DBT)?

What is the typical approach to treating a patient with Obsessive-Compulsive Personality Disorder (OCPD)?

Which of the following distinguishes Obsessive-Compulsive Disorder (OCD) from Obsessive-Compulsive Personality Disorder (OCPD)?

In personality development, what role does environment play?

A 23-YEAR-OLD STUDENT ATTEMPTED TO SLIT HER WRIST BECAUSE THINGS DID NOT WORK OUT WITH A MAN SHE HAD BEEN DATING OVER THE PAST 3 WEEKS. SHE THOUGHT HE WAS "PERFECT"...AT FIRST.... AND NOW STATES THAT “ALL GUYS ARE JERKS" AND "NOT WORTH HER TIME." SHE FEELS THAT SHE IS "ALONE IN THIS WORLD." WHICH PERSONALITY DISORDER DOES THIS DEPICT?

A 30-YEAR-OLD POSTAL WORKER RARELY GOES OUT WITH THEIR COWORKERS AND OFTEN MAKES EXCUSES WHEN THE COWORKERS ASK THEM TO JOIN THEM BECAUSE THEY ARE AFRAID THE COWORKERS WILL NOT LIKE THEM. THEY WISH TO GO OUT AND MEET NEW PEOPLE BUT, THEY SAY “I'M TOO SHY.” WHICH PERSONALITY DISORDER DOES THIS DEPICT?

A 45-YEAR-OLD SCIENTIST WORKS IN THE LAB MOST OF THE DAY AND HAS NO FRIENDS, ACCORDING TO HER COWORKERS. HAS NOT BEEN ABLE TO KEEP A STEADY JOB BECAUSE OF FAILURE TO COLLABORATE WITH OTHERS. SHE EXPRESSES NO DESIRE TO MAKE FRIENDS AND IS CONTENT WITH HER SINGLE LIFE. SHE HAS NO EVIDENCE OF A THOUGHT DISORDER. WHICH PERSONALITY DISORDER DOES THIS DEPICT?

A 40-YEAR-OLD ADMINISTRATIVE ASSISTANT HAS BEEN RECENTLY FIRED BECAUSE OF HER INABILITY TO PREPARE SOME WORK PROJECTS IN TIME. ACCORDING TO HER, THEY WERE NOT IN THE RIGHT FORMAT, AND SHE HAD TO REVISE THEM SIX TIMES, WHICH LED TO THE DELAY. THIS HAS HAPPENED BEFORE, BUT SHE FEELS THAT SHE WAS NOT GIVEN ENOUGH TIME. WHICH PERSONALITY DISORDER DOES THIS DEPICT?

A 25-YEAR-OLD SCANTILY CLAD WOMAN COMES TO YOUR OFFICE COMPLAINING THAT HER FEVER FEELS LIKE “SHE IS BURNING IN HELL." SHE VIVIDLY DESCRIBES HOW THE FEVER HAS AFFECTED HER WORK AS A TEACHER. “I LOVE THEM ALL SO DEARLY, BUT THEY ARE LIKE LITTLE BARBARIANS. I COME HOME TOTALLY DISSIPATED!" WHICH PERSONALITY DISORDER DOES THIS DEPICT?

A 40-YEAR-OLD MAN, WHO LIVES WITH HIS PARENTS, HAS TROUBLE DECIDING ON HOW TO GO ABOUT HAVING HIS CAR FIXED. HE CALLS HIS FATHER AT WORK SEVERAL TIMES TO ASK VERY TRIVIAL THINGS. HE HAS BEEN UNEMPLOYED OVER THE PAST 3 YEARS. WHICH PERSONALITY DISORDER DOES THIS DEPICT?

A 48-YEAR-OLD COMPANY CEO IS RUSHED TO THE ED AFTER AN AUTOMOBILE ACCIDENT. HE DOES NOT LET THE RESIDENTS OPERATE ON HIM AND REQUESTS THE CHIEF OF TRAUMA SURGERY BECAUSE HE IS "VITAL TO THE COMPANY." HE MAKES SEVERAL BUSINESS PHONES CALLS IN THE ED TO STAY ON "TOP OF HIS GAME." WHICH PERSONALITY DISORDER DOES THIS DEPICT?

