Professional Documents
Culture Documents
2007 Human Behavior Course Block 3 Exam
2007 Human Behavior Course Block 3 Exam
1. D 21. A
2. E 22. A
3. A 23. E
4. E 24. B
5. D 25. D [Miscode: correct answer is A]
6. C 26. B
7. E 27. E
8. E 28. E
9. C 29. D
10. D 30. D
11. C 31. D
12. D 32. C
13. D 33. E
14. A 34. A
15. B 35. C
16. B 36. C
17. C 37. B
18. A 38. D
19. C 39. C [Miscode: correct answer is A]
20. E 40. E
!! ANSWER KEY !!
2007 Human Behavior Course Block 3 Exam
[See highlights below: two answers were miscoded and
will be corrected on regrading of the test after challenges]
DATE
Page 2
04/26/07 5:29 PM
!! ANSWER KEY !!
1. Individuals with borderline and narcissistic personality disorders often tend to inaccurately
perceive and consequently treat people as if there were either “all good” or “all bad” with no
in between. This defense mechanism is called
A. repression
B. oppression
C. rationalization
D. XX splitting
E. none of the above
3. People with many of the personality disorders, especially those with paranoid personality
disorder, tend to blame all their problems on the faults or actions of others. This defense
mechanism is called
A. XX externalization
B. splitting
C. repression
D. intellectualization
E. passive-aggressive behavior
4. Beta adrenergic receptor antagonists (“beta blockers”) are an effective treatment for
A. panic disorder
B. hypochondriasis
C. generalized anxiety disorder
D. obsessive-compulsive disorder
E. XX none of the above
5. Which of the following personality disorders falls in the “anxious” or “fearful” cluster of
disorders?
A. dependent personality disorder
B. obsessive compulsive personality disorder
C. avoidant personality disorder
D. XX all of the above
E. none of the above
Page 3
04/26/07 5:29 PM
!! ANSWER KEY !!
7. Which of the following personality disorders is an enduring pattern and is inflexible and
pervasive across a broad range of personal and social situations?
A. borderline personality disorder
B. obsessive compulsive personality disorder
C. histrionic personality disorder
D. dependent personality disorder
E. XX all of the above
9. Willie B. Skaird is a 36 year old man who has become increasingly disabled since 3 months
ago when he first experienced a sudden 10-15 minute episode of chest discomfort,
sweating, nausea, palpitations, and a profound sense of impending doom. He has had a
number of these episodes since then. He has twice gone to the emergency room thinking he
was having a heart attack, but eventually an extensive medical evaluation was completely
negative. Mr. Skaird fears having an episode in public without a place to escape, so he now
stays at home all the time. The best diagnosis for Mr. Skaird is
A. Social phobia
B. specific phobia
C. XX panic disorder with agoraphobia
D. Panic disorder
E. Obsessive-compulsive disorder
10. Which of the following is the best treatment for Mr. Skaird’s condition?
A. Reassurance
B. Buspirone
C. Propranolol
D. XX Fluoxetine
E. All of the above
Page 4
04/26/07 5:29 PM
!! ANSWER KEY !!
12. Which of the following anxiety disorders is most common but least disabling?
A. obsessive compulsive disorder
B. generalized anxiety disorder
C. panic disorder
D. XX specific phobia
E. Post-traumatic stress disorder
15. Which of the following personality disorders falls in the “dramatic” or “erratic” cluster of
disorders?
A. obsessive compulsive personality disorder
B. XX narcissistic personality disorder
C. schizotypal personality disorder
D. schizoid personality disorder
E. all of the above
17. SGT Joe Slick was evacuated from the battlefield with a broken ankle just hours before his
unit was to mount a full-scale assault on highly fortified enemy troops. After the evacuation,
three soldiers in SGT Slick’s unit told the company commander that they watched SGT Slick
deliberately break his ankle. SGT Slick is confronted and confessed that he broke his ankle
because he didn’t want to risk his life in the impending battle. What is the best diagnosis for
SGT Slick?
A. somatization disorder
B. factitious disorder
C. XX malingering
D. neurasthenia
E. conversion disorder
Page 5
04/26/07 5:29 PM
!! ANSWER KEY !!
18. Which personality disorder is most commonly associated with SGT Slick’s diagnosis?
A. XX antisocial personality disorder
B. avoidant personality disorder
C. schizoid personality disorder
D. dependent personality disorder
E. all of the above
19. Mr. Cho is a 43 year old man, never married, who has never had any significant friends. He
is generally cold and aloof to others, often doesn’t reply back when spoken to, his affect is
flat, and his speech is typically almost a whisper. He has no desire for intimacy whatsoever
and prefers solitary activities. Which diagnosis is best?
A. antisocial personality disorder
B. avoidant personality disorder
C. XX schizoid personality disorder
D. dependent personality disorder
E. obsessive compulsive personality disorder
21. Food & Drug Administration approved treatment for PTSD includes
A. XX Sertraline
B. imipramine
C. ziprasidone
D. diazepam
E. propranolol
Page 6
04/26/07 5:29 PM
!! ANSWER KEY !!
24. Free-floating anxiety is a central feature of
A. panic disorder
B. XX generalized anxiety disorder
C. obsessive-compulsive anxiety disorder
D. specific phobia
E. body dysmorphic disorder
25. Sam is a 35 year old man with a pattern of different medically unexplained physical
problems dating back to his teens. These problems have sometimes included joint pain,
headaches, constipation, pain with swallowing, abdominal pain, shortness of breath, and
pain with intercourse to name only a few. Sam’s doctors (he has had many) only rarely find
a medical cause or objective evidence of his problems. Sam is adamant that his problems
are medical, denies stress plays any role, and often demands specific medical tests even
when doctor tell him they are unnecessary. What is the best diagnosis?
