DSM-5 Case Studies Practice Test

These questions are part of the practice quiz. Start practicing

• A patient exhibits persistent disregard for the rights of others since adolescence; which diagnosis is most appropriate?
• A 70-year-old woman with a history of stroke shows memory problems, reduced attention and problem solving, and mood swings. Which DSM-5 diagnosis is most consistent?
• A patient experiences one or more psychotic symptoms lasting 1 day to less than 1 month, followed by full return to premorbid functioning.
• A 6-year-old boy consistently fails to speak in certain social situations (e.g., at school or in public) despite being able to speak in other situations, for at least one month.
• A patient develops PTSD-like symptoms within days of trauma that persist for 3 days to 1 month, with nine or more symptoms across symptom clusters. Which diagnosis is most consistent?
• Which disorder is characterized by severe temper outbursts in a child that are out of proportion to the situation, occurring across multiple settings for at least 12 months, with persistently irritable mood between outbursts?
• A patient uses opioids regularly with tolerance, withdrawal, and impairment in functioning. Diagnosis?
• A patient demonstrates a marked fear of a specific object or situation (e.g., heights) and avoids it, with significant anxiety when exposed.
• Which diagnosis is defined by psychotic symptoms lasting 1 day to less than 1 month, with eventual full return to premorbid functioning?
• A 16-year-old consistently violates the rights of others (bullying, fighting, stealing, vandalism) and shows a disregard for societal norms. This pattern persists for at least six months and results in impairment.
• Which diagnosis best fits a patient who experiences persistent detachment from self or surroundings, with intact reality testing?
• Which DSM-5 diagnosis best fits a 40-year-old woman with recurrent and intense sexual desires toward corpses, distress, and social/legal difficulties?
• Which disorder is characterized by recurrent episodes of binge eating without regular use of compensatory behaviors?
• A 21-year-old man experiences intense fear and avoidance of social situations, worries about being judged or humiliated, and avoids parties or meetings. When present, he feels extremely anxious and self-conscious, significantly impairing functioning. Which disorder is most likely?
• A 10-year-old girl has difficulty paying attention, loses items, forgets homework, fidgets, squirms, and talks excessively in class for more than six months, causing impairment in school and social functioning. Which diagnosis best fits?
• A 12-year-old girl has difficulty with reading, trouble recognizing and decoding words, and often skips or substitutes words; reading skills are significantly below what is expected for age and intelligence; impairment. Which diagnosis best fits?
• A patient experiences persistent distress or impairment due to incongruence between gender identity and assigned gender, with significant distress. Diagnosis?
• Which diagnosis is most consistent with a pervasive fear of social scrutiny and avoidance of social or performance situations due to fear of embarrassment?
• Which diagnosis describes memory loss for important autobiographical information after a traumatic event that is not explained by ordinary forgetting?
• Repeatedly fakes symptoms or disease to assume the sick role, without obvious external gain. Which diagnosis?
• Sarah is a 35-year-old woman with recurrent intense sexual desire and arousal when wearing high-heeled shoes, persisting for more than six months and causing distress. Which diagnosis fits?
• A 38-year-old woman who relies on others to make decisions, fears being alone, clings to others, and becomes very upset when she does not receive support. Which personality disorder best fits?
• Which neurocognitive disorder is associated with a hereditary neurodegenerative disease causing cognitive decline and movement problems?
• A young child who regularly eats non-food items (paper, dirt, hair) raising health concerns. Which DSM-5 disorder?
• A 47-year-old woman has difficulty throwing away objects and accumulates piles of newspapers. Her home is cluttered, and she feels anxious about discarding items, leading to distress and impairment in daily life. Which diagnosis fits this presentation?
• Which disorder involves avoidance or restriction of food intake not primarily motivated by weight concerns, leading to nutritional deficiency?
• A 34-year-old man reports inability to recall important autobiographical information, typically for a traumatic or stressful event, with memory gaps not explained by ordinary forgetting and not due to substances or a medical condition.
• Which diagnosis is most consistent with cognitive impairment that follows cerebrovascular disease, showing stepwise decline after vascular events?
• Which disorder features a pervasive pattern of perfectionism, control, and preoccupation with rules and lists that impairs flexibility or efficiency?
• Irresistible daytime sleepiness with episodes of muscle weakness triggered by strong emotions, with or without cataplexy.
