NCE Diagnosis and Psychopathology 2

Question 1

A client presents with a 3-month history of recurrent episodes of intense fear lasting 10-20 minutes, including palpitations, sweating, trembling, shortness of breath, and fear of dying. Between episodes, they worry constantly about having another episode. What is the MOST likely diagnosis?

Accepted Answer

Panic Disorder

Answer

Recurrent unexpected panic attacks plus persistent anticipatory anxiety about future attacks is the hallmark of Panic Disorder. The panic attacks include multiple somatic and cognitive symptoms peaking within minutes.

Question 2

The diagnostic criteria for Autism Spectrum Disorder (ASD) in the DSM-5 are organized around which two core domains?

Accepted Answer

Social communication deficits and restricted/repetitive behaviors

Answer

DSM-5 ASD is defined by persistent deficits in social communication/interaction AND restricted, repetitive patterns of behavior, interests, or activities, present in the early developmental period.

Question 3

In the DSM-5, 'specifiers' are used to:

Accepted Answer

Provide additional detail about a diagnosis (onset, severity, features, course)

Answer

Specifiers add descriptive detail to a DSM-5 diagnosis, including onset (e.g., with peripartum onset), course (e.g., with seasonal pattern), severity (mild/moderate/severe), and specific features (e.g., with psychotic features).

Question 4

Which personality disorder is characterized by a pervasive pattern of instability in interpersonal relationships, self-image, and affect, along with marked impulsivity?

Accepted Answer

Borderline Personality Disorder

Answer

Borderline Personality Disorder (BPD) is defined by instability across relationships, self-image, and emotion, plus impulsivity. Key features include fear of abandonment, splitting, self-harm, and identity diffusion.

Question 5

A client who lost their job three months ago presents with sadness, trouble sleeping, and decreased concentration that has significantly impaired daily functioning. No symptoms of a full major depressive episode are present. The MOST appropriate diagnosis is:

Accepted Answer

Adjustment Disorder with Depressed Mood

Answer

Adjustment Disorder is characterized by emotional or behavioral symptoms in response to an identifiable stressor that are disproportionate or cause marked distress/impairment, occurring within 3 months of the stressor, without meeting full criteria for another disorder.

NCE Exam Practice Test

NCE Exam Practice Test

NCE Diagnosis and Psychopathology 2