A. somatization disorder
B. neurasthenia
C. pain disorder
D. XX hypochondriasis [WRONG! Miscode – Answer is A]
E. factitious disorder
28. Which of the following is the best management for Sam’s condition?
A. analgesics PRN (as needed) for pain
B. benzodiazepine sedative-hypnotics for symptom-related insomnia
C. exhaustive medical workup for new physical complaints
D. follow-up as needed whenever new physical complaints occur
E. XX single primary care physician
Page 7
04/26/07 5:29 PM
!! ANSWER KEY !!
29. Mr. Gold is a 57 year old CEO of a major corporation. He has always been known for his
ruthlessness in the boardroom and his willingness to intimidate and terminate employees for
his own gain. He has been married a half-dozen times, the longest for 3 years, and has is
known as a notorious womanizer who dates, seduces, and dumps beautiful blonde
statuesque models routinely still. His only long term and closest friend is a 5 term US
Congressman (“he’s only person I’ve met who is worthy of my confidence,” he says). He has
confided in the Senator that he has always been lonely, but once he gets to know the
women he meets, he grows a disdain for them and has to leave them before his anger
toward them “starts to waste my valuable energy.” Mr. Gold has no children and his parents
are deceased. What is the best diagnosis?
A. schizotypal personality disorder
B. histrionic personality disorder
C. avoidant personality disorder
D. XX narcissistic personality disorder
E. dependent personality disorder
30. A “flashback”
A. is an obsession
B. is a sign of psychosis
C. is a trauma-related nightmare
D. XX is a waking state of intrusive traumatic event recall
E. all of the above
31. Which of the following is classified as an anxiety disorder within the Diagnostic & Statistical
Manual for Mental Disorders, Fourth Edition (DSM-IV)?
A. conversion disorder
B. factitious disorder
C. adjustment disorder with mixed anxiety and depressed mood
D. XX acute stress disorder
E. all of the above
32. Risk factors for developing PTSD among victims of a traumatic event include
A. male gender
B. good premorbid functioning
C. XX intensity (degree) of trauma exposure
D. brief duration of trauma exposure
E. none of the above
34. Which of the following might precipitate acute stress disorder (ASD)?
A. XX handling dead bodies
B. recent marriage
C. recent divorce
D. getting fired from a job
E. none of the above
Page 8
04/26/07 5:29 PM
!! ANSWER KEY !!
35. External benefit derived from a somatic symptom is
A. Usually conscious benefit
B. primary gain
C. XX secondary gain
D. malingering
E. all of the above
36. Which of the following personality disorders is sometimes managed using low dose
antipsychotic medications?
A. dependent personality disorder
B. histrionic personality disorder
C. XX borderline personality disorder
D. obsessive-compulsive personality disorder
E. narcissistic personality disorder
37. Fabulo is a handsome 33 year old man repeatedly seeks cosmetic surgery for correction of
perceived imperfections. Even though these surgeries have always achieved high quality
outcomes, Fabulo never feels satisfied even though most men would “kill” to look so
fabulous. Fabulo continues to seek cosmetic surgery even though his insurance doesn’t
cover it, and he has gone broke trying to pay for it. What is the best diagnosis?
A. hypochondriasis
B. XX body dysmorphic disorder
C. somatization disorder
D. factitious disorder
E. obsessive-compulsive disorder
38. Ms. Prim is a 40 something “desperate housewife” who has been married for 23 years but
and fundamentally bored in the relationship. She and her husband have a 17 year old son.
Mr. Prim spends long hours away from the home to avoid Ms. Prim’s controlling manner.
She controls the kitchen with an iron fist, watches every penny and never spends a penny
unless she has to. Her house is spotless from top to bottom and she becomes angry and
hostile whenever her son or husband enters a room she has just cleaned. Her dress is
always immaculate with nary a hair out of place. Mr. and Mrs. Prim have not had sex for
years, because Ms. Prim finds “the act repulsive and smelly.” Even when they had regular
sex years ago, it was only at certain times on certain days and in certain places. What is the
best diagnosis?
A. paranoid personality disorder
B. schizoid personality disorder
C. avoidant personality disorder
D. XX obsessive-compulsive personality disorder
E. antisocial personality disorder
39. Which of the following is true about the traumatic events that lead to PTSD?
A. they must be “outside the realm of normal human experience”
B. most Americans experience one or more in their lifetime
C. XX women experience them more often than men [WRONG! Miscode -- Answer is A]
D. they must involve violence
E. none of the above
Page 9
04/26/07 5:29 PM
!! ANSWER KEY !!
40. Mr. Wimpy is a 32 year old man who married 12 years ago to a wealthy woman 12 years
older than him. He’s always been a sort of helpless type, and his wife now pretty much
manages his whole life – his money, his schedule, his relationships, and his clothing. He
refuses to work outside the home because “she won’t let me.” Mr. Wimpy is chronically
unhappy with the way his wife treats him, but when he tries to complain, she always
demeans him and threatens to leave him. Mr. Wimpy gets distraught at the thought of losing
his wife, and cannot imagine trying to manage his own money or affairs, and so he remains.
Recently, Mr. Wimpy’s wife has started demanding they welcome another man into their
bedroom and that Mr. Wimpy perform sexual acts on the man. Mr. Wimpy resents this, but
fears losing his wife. What is the best diagnosis?
A. avoidant personality disorder
B. histrionic personality disorder
C. antisocial personality disorder
D. borderline personality disorder
E. XX dependent personality disorder
Page 10
04/26/07 5:29 PM
!! ANSWER KEY !!
Page 11
04/26/07 5:29 PM