• A patient has recurrent binge eating without inappropriate compensatory behaviors, causing distress.
• A 40-year-old man experiences memory and attention problems following a traumatic brain injury three years ago, with mood swings.
• Sam is a 40-year-old man who has difficulty achieving or maintaining an erection during sexual activity and has ruled out medical causes. Which diagnosis is most appropriate?
• Sarah is a 30-year-old woman who experiences significant pain during vaginal penetration and has ruled out medical causes. Which diagnosis is most appropriate?
• A man with episodes of binge eating without compensatory behaviors, for two years, leading to weight gain. Which DSM-5 disorder?
• A 42-year-old man has a fixed belief that a neighbor is spying on him. This belief has persisted for several weeks with no other psychotic symptoms, and his functioning is not severely impaired aside from distress related to the belief. Which diagnosis best fits?
• Which disorder is characterized by recurrent intrusive thoughts and compulsive behaviors that occupy substantial time?
• A 6-year-old girl repeatedly passes feces into inappropriate places, such as her clothes, the floor, or bed, at least once per month for three consecutive months. This behavior is not due to a medical condition or substance use and causes significant distress and impairment.
• A 75-year-old man shows memory problems for several years, getting lost while driving, and needs help with daily activities. Which DSM-5 diagnosis best fits this presentation?
• Which diagnosis requires mood symptoms for the majority of the illness and at least one period of psychosis without mood symptoms?
• A long-time smoker who cannot quit despite withdrawal symptoms and health risks; which DSM-5 diagnosis best fits?
• A 35-year-old man has a combination of psychotic symptoms and mood symptoms (depression or mania). He experiences delusions and hallucinations, along with periods of major depressive or manic episodes. Symptoms have been present for at least six months and impair functioning. Which diagnosis best fits?
• A 32-year-old man is preoccupied with perceived physical flaws and spends hours daily focusing on his nose's shape. He avoids social situations and has undergone multiple plastic surgeries to fix his nose, yet remains dissatisfied. This causes significant distress and impairment. Which diagnosis best fits?
• Which disorder is characterized by restriction of food intake leading to significantly low body weight and an intense fear of gaining weight, often with a distorted self-perception?
• A patient shows limited food intake with avoidance of food due to sensory characteristics or lack of interest, resulting in significant weight loss or nutritional deficiency.
• Sarah is a 40-year-old woman with a recurrent intense sexual desire to expose her genitals to strangers, with distress and legal issues. Which diagnosis best fits?
• A 26-year-old woman experiences episodes of memory loss for important personal information and past experiences, not explained by any medical condition, causing distress and significant impairment. Which DSM-5 disorder best fits this presentation?
• A 12-year-old boy experiences recurrent episodes of elevated or irritable mood, decreased need for sleep, racing thoughts, grandiosity, impulsivity, and risk-taking behaviors, and also experiences periods of depression with low mood and decreased energy.
• A 25-year-old woman experiences recurrent and distressing nightmares involving threats to her physical safety or survival, waking in fear and unable to fall back asleep. These symptoms have occurred at least weekly for six months and cause significant impairment.
• The case of high-heel shoe fetish is best described as sexual arousal from wearing what?
• Excessive daytime sleepiness and prolonged nighttime sleep with difficulty waking; not explained by other disorders.
• A 30-year-old woman experiences psychotic symptoms, such as delusions, hallucinations, or disorganized speech, for at least one month but less than six months. Her symptoms cause significant distress and impairment, and she has not yet met the full criteria for schizophrenia. Which diagnosis best fits?
• An adolescent restricts caloric intake, resulting in very low body weight, intense fear of gaining weight, and a distorted body image. Diagnosis?
• Which disorder involves lying, manipulation, and a disregard for the rights of others, often with a pattern of impulsivity?
• A 28-year-old woman presents with a two-week history of persistent sadness, anhedonia, fatigue, weight loss, insomnia, excessive guilt, and recurrent thoughts of death. She reports these symptoms nearly every day and they cause significant distress. What is the most likely diagnosis?
• A 27-year-old man fears situations where escape might be difficult, such as crowded places or using public transportation, and he avoids these situations for fear of being unable to escape or get help. This avoidance often leads to him staying at home. What is the most likely diagnosis?
