Counselor Preparation Comprehensive Exam Diagnosis and Psychopathology 2 — Questions and Answers
Question 1: DSM-5 requires PTSD symptoms to span how many symptom clusters?
- Two
- Three
- Four (Correct answer)
- Five
Correct answer: Four
DSM-5 PTSD criteria include four symptom clusters: intrusion, avoidance, negative alterations in cognitions/mood, and alterations in arousal/reactivity.
Question 2: Which feature most clearly differentiates Schizophrenia from Brief Psychotic Disorder in DSM-5?
- Presence of delusions
- Duration of symptoms lasting at least 6 months (Correct answer)
- Auditory hallucinations
- Disorganized speech
Correct answer: Duration of symptoms lasting at least 6 months
Schizophrenia requires continuous signs of disturbance for at least 6 months, while Brief Psychotic Disorder resolves within 1 month.
Question 3: Which eating disorder is characterized by recurrent binge eating WITHOUT compensatory purging behaviors?
- Anorexia Nervosa
- Bulimia Nervosa
- Binge Eating Disorder (Correct answer)
- Avoidant/Restrictive Food Intake Disorder
Correct answer: Binge Eating Disorder
Binge Eating Disorder involves recurrent binge eating episodes without the compensatory behaviors (e.g., purging, excessive exercise) seen in Bulimia Nervosa.
Question 4: The essential feature of Somatic Symptom Disorder in DSM-5 is:
- Medically unexplained physical symptoms
- Excessive thoughts, feelings, or behaviors related to somatic symptoms (Correct answer)
- Feigned illness for external gain
- Conversion of psychological distress into neurological symptoms
Correct answer: Excessive thoughts, feelings, or behaviors related to somatic symptoms
DSM-5 Somatic Symptom Disorder focuses on excessive and disproportionate thoughts, feelings, or behaviors related to physical symptoms, regardless of medical explanation.
Question 5: According to DSM-5, Autism Spectrum Disorder requires persistent deficits in which two core domains?
- Language and motor skills
- Social communication/interaction and restricted/repetitive behaviors (Correct answer)
- Attention and executive function
- Emotional regulation and sensory processing
Correct answer: Social communication/interaction and restricted/repetitive behaviors
DSM-5 ASD criteria require deficits in social communication and social interaction, plus restricted, repetitive patterns of behavior, interests, or activities.
Question 6: A client with a long-standing pattern of grandiosity, need for admiration, and lack of empathy most likely meets criteria for which personality disorder?
- Antisocial Personality Disorder
- Histrionic Personality Disorder
- Narcissistic Personality Disorder (Correct answer)
- Borderline Personality Disorder
Correct answer: Narcissistic Personality Disorder
Narcissistic Personality Disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy beginning in early adulthood.
Counselor Preparation Comprehensive Exam Diagnosis and Psychopathology 2
DSM-5 requires PTSD symptoms to span how many symptom clusters?