Level 5 Surprise Questions Midterm Quiz PDF

**\"Surprise Questions Midterm Quiz\" -- The Professors\' Favorite Tricky Topics** **Section 1: Multiple-Choice Questions (35 Questions)** **Super Obscure and Unexpected Knowledge** 1. **Which version of the DSM first removed homosexuality as a mental disorder?**\ a) DSM-I\ b) DSM-II...

**\"Surprise Questions Midterm Quiz\" -- The Professors\' Favorite Tricky Topics** **Section 1: Multiple-Choice Questions (35 Questions)** **Super Obscure and Unexpected Knowledge** 1. **Which version of the DSM first removed homosexuality as a mental disorder?**\ a) DSM-I\ b) DSM-II\ c) DSM-III\ d) DSM-IV 2. **The \"double jeopardy\" effect in childhood trauma refers to:**\ a) A child\'s legal responsibility for their trauma-related actions\ b) The increased risk of mental illness when ACEs and PCEs interact\ c) The fact that ACEs double the likelihood of PTSD\ d) The idea that protective experiences cannot outweigh trauma 3. **Which neurotransmitter is MOST associated with obsessive-compulsive disorder (OCD)?**\ a) Serotonin\ b) Dopamine\ c) GABA\ d) Glutamate 4. **Which of the following is NOT considered a culturally bound syndrome?**\ a) Ataque de nervios\ b) Koro\ c) Schizophrenia\ d) Hikikomori 5. **Which of the following is an example of an idiographic approach to research in psychopathology?**\ a) A clinical trial for depression medication\ b) A large-scale epidemiological study on anxiety\ c) A case study on one patient's unique schizophrenia symptoms\ d) A meta-analysis of CBT effectiveness **Trick Questions with Nearly Identical Answer Choices** 6. **Which anxiety disorder requires symptoms to be present for at least 6 months?**\ a) Generalized anxiety disorder\ b) Panic disorder\ c) PTSD\ d) Acute stress disorder 7. **Which of the following is TRUE about factitious disorder?**\ a) It is intentionally produced for external gain\ b) It is motivated by internal psychological needs\ c) It is a type of malingering\ d) It only affects physical health complaints 8. **In the DSM-5, hoarding disorder is classified under:**\ a) Anxiety disorders\ b) Obsessive-compulsive and related disorders\ c) Neurodevelopmental disorders\ d) Personality disorders 9. **Which term best describes a situation where a person experiences an episode of depression but has never had a manic or hypomanic episode?**\ a) Bipolar I disorder\ b) Bipolar II disorder\ c) Major depressive disorder\ d) Cyclothymic disorder 10. **Which of the following is NOT a risk factor for developing schizophrenia?**\ a) Advanced paternal age\ b) Prenatal exposure to viruses\ c) Low serotonin levels\ d) Cannabis use in adolescence **Surprise Medication and Treatment-Based Questions** 11. **The primary difference between first-generation and second-generation antipsychotics is:**\ a) First-generation antipsychotics primarily treat negative symptoms\ b) Second-generation antipsychotics have no side effects\ c) Second-generation antipsychotics are less likely to cause extrapyramidal symptoms\ d) First-generation antipsychotics increase serotonin levels 12. **Which of the following medications is most commonly used for bipolar disorder?**\ a) Fluoxetine\ b) Lithium\ c) Clozapine\ d) Buspirone 13. **Which type of psychotherapy focuses on emotional expression and relationships?**\ a) Cognitive-behavioral therapy (CBT)\ b) Interpersonal therapy (IPT)\ c) Dialectical behavior therapy (DBT)\ d) Exposure therapy 14. **Which of the following is a common side effect of SSRIs?**\ a) Weight loss\ b) Gastrointestinal issues\ c) Increased dopamine levels\ d) Decreased cognitive function 15. **Which psychotherapy technique is specifically designed for borderline personality disorder?**\ a) Cognitive processing therapy\ b) Exposure and response prevention\ c) Dialectical behavior therapy\ d) Psychoanalysis **Section 2: True/False Questions (15 Questions)** *(Mark T for True, F for False. Watch out---some are worded to trick you!)* 16. **T/F:** The DSM-5 completely removed the multiaxial system from previous editions. **(True)** 17. **T/F:** Premenstrual dysphoric disorder (PMDD) is classified as an anxiety disorder in the DSM-5. **(False)** -- It's under **depressive disorders**. 18. **T/F:** Generalized anxiety disorder can be diagnosed after symptoms persist for at least 3 months. **(False)** -- It requires **6 months**. 19. **T/F:** The dopamine hypothesis states that low levels of dopamine cause schizophrenia. **(False)** -- It states that **excess dopamine activity** contributes to symptoms. 20. **T/F:** Malingering is listed as a mental disorder in the DSM-5. **(False)** -- It is **not a disorder**; it refers to **faking symptoms for external gain**. 21. **T/F:** The heritability of schizophrenia is higher than that of major depressive disorder. **(True)** -- Schizophrenia is **highly heritable**, while MDD is influenced more by environment. 22. **T/F:** The DSM-5 classifies hoarding disorder separately from OCD. **(True)** 23. **T/F:** PTSD and acute stress disorder have identical symptom criteria. **(False)** -- Acute stress disorder lasts **3 days to 1 month**, while PTSD lasts **longer than 1 month**. 24. **T/F:** All mood disorders require at least one depressive episode. **(False)** -- Bipolar I disorder **does not require a depressive episode**, only mania. 25. **T/F:** Autism spectrum disorder always involves intellectual disability. **(False)** -- Many individuals with ASD have **average or above-average intelligence**. 26. **T/F:** Factitious disorder and malingering are the same condition. **(False)** -- **Factitious disorder** is motivated by psychological needs, whereas **malingering** is for external gain. 27. **T/F:** Clozapine is a first-line treatment for schizophrenia. **(False)** -- **Clozapine** is used **only after other antipsychotics fail** due to risk of **agranulocytosis**. 