• An 8-year-old boy frequently argues with adults, refuses to comply with requests or rules, deliberately annoys others, blames others for his mistakes, and is easily irritated by others. This pattern has persisted for at least six months and causes impairment.
• A patient demonstrates problematic alcohol use with cravings, repeated unsuccessful attempts to cut down, and impairment in functioning. Diagnosis?
• A patient is preoccupied with the fear of having a serious illness but has minimal somatic symptoms and seeks reassurance frequently. Which diagnosis fits?
• Difficulty falling or staying asleep, or nonrestorative sleep, for at least 3 months with distress.
• An 11-year-old exhibits persistent difficulties with reading, decoding, and spelling, despite normal intelligence and opportunities. These difficulties interfere with academic functioning. Which diagnosis best fits?
• A 40-year-old man, six months after his wife died, experiences persistent intense sadness, guilt, yearning, and loneliness, with difficulty accepting the death and diminished interest in activities, along with sleep and concentration problems, causing distress.
• A 40-year-old woman has a fixed belief that her spouse is cheating on her, despite lack of evidence, for at least one month, causing distress in her relationship and daily functioning. She has no other psychotic symptoms such as hallucinations or disorganized thinking. Which diagnosis best fits?
• An 8-year-old child has frequent temper outbursts that are out of proportion to the situation or the child's developmental level, occurring at least three times per week, plus persistent irritability between outbursts for at least 12 months.
• The case described as cross-dressing for sexual arousal with distress best fits which diagnosis?
• Over the past year, a patient has had at least one week of elevated mood with increased energy, decreased need for sleep, pressured speech, and grandiosity, followed by depressive episodes, with no history of manic episodes. Diagnosis?
• A 25-year-old woman was involved in a car accident two days ago. Since the accident, she has had recurrent intrusive thoughts about the accident, nightmares, flashbacks, and heightened arousal. These symptoms have been present for more than three days and are causing distress.
• A 24-year-old woman frequently has verbal or physical outbursts of aggression, has been involved in fights and has broken objects in fits of rage, with these outbursts being disproportionate to the situation and not premeditated. Symptoms have lasted at least six months and impair relationships, work, and social functioning.
• A 22-year-old man experiences a sudden onset of psychotic symptoms such as delusions, hallucinations, or disorganized speech that lasts less than one month. He had no prior history of psychosis and the symptoms were triggered by a stressful life event. They have since resolved. Which diagnosis best fits?
• A 42-year-old woman experiences multiple physical symptoms, such as headaches, stomachaches, and fatigue, with no medical explanation. She persists in believing she has a serious illness and spends a lot of time seeking medical attention, causing distress and impairment. Which diagnosis fits?
• A major depressive episode with elevated energy and decreased need for sleep for several days, with mood elevation not meeting full mania criteria. Which DSM-5 specifier applies?
• A 26-year-old loses a spouse and experiences persistent longing, preoccupation with the deceased, and difficulty accepting the death for more than a year, with distress and impairment.
• A young woman who restricts food intake resulting in significant weight loss, with distorted body image and amenorrhea. Which DSM-5 disorder?
• Which DSM-5 diagnosis best fits a case involving sexual attraction to animals?
• For Major Depressive Disorder, how many symptoms are required to meet DSM-5 criteria during the same 2-week period?
• A 28-year-old man, following a car crash, experiences intrusive memories and nightmares, avoids reminders of the crash, develops negative beliefs or mood, and remains hyperaroused for more than a month.
• Which personality disorder is characterized by a pervasive pattern of detachment from social relationships and a restricted range of emotional expression?
• In a case where the individual feels a persistent gender incongruence and distress about their assigned gender, seeking treatment to live as the opposite gender, which diagnosis fits best?
• A 28-year-old woman has odd beliefs and magical thinking, perceptual distortions, and social anxiety.
• A 22-year-old college student experiences persistent mood fluctuations that do not meet the criteria for a full manic or depressive episode. He has frequent periods of hypomania and mild depression that last for several days at a time. His mood swings do not significantly impair his functioning, but they do interfere with his relationships and academic performance. Which diagnosis is most likely?
• Which disorder involves grandiosity, a constant need for admiration, and a lack of empathy?
• Which DSM-5 diagnosis is most consistent with a long-term, progressive decline in cognitive function affecting independence in daily activities?
