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Using the DSM-5: Try It, You'll Like It - Test
by Jason H. King, Ph.D.

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1. The major conceptual and practical changes between the DSM-IV-TR and the DSM-5 include which one of the following?	Help
Dimensional approach to diagnosis Mental disorders are defined in relation to cultural, social, and familial norms and values. The manual is configured to include information on gender at multiple levels. All of the above

2. Many factors influenced the development, content, and sequencing of the DSM-5. Which one of the following factors mostly impacts your clinical practice and was presented and discussed in this course for 8 of the DSM-5 disorders?	Help
Current research Political consensus Neurobiological terminology Critical opinions

3. Which one of the following best describes the effort to group disorders that are similar to one another across a range of validators - including symptoms, neurobiological substrates, familiarity, course of illness, and treatment response?	Help
Cultural issues and gender differences Developmental and lifespan considerations Use of Other Specified and Unspecified Disorders The multiaxial system and online enhancements

4. The Global Assessment of Functioning (GAF) was dropped from DSM-5 for several reasons, including its conceptual lack of clarity (i.e., including symptoms, suicide risk, and disabilities in its descriptors) and questionable psychometrics in routine practice. In order to provide a global measure of disability, DSM-5 recommends use of which one of the following assessment measures?	Help
Cultural Formulation Interview (CFI) World Health Organization Disability Assessment Schedule (WHODAS) DSM-5 Disability Rating Scale (DDRS) Early Development and Home Background (EDHB) Form

5. Which one of the following DSM-5 assessments offers a brief screening of 13 domains for adults and 12 domains for children and adolescents?	Help
Level 2 cross-cutting symptom measure Level 1 cross-cutting symptom measure Disorder-specific severity measure Early development and home background

6. What is the official system of assigning codes to diagnoses and procedures associated with medical utilization in the United States?	Help
The Diagnostic and Statistical Manual of Mental Disorders (DSM) The International Classification of Diseases (ICD) The International Classification of Functioning (ICF) The International Statistical Classification of Diseases and Related Health Problems (ISCDRHP)

7. Which one of the following disorders is reserved for individuals under the age of five years who are unable to complete systematic assessments of intellectual functioning?	Help
Unspecified intellectual disability Other specified neurodevelopmental disorder Global developmental delay Intellectual disability

8. Autism spectrum disorder in DMS-5 is distinguished from social (pragmatic) communication disorder by which one of the following criteria?	Help
Following social rules for conversation and storytelling Changing communication to match context Restricted repetitive behaviors, interests, and activities Understanding implicit statements

9. According to the Clinician-Rated Severity of Autism Spectrum and Social Communication Disorders, which one of the following severity designations reflects an individual with "very limited initiation of social interactions and minimal response to social overtures from others"?	Help
Severe rating in the social communication psychopathological domain Severe rating in the restricted interests and repetitive behaviors psychopathological domain Moderate rating in the social communication psychopathological domain Moderate rating in the restricted interests and repetitive behaviors psychopathological domain

10. Based on research, the onset criterion for ADHD is changed in DSM-5 from before age 7 years to which one of the following?	Help
Present prior to age 12 years Before age 10 years Present prior to age 5 years Before age 17 years

11. To improve diagnostic validity for Specific Learning Disorder, DSM-5 requires which one of the following assessment procedures?	Help
Executive functioning inventory Reading readiness intervention Mathematics proficiency inventory Responsiveness to intervention

12. What is the appropriate classification when a disorder that causes impairment in social, occupational, or other important areas of functioning predominates but does not meet the full criteria for any of the disorders in its respective diagnostic class, and the clinician desires to communicate the reason that the presentation does not meet the criteria?	Help
Not otherwise specified Unspecified Other specified Common specified

13. The DSM-5 Clinician-Rated Dimensions of Psychosis Symptom Severity is an 8-item measure that assesses the severity of mental health symptoms that are important across psychotic disorders. Which one of the following statements about this form is true?