A 35-YEAR-OLD MAN DRESSES IN A SPACE SUIT EVERY TUESDAY AND THURSDAY. HE HAS COMPUTERS SET UP IN HIS BASEMENT TO "DETECT THE PRECISE TIME OF ALIEN INVASION." HE HAS NO EVIDENCE OF AUDITORY OR VISUAL HALLUCINATIONS. WHICH PERSONALITY DISORDER DOES THIS DEPICT?

A 30-YEAR-OID MAN SAYS HIS WIFE HAS BEEN CHEATING ON HIM BECAUSE HE DOES NOT HAVE A GOOD ENOUGH JOB TO PROVIDE FOR HER NEEDS. HE ALSO CLAIMS THAT ON HIS PREVIOUS JOB, HIS BOSS LAID HIM OFF BECAUSE HE DID A BETTER JOB THAN HIS BOSS. HE REFUSES COUPLES THERAPY BECAUSE HE BELIEVES THE THERAPIST WILL SIDE WITH HIS WIFE. HE ALSO BELIEVES NEIGHBORS ARE CRITICAL OF HIM. WHICH PERSONALITY DISORDER DOES THIS DEPICT?

A 35 YEAR-OLD UNEMPLOYED MAN HAS BEEN ACCUSED OF KILLING THREE SENIOR CITIZENS AFTER ROBBING THEM. HE IS SURPRISINGLY CHARMING IN THE INTERVIEW. IN HIS ADOLESCENCE, HE WAS ARRESTED SEVERAL TIMES FOR STEALING CARS AND ASSAULTING OTHER KIDS. WHICH PERSONALITY DISORDER DOES THIS DEPICT?

Match the defense mechanism with the correct Personality Disorder:

A patient presents with a preoccupation with bizarre fantasies, odd speech, and eccentric behavior but denies any hallucinations or delusions. They are able to hold a job, but they have trouble forming relationships. What is the MOST appropriate diagnosis?

In a patient with Borderline Personality Disorder, what does “I DESPAIRR” refer to?

Which factor is NOT considered when forming a personality during childhood?

Which statement BEST describes the global prevalence of personality disorders?

In a patient presenting with a personality disorder, impairment in impulse control manifests as:

Which statement is TRUE regarding the challenges in addressing personality disorders?

When diagnosing a patient with a suspected personality disorder, it's essential to avoid confusing their behaviors with:

When a provider believes a patient might inflict harm on someone else, what is the provider's responsibility?

What is the FIRST step in diagnosing a Personality Disorder?

Which of the following is a key feature of Cluster A personality disorders?

Which of the following is MOST characteristic of individuals with Cluster A personality disorders?

Which of the following BEST describes the thought processes associated with Paranoid Personality Disorder?

Which of the following behaviors is MOST characteristic of Schizoid Personality Disorder?

Which comorbidity can make Schizotypal Personality Disorder more complicated?

A 30-year old male patient describes feelings of 'social awkwardness', having few close relationships, and believing in 'mind reading'. Which personality disorder is MOST likely?

Which is a key aspect of treating Cluster A personality disorders?

Which statement is MOST accurate for describing Cluster B personality disorders?

According to the mnemonic 'CALLOUS MAN', what age must one be currently to receive the diagnosis of Antisocial Personality Disorder?

Which statement is MOST accurate regarding patients with Antisocial Personality Disorder?

When treating a patient with antisocial personality disorder (ASPD), which approach is MOST important for a healthcare provider?

According to the 'I DESPAIRR' mnemonic for Borderline Personality Disorder, what does the 'D' stand for?

Which of the following statements BEST describes an aspect of Borderline Personality Disorder (BPD)?

What is the FIRST emphasis of Dialectical Behavior Therapy (DBT)

What are the four components of Dialectical Behavior Therapy (DBT)?

What should a provider concentrate on for a patient undergoing treatment for Borderline Personality Disorder?

Which of the following pharmacological interventions is LEAST likely to be used for a Borderline Personality Disorder patient, for suicide prevention?

