Final Rapid-Review Quiz – DSM-5-TR Focused PDF

Section 1: Multiple Choice Questions (MCQs) (DSM-5-TR Classification, Diagnosis & Symptomatology – 50%) 1. Which of the following is a major change in DSM-5-TR compared to DSM-5? a) The removal of PTSD as a diagnosis b) The inclusion of Prolonged Grief Disorder as a new diagnosis...

Section 1: Multiple Choice Questions (MCQs) (DSM-5-TR Classification, Diagnosis & Symptomatology – 50%) 1. Which of the following is a major change in DSM-5-TR compared to DSM-5? a) The removal of PTSD as a diagnosis b) The inclusion of Prolonged Grief Disorder as a new diagnosis c) The elimination of personality disorders d) The requirement of biological markers for all disorders 2. Which of the following is an example of a neurodevelopmental disorder in DSM-5-TR? a) Schizophrenia b) Attention-Deficit/Hyperactivity Disorder (ADHD) c) Generalized Anxiety Disorder d) Major Depressive Disorder 3. Which symptom is required for a diagnosis of schizophrenia in DSM-5-TR? a) Dissociative episodes b) At least one positive symptom (delusions, hallucinations, or disorganized speech) c) Persistent panic attacks d) Obsessions and compulsions 4. Which of the following is a newly refined feature of Major Depressive Disorder in DSM-5-TR? a) The requirement of a specific trauma history b) The removal of the bereavement exclusion c) The addition of manic episodes d) A requirement of symptoms lasting at least 3 months 5. What distinguishes Bipolar I Disorder from Bipolar II Disorder in DSM-5-TR? a) Bipolar I requires a history of full manic episodes, while Bipolar II involves hypomania b) Bipolar I requires depressive episodes, while Bipolar II does not c) Bipolar II has a stronger genetic basis than Bipolar I d) Bipolar I does not include psychotic symptoms 6. Which of the following is a key feature of Generalized Anxiety Disorder (GAD) in DSM-5-TR?  a) Recurrent intrusive memories of a traumatic event b) Excessive worry and anxiety about multiple domains for at least 6 months c) Fear of social interactions d) Compulsive behaviors aimed at reducing anxiety 7. Which of the following distinguishes PTSD from Acute Stress Disorder in DSM-5-TR? a) PTSD symptoms must last for more than one month b) PTSD includes dissociative symptoms, while Acute Stress Disorder does not c) Acute Stress Disorder is only diagnosed in children d) PTSD requires multiple trauma exposures 8. Which of the following is NOT considered an Obsessive-Compulsive and Related Disorder in DSM-5-TR? a) Hoarding Disorder b) Trichotillomania (Hair-Pulling Disorder) c) Body Dysmorphic Disorder d) Borderline Personality Disorder 9. Which personality disorder is characterized by intense fear of abandonment and emotional instability? a) Antisocial Personality Disorder b) Borderline Personality Disorder c) Avoidant Personality Disorder d) Schizoid Personality Disorder 10. Which of the following is a key diagnostic criterion for Substance Use Disorder in DSM-5-TR? a) The presence of hallucinations b) The persistence of use despite negative consequences c) The presence of dissociative symptoms d) The inability to experience pleasure Section 2: True or False Questions (DSM-5-TR Core Concepts – 50%) 11. DSM-5-TR completely removed the categorical model for personality disorders. (False) 12. Schizoaffective Disorder requires both mood disorder symptoms and  psychotic symptoms occurring concurrently. (True) 13. Persistent Depressive Disorder (Dysthymia) requires symptoms to last for at least 1 year in adults. (False – it requires 2 years in adults, 1 year in children/adolescents.) 14. A panic attack specifier can be used in DSM-5-TR with various anxiety and mood disorders. (True) 15. In DSM-5-TR, PTSD can be diagnosed even if the traumatic event was only indirectly experienced (e.g., learning about the violent death of a loved one). (True) 16. In DSM-5-TR, Autism Spectrum Disorder (ASD) is classified based on severity levels rather than distinct subtypes. (True – DSM-5 removed subtypes like Asperger's Syndrome.) 17. The DSM-5-TR requires cultural considerations to be included in all diagnostic assessments. (True – the Cultural Formulation Interview helps assess culture's role in mental health.) 18. Avoidant Personality Disorder and Social Anxiety Disorder have identical diagnostic criteria in DSM-5-TR. (False – although they overlap, Avoidant Personality Disorder is more pervasive and lifelong.) 