Help

The severity of these symptoms can predict important aspects of the illness, such as the degree of cognitive and/or neurobiological deficits.
The measure is intended to capture meaningful variation in the severity of symptoms, which may help with treatment planning, prognostic decision-making, and research on pathophysiological mechanisms.
To track changes in the individual's symptom severity over time, the measure may be completed at regular intervals as clinically indicated, depending on the stability of the individual's symptoms and treatment status.
All of the above

14. Which one of the following DSM-5 schizophrenia spectrum and other psychotic disorders is excluded from use of the new course specifiers (e.g., first episode, multiple episodes, continuous, unspecified)?	Help
Schizophrenia Schizoaffective Schizophreniform Schizotypal

15. Which one of the following schizophrenia spectrum and other psychotic disorders serves as a "bridge" between the affective and the psychotic disorders?	Help
Schizotypal (personality) disorder Schizophreniform disorder Shared Psychotic disorder Schizoaffective disorder

16. When the clinical picture of a client is characterized by marked psychomotor disturbance, which one of the following specifier classifications may be used during the course of a neurodevelopmental, psychotic, bipolar, depressive, or other mental disorder?	Help
Psychomotor retardation Catatonia Tic-related Panic attack

17. According to Ellen Leibenluft, a National Institute of Mental Health senior investigator, the vast majority of children with chronic irritability are best classified as having which one of the following disorders?	Help
Depressive disorder Bipolar disorder Disruptive behavior disorder Autism spectrum disorder

18. Based on clinical research, which one of the following descriptive specifiers for DSM-5 bipolar or depressive disorders best communicates an individual's higher suicide risk, longer duration of illness, and greater likelihood of treatment nonresponse?	Help
With seasonal pattern With anxious distress With melancholic features With atypical features

19. Which one of the following specifiers will allow clinicians to more accurately diagnose clients who may be suffering from concurrent symptoms of depression and mania or hypomania, as well as better tailor treatment to their behaviors?	Help
Anxious distress Mixed episode Peripartum onset Atypical syndrome

20. In the clinical scenario for the depressive disorders, 9-year-old Aaron was described as grumpy and irritable most of the time, displayed violent outbursts, easily became furious, and had severe mood swings. He was diagnosed with which one of the following disorders?	Help
Bipolar disorder, pediatric type Disruptive mood dysregulation disorder Oppositional defiant disorder Intermittent explosive disorder

21. Because of contemporary research, which one of the following disorders was moved from the chapter titled Disorders Usually First Diagnosed in Infancy, Childhood or Adolescence to the chapter titled Anxiety Disorders?	Help
Selective mutism Stuttering Enuresis Encopresis

22. When panic attacks occur in the context of any anxiety disorder as well as other mental disorders or some medical conditions, clinicians can now communicate this by using which one of the following designations?	Help
Panic attack specifier Panic disorder Panic attack V-code Panic disorder with agoraphobia

23. Which one of the following obsessive-compulsive and related disorder specifiers communicates an individual's ability to recognize that the obsessional thoughts, impulses, or images are a product of his or her own mind?	Help
Delusional beliefs Absent insight Good or fair insight Poor insight

24. Which of the following criteria are new for posttraumatic stress disorder in DSM-5?	Help
Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world. Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead the individual to blame himself/herself or others. Reckless or self-destructive behavior All of the above

25. Persistent complex bereavement disorder may be classified under which one of the following "other specified disorders"?	Help
Depressive disorder Anxiety disorder Trauma- and stressor-related disorder Dissociative disorder

26. DSM-IV-TR dissociative fugue disorder is now a specifier to which one of the following dissociative disorders?	Help
Dissociative amnesia Derealization disorder Depersonalization disorder Dissociative identity disorder

27. Somatization disorder, undifferentiated somatoform disorder, and pain disorder are merged to become which one of the following new diagnoses?	Help
Illness anxiety disorder Conversion disorder (functional neurological symptom disorder) Psychological factors affecting other medical conditions Somatic symptom disorder

28. An individual presenting with pseudocyesis (false pregnancy, phantom pregnancy, or hysterical pregnancy) would best be classified under which "other specified disorder" classification?	Help
Trauma- and stressor-related disorder Schizophrenia spectrum and other psychotic disorder Somatic symptom and related disorder Obsessive-compulsive and related disorder

29. Which one of the following feeding and eating disorders uses Body Mass Index (BMI) to determine use of mild, moderate, severe, or extreme specifier designation?	Help
Binge eating disorder Bulimia nervosa Anorexia nervosa Avoidant/restrictive food intake disorder

30. Which one of the following feeding and eating disorders is characterized by a sense of loss of control and non-compensatory behaviors?	Help
Bulimia nervosa Anorexia nervosa Rumination disorder Binge-eating disorder

31. According to research, which one of the following sleep-wake disorders is commonly found in visually impaired individuals?	Help
Non-rapid eye movement sleep arousal disorder, sleepwalking type Rapid eye movement sleep behavior disorder, with delayed sleep phase Circadian rhythm sleep-wake disorder, non-24-hour sleep-wake type Restless legs syndrome, with other medical comorbidity

