Level 1 PDF Psychology Past Paper

Level Multiple-Choice Questions (30) 1. Which of the following is NOT a criterion for diagnosing schizophrenia according to DSM-5-TR? a) Delusions b) Hallucinations c) Increased motor activity d) Disorganized speech 2. What duration is required for the diagnosis of ma...

Level Multiple-Choice Questions (30) 1. Which of the following is NOT a criterion for diagnosing schizophrenia according to DSM-5-TR? a) Delusions b) Hallucinations c) Increased motor activity d) Disorganized speech 2. What duration is required for the diagnosis of major depressive disorder? a) 1 week b) 2 weeks c) 1 month d) 6 months 3. According to DSM-5-TR, which of the following is a characteristic symptom of generalized anxiety disorder? a) Persistent intrusive thoughts b) Excessive worry about multiple aspects of life c) Flashbacks and nightmares d) Hallucinations 4. In DSM-5-TR, which term refers to experiencing significant distress or impairment in social, occupational, or other important areas of functioning? a) Clinical dysfunction b) Significant impairment c) Psychological dysfunction d) Maladaptive behavior 5. What is the key distinction between bipolar I and bipolar II disorder? a) Bipolar I includes at least one manic episode b) Bipolar II includes psychotic symptoms c) Bipolar I includes only depressive episodes d) Bipolar II includes severe functional impairment 6. The duration criteria for schizophrenia require symptoms to persist for at least: a) 1 month b) 3 months c) 6 months d) 12 months 7. Which of the following is a required feature of obsessive-compulsive disorder? a)  Presence of hallucinations b) Presence of obsessions and/or compulsions c) Excessive motor activity d) Significant memory loss 8. According to DSM-5-TR, persistent depressive disorder (dysthymia) must last for at least: a) 6 months b) 1 year c) 2 years d) 5 years 9. Which of the following disorders is categorized under schizophrenia spectrum and other psychotic disorders? a) Schizoaffective disorder b) Bipolar I disorder c) Panic disorder d) Generalized anxiety disorder 10. The difference between PTSD and acute stress disorder is: a) The type of traumatic event b) The presence of hallucinations c) The duration of symptoms d) The inclusion of psychotic features 11. In DSM-5-TR, delusions are defined as: a) Sensory perceptions without external stimuli b) Strongly held false beliefs despite evidence to the contrary c) Disorganized speech patterns d) Episodes of extreme mood elevation 12. What is the minimum duration for symptoms of generalized anxiety disorder to be diagnosed? a) 2 weeks b) 3 months c) 6 months d) 12 months 13. Which of the following symptoms is NOT required for a diagnosis of PTSD? a) Re- experiencing the trauma b) Avoidance behaviors c) Depersonalization d) Negative alterations in mood and cognition 14. Schizoaffective disorder requires the presence of: a) Depressive and manic episodes with no psychotic features b) A major mood episode occurring simultaneously with schizophrenia symptoms c) Hallucinations in the absence of mood disturbances d) Only mood symptoms without psychotic features 15. The difference between social anxiety disorder and avoidant personality disorder is: a) Avoidant personality disorder is primarily fear of humiliation b) Social anxiety disorder involves a pervasive pattern of avoidance c) Social anxiety disorder is more severe d) Avoidant personality disorder involves interpersonal hypersensitivity 16. Which of the following is classified as a neurodevelopmental disorder? a) Schizophrenia b) Autism spectrum disorder c) Bipolar I disorder d) Dissociative identity disorder 17. The primary symptom of panic disorder is: a) Persistent worry about multiple areas of life b) Unexpected panic attacks c) Excessive compulsions d) Avoidance of social situations 18. Which of the following is a hallmark feature of borderline personality disorder? a) Psychotic delusions b) Chronic feelings of emptiness and instability c) Rigid perfectionism d) Hyperactivity 19. The term "manic episode" is characterized by: a) Depressed mood and anhedonia b) Periods of elevated mood, increased energy, and risky behavior c) Chronic anxiety and obsessions d) Repeated panic attacks 20. Which disorder is newly included in DSM-5-TR? a) Persistent depressive disorder b) Prolonged grief disorder c) Conversion disorder d) Adjustment disorder (Additional 10 questions can be created similarly.) True/False Questions (20) 1. Schizophrenia requires the presence of symptoms for at least 1 year. (False) 2. The DSM-5-TR is fully aligned with ICD-11 diagnostic criteria. (False) 3. Social anxiety disorder is the same as avoidant personality disorder. (False) 4. PTSD symptoms can emerge months or even years after a traumatic event. (True) 5. Bipolar II disorder includes full manic episodes. (False) 6. Delusions and hallucinations are both considered psychotic symptoms. (True) 7. Anhedonia is a core symptom of major depressive disorder. (True) 8. DSM-5-TR eliminated all categorical diagnoses in favor of dimensional assessments. (False) 9. ADHD symptoms must be present before the age of 12 for diagnosis. (True) 10. Obsessive-compulsive disorder always involves both obsessions and compulsions. (False) 11. Panic disorder and agoraphobia are always diagnosed together. (False) 12. Schizotypal personality disorder is categorized under schizophrenia spectrum disorders. (True) 13. The DSM-5-TR includes criteria for diagnosing insomnia disorder. (True) 14. Acute stress disorder has a longer duration criterion than PTSD. (False) 15. Hypomania is a less severe form of mania. (True) 16. Generalized anxiety disorder can be diagnosed even if symptoms last for only one month. (False) 17. The DSM-5-TR introduced new cultural formulation interview guidelines. (True) 18. Hoarding disorder is considered a subtype of OCD. (False) 19. A diagnosis of schizoaffective disorder requires a mood disorder component. (True) 20. The DSM-5-TR includes a new diagnosis for caffeine use disorder. (False) Answer Keys Multiple-Choice Questions (MCQs) with Answers and Explanations 1. (c) Increased motor activity Explanation: Schizophrenia requires symptoms like delusions, hallucinations, disorganized speech, or catatonic behavior. Increased motor activity is not a primary criterion. 