• A patient exhibits neurological symptoms such as weakness and seizure-like episodes that are not medically explained and appear to worsen with attention; there is no voluntary control. Which diagnosis best fits?
• Which DSM-5 diagnosis best fits a 35-year-old man with recurrent and intense desires to experience pain or humiliation during sexual activity, with injuries and years of engagement?
• An adult (31-year-old) shows several episodes of aggression that are grossly out of proportion to the triggering stimulus, with no clear plan or premeditation, occurring in the past year.
• Which diagnosis best fits the vignette of a 25-year-old woman who rarely experiences sexual desire or arousal or pleasure during sexual activity, after ruling out medical causes?
• Which sleep disorder is marked by repeated episodes of breathing obstruction during sleep, causing daytime fatigue?
• A 23-year-old man presents with 1 month of prominent delusions, disorganized speech, social withdrawal, and negative symptoms. Duration meets DSM-5 criteria for a primary psychotic disorder. Diagnosis?
• A 40-year-old woman with grandiosity, a need for admiration, and a lack of empathy; she exploits others to get what she wants and has difficulty tolerating criticism. Which personality disorder best fits?
• Sam is a 30-year-old man who has a recurrent intense sexual desire to watch people undress or engage in sexual activity without their knowledge, often peeping through windows. Which disorder does this vignette describe?
• A 29-year-old woman experiences intense fear and avoidance of spiders. She feels terror when seeing a spider or even a picture of one, and avoids outdoor activities in summer due to this fear. What is the most likely diagnosis?
• Which disorder is defined by six or more symptoms of inattention and/or hyperactivity-impulsivity before age 12, with impairment across settings?
• Which disorder involves social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, leading to avoidance of social interactions?
• Which personality disorder is characterized by a pervasive preoccupation with orderliness and perfectionism in work and daily life?
• A patient uses cannabis regularly with cravings and withdrawal symptoms when trying to quit. Diagnosis?
• A 65-year-old woman with Parkinson's disease shows cognitive decline, including memory problems and slowed thinking.
• A 34-year-old woman has recurrent panic attacks with sudden surges of fear and physical symptoms (sweating, trembling, shortness of breath). She worries about having another attack and avoids situations where attacks occurred, leading to impairment. Which diagnosis best explains this pattern?
• An elderly woman hospitalized for pneumonia develops acute confusion, disorientation, restlessness, and vivid hallucinations, believing her hospital room is on fire. What is the most likely DSM-5 diagnosis?
• A 29-year-old man who is socially inhibited, feels inadequate, highly sensitive to negative evaluation, longs for social relationships but fears rejection and avoids social situations. Which personality disorder best fits?
• A patient avoids social situations due to intense fear of being negatively evaluated, lasting more than 6 months and causing impairment.
• A preteen girl who avoids certain foods and has a very restricted variety, resulting in weight loss; no fear of gaining weight or body image distortion. Which DSM-5 disorder?
• Which diagnosis is defined by the occurrence of at least one manic episode lasting one week or longer (or requiring hospitalization), often accompanied by depressive episodes?
• Which personality disorder is described by odd beliefs, magical thinking, perceptual distortions, and social discomfort?
• Sam is a 25-year-old man who has a recurrent intense sexual desire to wear women's clothing, causing distress, with years of dressing and occasional masturbation while dressed. Which diagnosis best fits?
• A 30-year-old man experiences a significant emotional or behavioral reaction to a stressful life event (e.g., job loss, divorce, relocation) that is excessive in intensity or duration and causes distress and impairment.
• A 9-year-old child repeatedly demonstrates excessive fear of separation from a caregiver and shows distress at or avoidance of being away from home, with impairment.
• Which statement best describes the exhibitionistic disorder vignette?
• Preoccupation with having a serious illness despite minimal somatic symptoms, with high health anxiety and excessive health-related behaviors. Which diagnosis?
• A hospitalized patient develops fluctuating attention and acute confusion, typically due to an underlying medical condition. Diagnosis?
• Sexual arousal involving non-consenting others, with distress or impairment. Diagnosis?
• A 38-year-old woman experiences physical symptoms such as weakness, tremors, and seizures with no medical cause. Her symptoms are not voluntarily controllable and may worsen under stress. She persists in believing they are due to a serious illness. Which diagnosis best fits?