32. In the clinical scenario of Jasmine who reported daytime sleepiness, fatigue and unrefreshing sleep throughout the week - lasting for many months, with which one of the following comorbid sleep-wake disorders was she diagnosed?	Help
Obstructive sleep apnea hypopnea and sleep-related hypoventilation Other specified sleep-wake disorder and circadian rhythm sleep-wake disorder Central sleep apnea and narcolepsy Hypersomnolence disorder and primary insomnia

33. When severe relationship distress, partner violence, or significant stressors better explain the sexual difficulties, clinicians are to use which one of the following classifications?	Help
Other specified sexual dysfunction Appropriate V or Z code Unspecified sexual dysfunction Other specified mental disorder

34. According to DSM-5, a number of factors must be considered during the assessment of sexual dysfunction, given that they may be relevant to etiology and/or treatment, and that may contribute, to varying degrees, across individuals. Which one of the following psychosocial factors best categorizes an individual presenting with poor body image or history of sexual or emotional abuse?	Help
Psychiatric comorbidity Partner Individual vulnerability Relationship

35. Which one of the following criteria is restricted to the adolescent/adult classification of gender dysphoria?	Help
Desire to be of other gender Games and activities typically associated with their gender Conviction that one possesses feelings of the other gender Dislike of anatomy

36. Which one of the following disorders is the appropriate classification for a 6-year-old who displays verbal aggression (for example, temper tantrums, tirades, verbal arguments or fights), occurring twice weekly, on average, for a period of three months, that does not result in damage or destruction of property and does not result in physical injury?	Help
Conduct disorder Oppositional defiant disorder Disruptive mood dysregulation disorder Intermittent explosive disorder

37. Which one of the following conduct disorder severity specifiers properly describes an individual manifesting stealing without confronting the victim and vandalism?	Help
Mild Moderate Severe Limited pro-social emotions

38. A youth manifesting chronic lack of remorse or guilt and callous lack of empathy in multiple settings and relationships would best be diagnosed as having which one of the following disorders?	Help
Disruptive mood dysregulation disorder, severe Conduct disorder, with limited prosocial emotions Adult antisocial behavior Oppositional defiant disorder

39. Which one of the following substance-related and addictive disorders criteria was replaced with "craving"?	Help
Recurrent substance use in situations in which it is physically hazardous Recurrent substance-related legal problems Recurrent substance use resulting in a failure to fulfill major role obligations Recurrent substance use despite having persistent or recurrent social or interpersonal problems

40. Which one of the following factors help to determine the appropriate severity specifier to use when making a DSM-5 substance use disorder diagnosis?	Help
Individual's own report Report of knowledgeable others Biological testing All of the above

41. Amotivational syndrome (a condition characterized by reduced prosocial goal-directed activity, poorer life satisfaction, increased mental health treatment and hospitalization, and higher rates of depression, anxiety, suicide attempts, and conduct disorder) most commonly results from which one of the following substance use classifications?	Help
Cannabis Alcohol Opioid Sedative/hypnotic/anxiolytics

42. Which one of the following DSM-IV-TR impulse-control disorders is now classified as a behavioral addictive disorder?	Help
Trichotillomania (hair-pulling disorder) Pyromania Gambling Kleptomania

43. Which one of the following neurocognitive disorder specifiers communicates an individual manifesting difficulties with basic activities of daily living such as feeding and dressing?	Help
Mild Severe Moderate Extreme

44. Frontotemporal lobar degeneration is the new classification for which one of the following DSM-IV-TR disorders?	Help
Creutzfeldt-Jakob disease Pick's disease Huntington's disease Prion disease

45. Which one of the following paraphilic disorders is now clustered as an anomalous target preference in DSM-5?	Help
Voyeuristic disorder Exhibitionistic disorder Frotteuristic disorder Transvestic disorder

46. When assessing individuals who present with sex addiction, or problematic sexually impulsive behaviors resulting in marked functional impairment, clinicians should consider which one of the following disorders?	Help
Hypersexual disorder Bipolar-related disorder Other specified paraphilic disorder Other specified disruptive, impulse-control and conduct disorder

47. Which one of the following medication-induced movement disorders and other adverse side-effects of medication is new to DSM-5?	Help
Antidepressant discontinuation syndrome Tardive dyskinesia Neuroleptic malignant syndrome Medication-induced postural tremor

48. Which one of the following V-codes (other conditions that may be a focus of clinical attention) is new for DSM-5?	Help
Malingering Sibling relational problem Uncomplicated bereavement Acculturation difficulty

Using the DSM-5: Try It, You'll Like It - Test by Jason H. King, Ph.D.

Using the DSM-5: Try It, You'll Like It - Test
by Jason H. King, Ph.D.