19. Dissociative Identity Disorder (DID) requires at least two distinct personality states that disrupt identity. (True) 20. Hoarding Disorder is classified under the Trauma- and Stressor-Related Disorders section of DSM-5-TR. (False – it is under Obsessive-Compulsive and Related Disorders.) (DSM-5-TR Classification, Diagnosis & Symptomatology – 50%) 1. (b) The inclusion of Prolonged Grief Disorder as a new diagnosis o DSM-5-TR added Prolonged Grief Disorder (PGD) to recognize prolonged, severe bereavement that disrupts daily functioning. o PTSD remains a diagnosis, personality disorders were not removed, and biological markers are not required for all disorders. 2. (b) Attention-Deficit/Hyperactivity Disorder (ADHD) o Neurodevelopmental disorders include ADHD, Autism Spectrum Disorder (ASD), Intellectual Disability, and Learning Disorders. o Schizophrenia is a psychotic disorder, while GAD and MDD fall under anxiety and mood disorders, respectively. 3. (b) At least one positive symptom (delusions, hallucinations, or disorganized speech) o DSM-5-TR requires at least one positive symptom (delusions, hallucinations, disorganized speech) plus additional functional impairment. o Dissociative symptoms (option A) are not a core feature of schizophrenia. 4. (b) The removal of the bereavement exclusion o DSM-5-TR no longer excludes bereavement from Major Depressive Disorder (MDD), recognizing that grief and depression can coexist. 5. (a) Bipolar I requires a history of full manic episodes, while Bipolar II involves hypomania o Bipolar I Disorder requires at least one full manic episode, while Bipolar II involves hypomania (a less severe form of mania). o Both types can have depressive episodes, but Bipolar II does not include full-blown mania. 6. (b) Excessive worry and anxiety about multiple domains for at least 6 months o Generalized Anxiety Disorder (GAD) is chronic, excessive worry about multiple areas of life, lasting at least 6 months.  o PTSD (option A) involves trauma exposure, while Social Anxiety Disorder (option C) is fear of social interactions. 7. (a) PTSD symptoms must last for more than one month o Acute Stress Disorder (ASD) lasts between 3 days to 1 month after trauma. o PTSD lasts more than 1 month and can develop at any point after trauma. 8. (d) Borderline Personality Disorder o Borderline Personality Disorder (BPD) is a personality disorder, while Hoarding, Trichotillomania, and Body Dysmorphic Disorder belong to Obsessive-Compulsive and Related Disorders. 9. (b) Borderline Personality Disorder o BPD features extreme emotional swings, impulsivity, and fear of abandonment. o Antisocial Personality Disorder (option A) involves disregard for others, Avoidant PD (option C) involves social inhibition, and Schizoid PD (option D) involves emotional detachment. 10. (b) The persistence of use despite negative consequences Substance Use Disorder (SUD) is diagnosed when substance use continues despite significant harm (health, social, occupational). Hallucinations (option A) and dissociation (option C) are not core symptoms. Section 2: True or False Questions (DSM-5-TR Core Concepts – 50%) 11. False DSM-5-TR retains the categorical model for personality disorders, though an alternative dimensional model is included. 12. True Schizoaffective Disorder requires mood symptoms (e.g., depression, mania) co-occurring with psychotic symptoms. 13. False Persistent Depressive Disorder (Dysthymia) must last at least 2 years in adults and 1 year in children/adolescents. 14. True A panic attack specifier can be applied to various anxiety and mood disorders, not just Panic Disorder. 15. True PTSD can be diagnosed when trauma is indirectly experienced, such as learning about the violent death of a loved one. 16. True DSM-5-TR classifies Autism Spectrum Disorder (ASD) using severity levels, removing previous subtypes like Asperger’s Syndrome. 17. True Cultural considerations must be included in DSM-5-TR assessments through tools like the Cultural Formulation Interview (CFI). 18. False Avoidant Personality Disorder (AvPD) and Social Anxiety Disorder (SAD) overlap, but AvPD is more pervasive and lifelong. 19. True Dissociative Identity Disorder (DID) requires at least two distinct personality states and identity disruption. 20. False Hoarding Disorder is part of Obsessive-Compulsive and Related Disorders, not Trauma- and Stressor-Related Disorders.