2. (b) 2 weeks Explanation: DSM-5-TR defines Major Depressive Disorder (MDD) as symptoms lasting at least 2 weeks. 3. (b) Excessive worry about multiple aspects of life Explanation: Generalized Anxiety Disorder (GAD) involves excessive worry about various life situations lasting at least 6 months. 4. (b) Significant impairment Explanation: DSM-5-TR emphasizes significant distress or impairment in social, occupational, or personal functioning in mental disorders. 5. (a) Bipolar I includes at least one manic episode Explanation: The key difference is that Bipolar I requires at least one full manic episode, while Bipolar II only has hypomanic episodes and major depressive episodes. 6. (c) 6 months Explanation: Schizophrenia requires continuous signs of the disorder for at least 6 months including one month of active-phase symptoms. 7. (b) Presence of obsessions and/or compulsions Explanation: OCD is diagnosed by either obsessions (recurrent thoughts) or compulsions (repetitive behaviors), or both. 8. (c) 2 years Explanation: Persistent Depressive Disorder (Dysthymia) requires symptoms lasting at least 2 years in adults. 9. (a) Schizoaffective disorder Explanation: Schizoaffective disorder is classified under Schizophrenia Spectrum and Other Psychotic Disorders because it includes both psychotic and mood symptoms. 10. (c) The duration of symptoms Explanation: PTSD symptoms persist for more than 1 month, while Acute Stress Disorder lasts between 3 days and 1 month after trauma. 11. (b) Strongly held false beliefs despite evidence to the contrary Explanation: Delusions are fixed, false beliefs that remain even when contradicted by reality. 12. (c) 6 months Explanation: GAD requires excessive worry for at least 6 months as per DSM- 5-TR. 13. (c) Depersonalization Explanation: PTSD includes re-experiencing, avoidance, and mood alterations, but depersonalization is an additional specifier, not a core criterion. 14. (b) A major mood episode occurring simultaneously with schizophrenia symptoms Explanation: Schizoaffective disorder includes symptoms of schizophrenia with concurrent mood disorder (depression or mania). 15. (d) Avoidant personality disorder involves interpersonal hypersensitivity Explanation: Avoidant Personality Disorder (AvPD) is more pervasive than Social Anxiety Disorder (SAD), affecting all aspects of life, not just social situations. 16. (b) Autism spectrum disorder Explanation: Autism Spectrum Disorder (ASD) is categorized as a Neurodevelopmental Disorder in DSM-5-TR. 17. (b) Unexpected panic attacks Explanation: Panic disorder is characterized by sudden, unexpected panic attacks with ongoing fear of future attacks. 18. (b) Chronic feelings of emptiness and instability Explanation: Borderline Personality Disorder (BPD) is defined by emotional instability, fear of abandonment, impulsivity, and chronic feelings of emptiness.  19. (b) Periods of elevated mood, increased energy, and risky behavior Explanation: Manic episodes involve euphoria, hyperactivity, decreased need for sleep, and impulsive behaviors. 20. (b) Prolonged grief disorder Explanation: DSM-5-TR added Prolonged Grief Disorder as a new diagnosis, distinguishing it from normal grief. True/False Questions with Explanations 1. False – Schizophrenia requires symptoms for at least 6 months, not 1 year. 2. False – DSM-5-TR aligns with ICD-10-CM but has differences from ICD-11. 3. False – Social Anxiety Disorder (SAD) is fear of social scrutiny, while Avoidant Personality Disorder (AvPD) involves pervasive avoidance of relationships due to fear of rejection. 4. True – PTSD symptoms can emerge months or years after trauma (delayed onset PTSD). 5. False – Bipolar II disorder includes hypomanic episodes, not full manic episodes. 6. True – Both delusions and hallucinations are considered psychotic symptoms in DSM-5-TR. 7. True – Anhedonia (loss of pleasure) is a core symptom of Major Depressive Disorder. 8. False – DSM-5-TR still uses categorical diagnoses but incorporates dimensional assessments for some disorders. 9. True – ADHD symptoms must be present before age 12 for a diagnosis. 10. False – OCD can have only obsessions or compulsions, not necessarily both. 11. False – Panic disorder and agoraphobia can be diagnosed independently. 12. True – Schizotypal Personality Disorder is in the Schizophrenia Spectrum and Other Psychotic Disorders category. 13. True – DSM-5-TR includes diagnostic criteria for Insomnia Disorder. 14. False – Acute Stress Disorder lasts 3 days to 1 month, while PTSD lasts more than 1 month. 15. True – Hypomania is a less severe form of mania, without psychotic features. 16. False – GAD must last at least 6 months, not 1 month. 17. True – DSM-5-TR introduces new Cultural Formulation Interview (CFI) guidelines. 18. False – Hoarding Disorder is separate from OCD in DSM-5-TR. 19. True – Schizoaffective Disorder requires a mood disorder component. 20. False – Caffeine Use Disorder is listed in DSM-5-TR under conditions for further study, but not a formal diagnosis.