• In Bipolar II Disorder, which mood episodes characterize the illness?
• Premenstrual Dysphoric Disorder is characterized by mood symptoms that begin in the luteal phase and resolve shortly after menstruation begins. Which symptom pattern best reflects this timing?
• A 20-year-old man has significant intellectual and adaptive deficits, with difficulties in problem-solving, reasoning, and abstract thinking. These deficits have been present since childhood and cause impairment. Which diagnosis best fits?
• A 5-year-old boy has difficulty with social communication and interaction, delayed language development, repetitive language or scripts, restricted interests and routines, and sensory sensitivities and aversions to certain textures, sounds, or lights. These symptoms cause impairment in social, academic, and family functioning. Which diagnosis best fits?
• Sarah is a 35-year-old woman who has difficulty reaching orgasm during sexual activity and has ruled out medical causes. Which diagnosis is most appropriate?
• Which disorder is characterized by a pervasive pattern of excessive need to be cared for, submissive and clingy behavior, and a fear of separation?
• A woman with episodes of binge eating followed by compensatory behaviors like vomiting and excessive exercise to prevent weight gain. Which DSM-5 disorder?
• A 33-year-old man with a pervasive pattern of excessive emotionality and attention-seeking, dramatic or provocative behavior, and flamboyant dress. Which personality disorder best fits?
• A 36-year-old woman picks at her skin for several years, particularly on her face and arms. She spends hours searching for blemishes to pick at, feels compelled to remove them, and experiences relief after picking, but the skin becomes damaged. Which diagnosis fits?
• Which diagnosis is characterized by persistent deficits in social communication and interaction, plus restricted, repetitive patterns of behavior?
• A patient uses stimulants (e.g., cocaine) with significant impairment and persistent use. Diagnosis?
• A 14-year-old boy frequently violates the rights of others, shows a pattern of bullying, fighting, stealing, and vandalism, and often skips school and engages in risky behaviors. This pattern has been present for at least six months and causes significant impairment in multiple domains.
• Which diagnosis is characterized by neurologic symptoms that cannot be explained by medical conditions and are influenced by psychological factors?
• A patient meets criteria for a gambling problem causing impairment and distress. Diagnosis?
• A patient shows unstable interpersonal relationships, identity disturbance, and marked impulsivity with fears of abandonment. Diagnosis?
• A 32-year-old woman who experienced a traumatic event has intrusive thoughts, nightmares, or flashbacks about the event, avoids stimuli related to the event, and experiences negative changes in mood or cognition and heightened arousal. These symptoms persist for more than one month and cause significant impairment.
• Emotional or behavioral symptoms in response to an identifiable stressor within 3 months, causing distress but not meeting criteria for other disorders. Which diagnosis?
• Which disorder is diagnosed when an individual binge-eats and uses compensatory behaviors to prevent weight gain?
• A 25-year-old man experiences episodes of mania and depression. During manic episodes, he has racing thoughts, inflated self-esteem, decreased need for sleep, and engages in impulsive behaviors like excessive spending or risky sexual activity. During depressive episodes, he feels worthless, loses interest, and has sleep disturbances. Which diagnosis best accounts for these cycling mood states?
• Which disorder is defined by a long-standing pattern of grandiosity, need for admiration, and lack of empathy?
• A 40-year-old woman who has felt since childhood that she is actually a boy, prefers masculine clothing, and desires to transition to living as a male would most appropriately be diagnosed with which DSM-5 disorder?
• An individual exhibits grandiosity, a need for excessive admiration, and a lack of empathy. Diagnosis?
• A patient presents with recurrent, unexpected panic attacks and persistent concern about another attack, leading to behavioral changes to avoid future episodes. Which disorder best fits this description?
• An 8-year-old boy voids urine into his clothes or bed at least twice a week for three consecutive months. This behavior is not due to a medical condition or substance use and causes significant distress and impairment.
• A 5-year-old boy consistently approaches and interacts with unfamiliar adults in an overly familiar way, hugging or clinging to strangers and lacking appropriate social boundaries for at least 12 months.
• Loss of muscle atonia during REM sleep with enacted dreams causing injury to self or partner.
• Loud snoring, witnessed apneas, and daytime sleepiness; often with hypertension.
