Which of these best describes factitious disorder?
Worry about health despite no symptoms.
Normal voluntary and sensory dysfunction.
Worry is out of proportion to the symptoms.
Deliberate exaggeration and fabricated symptoms.
The Correct Answer is D
A. Worry about health despite no symptoms. This describes illness anxiety disorder (formerly hypochondriasis), where individuals have an excessive fear of having a serious illness despite minimal or no physical symptoms. Unlike factitious disorder, these individuals are not fabricating symptoms but are genuinely convinced they are sick.
B. Normal voluntary and sensory dysfunction. This does not describe any recognized psychiatric disorder. However, conversion disorder (functional neurological symptom disorder) involves involuntary neurological symptoms (e.g., paralysis, blindness) without a medical cause, whereas factitious disorder involves intentional symptom fabrication.
C. Worry is out of proportion to the symptoms. This is characteristic of somatic symptom disorder (SSD), where individuals have excessive concern and distress over real but often minor physical symptoms. Unlike factitious disorder, their symptoms are not deliberately produced or exaggerated for attention.
D. Deliberate exaggeration and fabricated symptoms. Factitious disorder (formerly Munchausen syndrome) involves intentionally faking, exaggerating, or inducing medical symptoms to assume the "sick role". Unlike malingering (which is done for external rewards like financial gain), factitious disorder is driven by an internal psychological need for medical attention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cesar's Assessment Scale. There is no widely recognized Cesar's Assessment Scale for diagnosing ADHD.
B. Hamilton Assessment Scale. The Hamilton scales (HAM-A and HAM-D) are used to assess anxiety and depression, not ADHD. They measure emotional symptoms, somatic complaints, and cognitive impairments associated with mood disorders.
C. Vanderbilt Assessment Scale. The Vanderbilt Assessment Scale is a validated tool used for ADHD diagnosis in children. It assesses inattention, hyperactivity, impulsivity, and associated behavioral problems based on parent and teacher reports. It also screens for common comorbidities such as oppositional defiant disorder (ODD) and anxiety disorders.
D. Columbia Assessment Scale. The Columbia Suicide Severity Rating Scale (C-SSRS) is used to assess suicidal ideation and behavior, not ADHD. It is primarily applied in psychiatric evaluations and crisis intervention settings.
Correct Answer is D
Explanation
A. Micromanages others. Individuals with obsessive-compulsive personality disorder (OCPD) exhibit excessive control and perfectionism, often micromanaging tasks and people to ensure everything is done "correctly." They struggle with delegating responsibilities because they believe others will not meet their high standards.
B. Perfectionist. Rigid perfectionism is a core feature of OCPD. Individuals set unrealistically high expectations for themselves and others, leading to chronic dissatisfaction, procrastination, and inefficiency because they fear making mistakes.
C. Workaholic. Those with OCPD are often preoccupied with work and productivity, sometimes neglecting personal relationships and leisure activities. They may prioritize tasks over social interactions, believing that relaxation is a sign of laziness.
D. Wants to be alone. Unlike schizoid personality disorder, individuals with OCPD do not prefer isolation. They often engage with others in structured environments but struggle in relationships due to their rigid expectations, stubbornness, and excessive control over details rather than a genuine desire to be alone.
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