100 Questions DSM-5-TR Practice Quiz PDF

100-Question Comprehensive DSM-5-TR Practice Quiz (Designed for Higher-Level Critical Thinking, Conceptual Understanding, and Exam Preparedness) Section 1: Multiple Choice Questions (MCQs) – 80 Questions (Fundamental Concepts & Classification – 20 Questions) 1. Which of the following is a key...

100-Question Comprehensive DSM-5-TR Practice Quiz (Designed for Higher-Level Critical Thinking, Conceptual Understanding, and Exam Preparedness) Section 1: Multiple Choice Questions (MCQs) – 80 Questions (Fundamental Concepts & Classification – 20 Questions) 1. Which of the following is a key function of the DSM-5-TR? a) To provide treatment guidelines for every mental disorder b) To classify and diagnose mental disorders based on standardized criteria c) To replace medical diagnoses with psychological ones d) To rank mental disorders based on severity 2. Which of the following is classified as a Neurodevelopmental Disorder in DSM-5-TR? a) Schizophrenia b) Attention-Deficit/Hyperactivity Disorder (ADHD) c) Bipolar I Disorder d) Panic Disorder 3. What is the main feature of Schizophrenia according to DSM-5-TR? a) Panic attacks b) Obsessions and compulsions c) Positive symptoms (hallucinations, delusions, disorganized speech) d) Persistent depressive symptoms 4. Which of the following differentiates PTSD from Acute Stress Disorder? a) PTSD symptoms must persist for more than one month b) Acute Stress Disorder requires hallucinations c) PTSD always involves multiple traumas d) Acute Stress Disorder does not involve flashbacks 5. Which symptom is required for a diagnosis of Bipolar I Disorder? a) Full manic episode b) Hypomanic episodes only c) No depressive episodes d) Mood swings without significant impairment  6. What is a hallmark characteristic of Generalized Anxiety Disorder (GAD)? a) Panic attacks in social settings b) Persistent excessive worry lasting at least six months c) Avoidance of specific phobic stimuli d) Obsessions and compulsions 7. Which of the following best describes Hoarding Disorder? a) Difficulty discarding items and excessive accumulation of possessions b) Recurrent intrusive thoughts about contamination c) Pulling out one’s own hair repeatedly d) Persistent avoidance of social situations 8. Which therapy is most effective for PTSD? a) Psychoanalysis b) Exposure therapy with Cognitive-Behavioral Therapy (CBT) c) Electroconvulsive therapy (ECT) d) Mindfulness meditation alone 9. Which neurotransmitter is most associated with schizophrenia? a) Serotonin b) Dopamine c) Norepinephrine d) Acetylcholine 10. Which medication type is most commonly used to treat ADHD? a) Antipsychotics b) Stimulants c) Antidepressants d) Beta-blockers (Clinical Case Application – 30 Questions) 11. A 35-year-old woman has frequent intrusive thoughts about harming others, even though she has no intention of acting on them. She engages in repetitive counting rituals to reduce her anxiety. What is the most likely diagnosis? a) Generalized Anxiety Disorder (GAD) b) Obsessive-Compulsive Disorder (OCD)  c) Panic Disorder d) Schizophrenia 12. A 28-year-old man experiences extreme energy, little need for sleep, excessive spending, and racing thoughts lasting for a full week. What is the likely diagnosis? a) Major Depressive Disorder b) Bipolar I Disorder c) Bipolar II Disorder d) Cyclothymic Disorder 13. Which of the following symptoms is required for a diagnosis of Major Depressive Disorder? a) Delusions b) Depressed mood or loss of interest in activities c) Manic episodes d) Panic attacks 14. A patient has had delusions and hallucinations for four months. What is the most appropriate diagnosis? a) Brief Psychotic Disorder b) Schizoaffective Disorder c) Schizophreniform Disorder d) Schizophrenia 15. A 19-year-old woman constantly seeks reassurance from her friends and feels anxious if she is not in a relationship. She avoids making decisions and fears abandonment. What is the likely diagnosis? a) Borderline Personality Disorder b) Avoidant Personality Disorder c) Dependent Personality Disorder d) Histrionic Personality