28. **T/F:** Exposure therapy is considered the most effective treatment for PTSD. **(True)** -- **Prolonged exposure therapy** helps individuals process trauma safely. 29. **T/F:** Schizoaffective disorder requires at least two weeks of psychotic symptoms in the absence of mood symptoms. **(True)** 30. **T/F:** Antidepressants start working immediately after the first dose. **(False)** -- They often take **4-6 weeks** to have noticeable effects. **Answers** **Section 1: Multiple-Choice Questions (35 Questions)** **Super Obscure and Unexpected Knowledge** 1. **(b) DSM-II**\ *Explanation:* Homosexuality was removed from the DSM in **1973** when the DSM-II was revised. Before that, it was classified as a disorder. 2. **(b) The increased risk of mental illness when ACEs and PCEs interact**\ *Explanation:* \"Double jeopardy\" means that **if a child has high ACEs but low PCEs, they have a greater risk for poor mental health outcomes**. 3. **(a) Serotonin**\ *Explanation:* **OCD is strongly linked to serotonin dysfunction**, which is why SSRIs (Selective Serotonin Reuptake Inhibitors) are a primary treatment. 4. **(c) Schizophrenia**\ *Explanation:* **Schizophrenia is not a culturally bound syndrome**---it appears across all cultures, while **koro, ataque de nervios, and hikikomori** are culture-specific. 5. **(c) A case study on one patient's unique schizophrenia symptoms**\ *Explanation:* **Idiographic approaches** focus on **individual cases** rather than large-scale studies (nomothetic approaches). **Trick Questions with Nearly Identical Answer Choices** 6. **(a) Generalized anxiety disorder**\ *Explanation:* **GAD symptoms must last at least 6 months**. **Panic disorder and PTSD have different duration requirements.** 7. **(b) It is motivated by internal psychological needs**\ *Explanation:* **Factitious disorder involves fabricating symptoms for psychological reasons**, unlike **malingering**, which is done for external gain. 8. **(b) Obsessive-compulsive and related disorders**\ *Explanation:* **Hoarding disorder was classified under OCD in previous DSM versions but is now a separate diagnosis under \"Obsessive-Compulsive and Related Disorders.\"** 9. **(c) Major depressive disorder**\ *Explanation:* **MDD is diagnosed when a person experiences depressive episodes without any history of mania or hypomania**. 10. **(c) Low serotonin levels**\ *Explanation:* **Schizophrenia is primarily linked to dopamine dysregulation**, **not serotonin deficiency**, which is more associated with depression and anxiety. **Surprise Medication and Treatment-Based Questions** 11. **(c) Second-generation antipsychotics are less likely to cause extrapyramidal symptoms**\ *Explanation:* **First-generation antipsychotics (e.g., haloperidol) cause more movement-related side effects, while second-generation (e.g., risperidone) have fewer motor side effects but still pose metabolic risks.** 12. **(b) Lithium**\ *Explanation:* **Lithium is the gold standard for bipolar disorder treatment**, though anticonvulsants (e.g., valproate) and atypical antipsychotics (e.g., quetiapine) are also used. 13. **(b) Interpersonal therapy (IPT)**\ *Explanation:* **IPT focuses on improving interpersonal relationships and emotional regulation**, often used for depression. 14. **(b) Gastrointestinal issues**\ *Explanation:* **SSRIs can cause nausea, diarrhea, and stomach upset as common side effects**. 15. **(c) Dialectical behavior therapy (DBT)**\ *Explanation:* **DBT was specifically designed for borderline personality disorder to help with emotional regulation and self-harm behaviors.** **Section 2: True/False Questions (15 Questions)** 16. **True** -- *The DSM-5 removed the multiaxial system* used in earlier versions, simplifying diagnosis. 17. **True** -- *Schizoaffective disorder requires a combination of mood disorder symptoms and psychotic symptoms.* 18. **False** -- *Major depressive disorder (MDD) requires at least **2 weeks** of symptoms, not 6 months.* 19. **True** -- *Antisocial personality disorder requires conduct disorder symptoms before age 15.* 20. **False** -- *Not everyone with ACEs develops mental illness---resilience and protective factors play a key role.* 21. **False** -- *The dopamine hypothesis suggests **excess dopamine activity**, not deficiency, contributes to schizophrenia.* 22. **True** -- *PTSD can develop from both direct trauma (e.g., assault) and indirect trauma (e.g., witnessing violence).* 23. **True** -- *CBT is an evidence-based treatment for both depression and anxiety, focusing on cognitive distortions and behavioral change.* 24. **False** -- *Bipolar I disorder does NOT require a depressive episode---only at least **one manic episode** is necessary for diagnosis.* 25. **False** -- *Autism Spectrum Disorder (ASD) does not always involve intellectual disability---many individuals have average or above-average IQs.* 26. **False** -- *Factitious disorder is about fabricating symptoms for psychological needs, whereas malingering is done for external gain.* 27. **False** -- *Clozapine is not a first-line treatment for schizophrenia---it is used only when other medications fail due to its risk of **agranulocytosis** (dangerous white blood cell reduction).* 28. **True** -- *Prolonged exposure therapy, a type of CBT, is highly effective for PTSD.* 29. **True** -- *Schizoaffective disorder requires at least **2 weeks of psychotic symptoms without mood symptoms**.* 30. **False** -- *Antidepressants take **4-6 weeks** to show full effects, not immediately.*