• A 26-year-old man shows a pervasive disregard for the rights of others, lies, manipulates, and engages in impulsive, risky behavior with a history of legal problems. Which personality disorder best fits this presentation?
• A 33-year-old man reports persistent feelings of detachment from his own body or from his surroundings, describing experiences as if he is in a dream or watching himself from outside. These experiences are not due to substances or another medical condition and cause distress or impairment.
• A patient demonstrates deficits in intellectual functioning and adaptive functioning requiring support. Diagnosis?
• A 40-year-old woman reports episodes in which two or more distinct identities take control of her behavior, with accompanying gaps in memory for everyday events. These symptoms cause distress or impairment.
• A person spends years pulling out hair, resulting in thinning hair and distress, with attempts to stop failing. Which diagnosis best fits?
• A patient exposed to a traumatic event develops intrusive memories, avoidance, negative mood/cognition, and arousal for more than one month. Which diagnosis best fits?
• A 28-year-old woman engages in recurrent episodes of eating a large amount of food in a short time with a sense of loss of control, but without regular purging or excessive exercise. Which DSM-5 disorder?
• A 37-year-old woman reports a fixed belief that her spouse is unfaithful, with no other psychotic symptoms. The belief has persisted for several weeks and causes distress. Which diagnosis best fits?
• In the genito-pelvic pain/penetration disorder vignette, which symptom is central to the diagnosis?
• A child presents with persistent deficits in social communication and interaction, plus restricted, repetitive patterns of behavior beginning in early development. Diagnosis?
• An adolescent regurgitates recently eaten food, re-chews, and swallows; weight loss; no nausea; Which DSM-5 disorder?
• Which DSM-5 diagnosis best fits a 30-year-old woman with recurrent and intense sexual desires to inflict pain or humiliation on others during sexual activity?
• A patient experiences recurrent intrusive thoughts and engages in repetitive behaviors to reduce distress, taking up a substantial amount of time.
• A 25-year-old woman who engages in binge eating followed by purging through vomiting and excessive exercise. Which DSM-5 disorder?
• Which DSM-5 diagnosis best fits a 19-year-old man who engages in recurrent self-inflicted harm such as cutting or burning to regulate emotions, with these behaviors occurring at least five days per week for the past year and causing significant distress and impairment?
• Sam is a 25-year-old man who frequently ejaculates shortly after sexual activity begins, often within a minute or two. Which diagnosis best fits?
• Which DSM-5 diagnosis best fits a case involving sexual attraction to corpses?
• A 27-year-old woman has been drinking alcohol regularly for the past two years. She drinks more than she intends and has tried to cut back unsuccessfully. She has experienced withdrawal symptoms when she tried to stop, such as tremors and sweating, and continues to drink despite negative consequences. Which diagnosis best fits?
• Frequently recalls frightening dreams and experiences distress upon waking.
• A 39-year-old woman reports excessive worry about work, family, and health. She finds it difficult to control the worry and experiences muscle tension, restlessness, and fatigue, with impairment in daily functioning. Which disorder fits this presentation?
• A child exhibits at least six symptoms of inattention and/or hyperactivity-impulsivity before age 12, with impairment across settings. Diagnosis?
• A patient presents with multiple somatic complaints and excessive thoughts about the seriousness of these symptoms, causing distress and impairment. Medical tests are negative and do not explain the symptoms. Which diagnosis best fits?
• A 45-year-old woman develops rapidly progressive cognitive decline with perceptual disturbances; prion disease is suspected.
• A 28-year-old experiences emotional distress and impairment within three months of a job loss or similar stressor, with symptoms such as anxiety or depressed mood that are out of proportion to the stressor.
• Which category is used when a paraphilic disorder is present but full criteria for any single recognized disorder are not met?
• A 35-year-old man has a history of psychotic symptoms with mood symptoms, with mood episodes present for the majority of the illness and psychotic symptoms occurring with or without mood symptoms. The illness has persisted for more than six months. Which diagnosis best fits?
• A 50-year-old man recently diagnosed with Huntington's disease reports cognitive decline.
• Which DSM-5 specifier describes mood symptoms co-occurring with depressive episodes but do not meet full mania criteria?
• Which DSM-5 diagnosis best fits the pattern of tolerance, withdrawal symptoms when attempting to stop, and continued use of prescription benzodiazepines despite impairment?