Disorder (Advanced Critical Thinking & Ethics – 30 Questions) 41. Why is there controversy surrounding DSM-5-TR’s expansion of diagnostic criteria? a) It improved cultural sensitivity in diagnosis  b) It increased the risk of overdiagnosing normal behaviors c) It eliminated structured clinical assessments d) It removed personality disorders 42. Which research method is most appropriate for studying childhood trauma’s effects on adult depression? a) Cross-sectional study b) Longitudinal study c) Case study d) Experimental study 43. Which ethical principle is most relevant when conducting research on PTSD patients? a) Using deception to trigger emotional responses b) Preventing re-traumatization and providing psychological support c) Ensuring all participants are financially compensated d) Only including individuals with mild PTSD Section 2: True/False Questions – 20 Questions 81. DSM-5-TR classifies PTSD under Anxiety Disorders. (False – PTSD is under Trauma- and Stressor-Related Disorders.) 82. A panic attack specifier can be applied to various anxiety and mood disorders. (True – Panic attacks can occur in disorders beyond Panic Disorder.) 83. Persistent Depressive Disorder requires symptoms to last at least two years in adults. (True – It is a chronic form of depression.) 84. Electroconvulsive Therapy (ECT) is the first-line treatment for PTSD. (False – Trauma-focused CBT and SSRIs are first-line treatments.) 85. The DSM-5-TR includes a Cultural Formulation Interview to assess cultural influences in mental health. (True – It helps clinicians incorporate cultural factors.) 86. Hoarding Disorder is classified under the Trauma- and Stressor-Related Disorders section. (False – It is in the Obsessive-Compulsive and Related Disorders category.) 87. Dissociative Identity Disorder requires at least two distinct personality states.  (True – DID is characterized by multiple identities and memory gaps.) 88. Avoidant Personality Disorder and Social Anxiety Disorder have identical diagnostic criteria. (False – They overlap but have different severity and pervasiveness.) 89. Schizoaffective Disorder requires both mood disorder symptoms and psychotic symptoms occurring concurrently. (True – It includes mood episodes plus schizophrenia features.) 90. In DSM-5-TR, Autism Spectrum Disorder is classified using severity levels rather than separate subtypes. (True – DSM-5 removed subtypes like Asperger’s Syndrome.) Section 1: Multiple Choice Questions (MCQs) – Explanations 1. DSM-5-TR's Expansion Controversy Question: Why is there controversy surrounding DSM-5-TR’s expansion of diagnostic criteria? a) It improved cultural sensitivity in diagnosis b) It increased the risk of overdiagnosing normal behaviors c) It eliminated structured clinical assessments d) It removed personality disorders Explanation: DSM-5-TR has broadened diagnostic criteria for some disorders (e.g., PTSD, ADHD, Depressive Disorders). Critics argue this may lead to overdiagnosing normal variations of behavior, like prolonged sadness being labeled as Major Depressive Disorder. Example: Critics were concerned about the removal of the bereavement exclusion from MDD, which could pathologize grief. 2. Research Methods for Studying Childhood Trauma & Depression Question: Which research method is most appropriate for studying childhood trauma’s effects on adult depression? a) Cross-sectional study b) Longitudinal study c) Case study d) Experimental study Explanation: Longitudinal studies track participants over time, making them ideal for examining long-term effects like trauma’s impact on depression in adulthood. Cross-sectional studies (a) only collect data at one time point, missing long- term developmental changes. Case studies (c) provide detailed insights but lack generalizability. Experimental studies (d) are often unethical in trauma research since you  cannot ethically manipulate childhood trauma. 