What statement is MOST descriptive of Histrionic Personality Disorder?

Which of the following is MOST important for a provider treating a patient with Histrionic Personality Disorder?

According to the mnemonic 'A FAME GAME', what is the first 'A' representing in Narcissistic Personality Disorder?

In treating patients with Narcissistic Personality Disorder, what needs should the provider consider?

What percentage of patients with Narcissistic Personality Disorder drop out of therapy?

Which phrase BEST describes the behavior of personality disorders associated with Cluster C?

A patient is described as 'RIDICULE' in social and interpersonal settings. Which personality disorder does this patient MOST likely have?

When managing a patient with Avoidant Personality Disorder, what is the FIRST therapeutic action that should be taken?

Which of the following behaviors is MOST descriptive of Dependent Personality Disorder?

According to the mnemonic 'DARN HURT', what is represented by the 'N' in Dependent Personality Disorder?

What is the MOST important action when treating a patient with Dependent Personality Disorder?

Which of these terms BEST describes Obsessive-Compulsive Personality Disorder?

In patients with Obsessive-Compulsive Personality Disorder, what can the provider do to improve treatment?

What is a key feature that distinguishes Obsessive-Compulsive Disorder (OCD) from Obsessive-Compulsive Personality Disorder (OCPD)?

Which of the following medical conditions/situations is LEAST likely to induce personality changes?

A 26-year-old woman exhibits an intense fear of abandonment, impulsive behaviors such as reckless spending, unstable relationships, and frequent episodes of severe mood swings. Which personality disorder is most consistent with these behaviors?

A man believes neighbors intentionally talk negatively about him. He mistrusts his wife, assuming she's having an affair despite lacking evidence. He refuses therapy, assuming therapists would side against him. This scenario best illustrates which personality disorder?

A patient meticulously organizes her workspace, repeatedly delays projects to ensure perfection, and refuses delegation unless tasks are done exactly her way. These behaviors are typical of which personality disorder?

Which treatment modality is considered most effective for managing Borderline Personality Disorder and includes mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness?

A patient presents with eccentric beliefs, odd speech patterns, claims of special powers, and discomfort in social relationships despite wishing to have them. This clinical picture aligns best with which personality disorder?

In contrast to Obsessive-Compulsive Disorder (OCD), Obsessive-Compulsive Personality Disorder (OCPD):

An individual demonstrates dramatic, overly emotional behaviors, seeks constant attention, dresses provocatively, and exaggerates experiences. Which personality disorder is this behavior indicative of?

Which pharmacological treatment is specifically noted to help with affect dysregulation and impulsive behavior in Borderline Personality Disorder?

A patient with significant social inhibition avoids interactions due to feelings of inadequacy and fear of negative evaluation, yet desires social contact. This clinical scenario fits:

An individual who persistently violates social norms, deceives others, lacks remorse for harmful actions, and is superficially charming likely meets criteria for:

A 34-year-old male is often detached from social relationships, rarely expresses emotions, and has no interest in forming friendships or romantic relationships. He prefers solitary activities and is content living alone. This description best fits which personality disorder?

Which of the following therapeutic strategies is recommended specifically for managing patients with Narcissistic Personality Disorder?

Which distinguishing feature differentiates Avoidant Personality Disorder from Schizoid Personality Disorder?

Patients with Antisocial Personality Disorder are often treated with medications primarily aimed at managing symptoms of:

In clinical settings, individuals with Borderline Personality Disorder frequently display:

A patient frequently seeks reassurance, is indecisive, and excessively relies on others for emotional support and decision-making. Which personality disorder does this best illustrate?

Which of the following statements accurately differentiates Obsessive-Compulsive Disorder (OCD) from Obsessive-Compulsive Personality Disorder (OCPD)?

A person demonstrates exaggerated self-importance, demands constant admiration, and lacks empathy. They feel entitled to special treatment and become angry when criticized. This scenario best describes which personality disorder?

A patient suddenly exhibits personality changes following a stroke, such as episodes of rage and impulsivity. This personality change is most consistent with:

Individuals with Cluster A Personality Disorders are often treated with which pharmacological approach?