• A 7-year-old girl shows emotionally withdrawn or unresponsive behavior toward caregivers, with a lack of seeking comfort or responding to comfort, and a generally limited emotional responsiveness. Symptoms persist for at least 12 months.
• Which DSM-5 diagnosis best fits a 25-year-old man with recurrent and intense sexual desires toward animals, distress, and related social/legal issues?
• The DSM-5 Cultural Formulation Interview aims to understand distress within what framework?
• Which diagnosis is most likely in an older adult with progressive memory loss and biomarker support?
• A 42-year-old man has persistent detachment from social relationships and a restricted range of emotional expression.
• A 31-year-old man experiences excessive and persistent worry about having or acquiring a serious illness, despite minimal physical symptoms. He constantly checks his body and seeks reassurance, with worry persisting after medical evaluations. Which diagnosis fits?
• In the erectile disorder vignette, which symptom most directly supports the diagnosis?
• An elderly patient with acute onset confusion in the hospital, fluctuating attention, disorientation, and perceptual disturbances is best diagnosed with which DSM-5 disorder?
• Long-standing pattern of preoccupation with orderliness, perfectionism, and control that interferes with flexibility. Diagnosis?
• A patient has recurrent unexpected panic attacks and persistent concern about more attacks for at least 1 month, with behavioral changes.
• A 26-year-old woman has recurring intrusive thoughts about contamination and germs for the past year. She spends several hours a day cleaning and washing her hands to reduce her anxiety, and she checks doors and windows repeatedly. These behaviors cause significant distress and impairment. Which diagnosis fits this presentation?
• A 25-year-old man has delusions, hallucinations, and disorganized thinking for at least six months. He believes aliens are controlling his thoughts and that the government is spying on him, and he hears voices telling him to harm himself or others. He has difficulty functioning due to his symptoms. Which diagnosis best fits?
• A patient experiences intrusive thoughts about dirt and contaminations and engages in washing rituals to reduce anxiety. Which diagnosis best fits?
• Which disorder is best described by fear of abandonment and unstable relationships, often accompanied by self-harm or reckless behavior to cope?
• One or more neurologic symptoms inconsistent with medical conditions, with psychological factors affecting the symptoms. Which diagnosis?
• A 32-year-old woman with a long history of alcohol and illicit drug use now has significant memory problems and confusion.
• A 27-year-old man who is highly detail-oriented and perfectionistic, spends excessive time planning and organizing, is critical of himself and others, desires control, and spends hours cleaning and arranging his living space; preoccupied with rules and lists. Which personality disorder best fits?
• What is the primary purpose of the DSM-5 Cultural Formulation Interview?
• Which disorder is marked by excessive emotional expression, a need for attention, and a dramatic, theatrical presentation?
• A 46-year-old woman reports the presence of two or more distinct personality states, each with its own pattern of perceiving, relating to, and interacting with the environment, and she also has amnesia for certain events. These symptoms cause significant distress and impairment.
• A patient has psychotic symptoms for 2 weeks without mood episodes, but mood symptoms have been present for most of the illness.
• Which neurocognitive disorder is caused by a prion disease and leads to rapid cognitive decline?
• An 8-year-old child speaks at home but remains silent in school or other social settings for more than one month.
• Which DSM-5 diagnosis best fits a 45-year-old man with recurrent and intense sexual desires toward children under 13, distress, and legal and social troubles?
• Pattern of disregard for the rights of others, with deceit, impulsivity, and lack of remorse since adolescence. Diagnosis?
• Sam is a 17-year-old who frequently argues with adults, refuses to comply with requests, and deliberately annoys others, blames others for his mistakes, and is easily annoyed by others. The problematic behavior has been present for more than six months and impairs social or academic functioning.
• A 23-year-old man pulls out his hair for years, especially from the scalp and eyebrows. He does this unconsciously while studying or watching TV, and also when stressed. He finds it difficult to resist the urge, leading to patchy hair loss and distress. Which diagnosis fits?
• Which DSM-5 diagnosis best fits a 28-year-old woman with depressed mood nearly daily for 3 weeks, anhedonia, insomnia, fatigue, excessive guilt, poor concentration, recurrent thoughts of death, and no history of mania or hypomania?