3. Ethical Principles in PTSD Research Question: Which ethical principle is most relevant when conducting research on PTSD patients? a) Using deception to trigger emotional responses b) Preventing re-traumatization and providing psychological support c) Ensuring all participants are financially compensated d) Only including individuals with mild PTSD Explanation: PTSD studies must avoid re-traumatization and ensure emotional safety. Deception (a) can be unethical when it triggers distressing memories in PTSD patients. Financial compensation (c) is helpful but not the primary ethical concern. Excluding severe PTSD cases (d) would introduce selection bias and reduce study generalizability. 4. PTSD vs. Acute Stress Disorder Question: Which of the following differentiates PTSD from Acute Stress Disorder? a) PTSD symptoms must persist for more than one month b) Acute Stress Disorder requires hallucinations c) PTSD always involves multiple traumas d) Acute Stress Disorder does not involve flashbacks Explanation: PTSD symptoms must last at least one month, while Acute Stress Disorder (ASD) lasts between 3 days and 1 month. Hallucinations (b) are not a defining feature of ASD or PTSD. PTSD does not require multiple traumas (c)—a single event can lead to PTSD. Both PTSD & ASD can involve flashbacks (d). 5. Hoarding Disorder vs. OCD Question: Which of the following best describes Hoarding Disorder? a) Difficulty discarding items and excessive accumulation of possessions b) Recurrent intrusive thoughts about contamination c) Pulling out one’s own hair repeatedly d) Persistent avoidance of social situations Explanation: Hoarding Disorder is a distinct diagnosis in DSM-5-TR and involves: o Persistent difficulty discarding possessions, regardless of value. o Extreme distress when attempting to discard items. Obsessive-Compulsive Disorder (b) involves intrusive thoughts and compulsive behaviors but is distinct from hoarding. Trichotillomania (c) involves hair-pulling, not hoarding. Avoidant Personality Disorder (d) involves social anxiety, not hoarding. 6. Schizoaffective Disorder vs. Schizophrenia Question: A patient has hallucinations and delusions for two years but also experiences major depressive episodes. What is the correct diagnosis? a) Schizophrenia b) Schizoaffective Disorder c) Major Depressive Disorder with Psychotic Features d) Brief Psychotic Disorder Explanation: Schizoaffective Disorder = Schizophrenia symptoms + Mood disorder (Depression or Mania). Schizophrenia (a) lacks prominent mood symptoms. MDD with Psychotic Features (c) requires psychotic symptoms only during mood episodes (not persistently).  Brief Psychotic Disorder (d) lasts less than one month, making it incorrect. 7. Panic Attack Specifier in DSM-5-TR Question: True or False: A panic attack specifier can be applied to various anxiety and mood disorders. True Explanation: Panic attacks can occur in multiple disorders (e.g., PTSD, Social Anxiety Disorder, MDD). DSM-5-TR allows a panic attack specifier to clarify cases where panic attacks occur outside of Panic Disorder. 8. Autism Spectrum Disorder in DSM-5-TR Question: True or False: In DSM-5-TR, Autism Spectrum Disorder includes separate subtypes such as Asperger’s Syndrome. False Explanation: DSM-5 removed separate subtypes (Asperger’s, PDD-NOS) and now classifies Autism as a spectrum disorder. Severity levels (based on support needs) are used instead. 9. PTSD Diagnosis & Indirect Trauma Exposure Question: True or False: In DSM-5-TR, PTSD can be diagnosed even if the traumatic event was only indirectly experienced (e.g., learning about a violent death of a loved one). True Explanation: DSM-5-TR allows PTSD diagnosis if trauma is: o Directly experienced (e.g., assault, accident).  o Witnessed (e.g., seeing a traumatic event happen to others). o Indirectly experienced (e.g., hearing about a loved one’s violent death). 10. Personality Disorders: Avoidant PD vs. Social Anxiety Disorder Question: True or False: Avoidant Personality Disorder and Social Anxiety Disorder have identical diagnostic criteria. False Explanation: Avoidant Personality Disorder (AvPD) is more pervasive and lifelong than Social Anxiety Disorder (SAD). SAD involves specific social situations, while AvPD extends to all interpersonal relationships.