• A 45-year-old man has felt sad for most of his adult life, with no period longer than two months of improvement, lasting at least two years. He reports low energy, poor self-esteem, and distress. Which diagnosis is most likely?
• A 35-year-old woman with pervasive distrust and suspiciousness, a small social network, grudges, and irritability when threatened.
• A man in a relationship reports little to no interest in sexual activity and distress for his partner; medical causes ruled out; Which DSM-5 disorder?
• An older adult shows progressive memory loss, language impairment, and impaired daily functioning with biomarker evidence; diagnosed as Alzheimer’s disease. Diagnosis?
• A 60-year-old woman reports forgetting names and faces over the past year, with some forgetfulness but not major daily impairment. Which DSM-5 diagnosis best fits this description?
• Preadolescent displays persistent pattern of violating societal norms, aggression, deceit, and disregard for rights of others. Diagnosis?
• A 30-year-old woman experiences episodes of major depression and hypomania. During her hypomanic episodes, she feels unusually energetic, experiences racing thoughts, and engages in impulsive behaviors. During her depressive episodes, she experiences feelings of hopelessness, worthlessness, and difficulty concentrating. Which DSM-5 diagnosis best fits this presentation?
• One or more somatic symptoms that are distressing and disproportionate thoughts/feelings/behaviors related to the symptoms. Which diagnosis?
• A 32-year-old woman experiences severe mood changes before her period, including irritability and mood swings, with trouble sleeping and physical symptoms such as bloating. Symptoms begin about a week before menses and resolve after it begins, and they interfere with daily life. Which disorder best fits this presentation?
• A 28-year-old experiences a sudden onset of psychotic symptoms after a breakup, lasting about 10 days, with full recovery to baseline. Which diagnosis best fits?
• Which diagnosis is defined by deficits in intellectual functioning and adaptive functioning requiring support?
• A 31-year-old man with persistent lack of sexual desire causing distress; medical conditions ruled out; Which DSM-5 disorder?
• A patient reports multiple dissociative experiences (gaps in recall, identity disruption) and is aware of these alterations. Which diagnosis?
• A 10-year-old girl experiences excessive fear or anxiety about separation from attachment figures, worry about harm befalling them, nightmares or physical symptoms when anticipating separation, with symptoms lasting four weeks or longer and causing distress.
• Which DSM-5 diagnosis is best described by persistent, problematic use of a psychoactive substance with cravings and tolerance, leading to impairment?
• A patient meets criteria for a paraphilic disorder but does not meet full criteria for any single recognized disorder; the clinician uses a catch-all category to specify. Diagnosis?
• A patient cannot recall important autobiographical information after a traumatic event, beyond normal forgetting. Which diagnosis?
• Sam is a 30-year-old man who has difficulty ejaculating during sexual activity, despite being sexually aroused, with distress and no medical cause. Which diagnosis is most appropriate?
• Which DSM-5 diagnosis best fits a 25-year-old with recurrent and intense sexual urges to touch non-consenting people in public, distress, and arrest for the behavior?
• A 10-year-old boy has frequent, severe temper outbursts at least three times per week. Between outbursts, his mood is persistently irritable. These symptoms have persisted for at least 12 months across multiple settings and cause distress and impairment.
• An 80-year-old man presents with progressive memory loss, disorientation, and difficulty with daily activities such as dressing and managing finances. Which DSM-5 diagnosis best fits this presentation?
• A patient experiences persistent depersonalization or derealization that causes distress or impairment. Which diagnosis?
• A 30-year-old woman with pervasive instability in relationships, emotions, and self-image, fear of abandonment, impulsive behaviors, and self-harm when overwhelmed. Which personality disorder best fits this presentation?
• Which DSM-5 diagnosis best fits a young adult who uses cocaine recreationally, has attempted to quit several times, spends excessive time and money obtaining cocaine, and continues use despite legal and relationship problems?
• Which disorder involves intentional production or feigning of symptoms to assume the sick role, without obvious external incentives?
• A 9-year-old child regularly eats non-nutritive substances such as dirt and paper, despite attempts to stop. Which DSM-5 disorder?
• A patient binge-eats and engages in compensatory behaviors (vomiting, laxatives) to prevent weight gain. Diagnosis?
• A patient reports excessive, uncontrollable worry about multiple domains for at least 6 months, with difficulty controlling worry and physical symptoms such as restlessness and muscle tension.