Free NCMHCE Questions and Answers — Questions and Answers
Question 1: Fear of being hurt or watched, along with a preoccupation with one or more delusions or frequent auditory hallucinations. There is no flat or improper affect, incoherent speech, or chaotic or catatonic behaviour. <br> <br> Answer: Schizophrenia Paranoid type
- TRUE (Correct answer)
- FALSE
Correct answer: TRUE
The description accurately reflects the diagnostic criteria for Schizophrenia, Paranoid Type, which is characterized by a preoccupation with one or more delusions (often persecutory or grandiose) or frequent auditory hallucinations. The absence of disorganized speech, behavior, or flat/inappropriate affect helps distinguish it from other types of schizophrenia.
Question 2: A month-long struggle to get asleep or stay asleep has resulted in clinically substantial anxiety or impairment. <br> <br> Answer: Hypersomnia
- TRUE
- FALSE (Correct answer)
Correct answer: FALSE
The statement describes symptoms of insomnia, which is characterized by difficulty initiating or maintaining sleep, leading to clinically significant distress or impairment. Hypersomnia, conversely, is defined by excessive daytime sleepiness or prolonged nighttime sleep, making the given answer of Hypersomnia incorrect for the described symptoms.
Question 3: Fantasies, cravings, or actions involving viewing an unsuspecting person who is undressed, having sex, or otherwise engaging in sexual activity that are recurrent, intense, and sexually stimulating for at least six months. The person carries out these behaviours, or they create distress or interpersonal problems.
- Frotteurism
- Exhibitionism
- Voyeurism (Correct answer)
- Pedophilia
Correct answer: Voyeurism
Voyeurism is a paraphilic disorder characterized by recurrent, intense sexual arousal from observing unsuspecting individuals who are naked, disrobing, or engaging in sexual activity. The description directly matches these diagnostic criteria, particularly the element of 'viewing an unsuspecting person who is undressed, having sex, or otherwise engaging in sexual activity.'
Question 4: A continuous period of the disease marked by a major depressive, manic, or mixed episode with symptoms meeting Criteria A for Schizophrenia. There have been delusions or hallucinations throughout the same disease for at least two weeks without any obvious mood signs (Criterion B). A significant amount of the illness' overall duration is characterized by mood problems (Criterion C).
- Delusional Disorder
- Schizophreniform Disorder
- Brief Psychotic Disorder
- Schizoaffective Disorder (Correct answer)
Correct answer: Schizoaffective Disorder
Schizoaffective Disorder is diagnosed when an individual experiences a continuous period of illness that includes a major mood episode (depressive or manic) concurrent with symptoms meeting Criterion A for Schizophrenia. A key distinguishing feature is that delusions or hallucinations must be present for at least two weeks without prominent mood symptoms during the same illness, while mood symptoms are present for a significant portion of the illness.
Question 5: One or more persistent, non-bizarre delusions that last for at least a month. If the person has ever had a symptom presentation that satisfied Criterion A for schizophrenia, the diagnosis is not made.
- Schizophreniform Disorder
- Schizoaffective Disorder
- Delusional Disorder (Correct answer)
- Brief Psychotic Disorder
Correct answer: Delusional Disorder
Delusional Disorder is characterized by the presence of one or more persistent, non-bizarre delusions that last for at least one month. A crucial diagnostic criterion is that the person has never had a symptom presentation that satisfied Criterion A for schizophrenia, meaning the delusions are the primary psychotic symptom without other prominent schizophrenic features.
Question 6: Preoccupation with worries about having a major illness or the notion that one does because of an incorrect interpretation of one or more physical symptoms or indicators.
- Insomnia
- Dementia
- Hypochondriasis (Correct answer)
- Somatization Disorder
Correct answer: Hypochondriasis
Hypochondriasis (now largely categorized under Illness Anxiety Disorder in DSM-5) is characterized by a preoccupation with worries about having a major illness or the notion that one does, based on an incorrect interpretation of one or more physical symptoms or indicators. Individuals experience significant anxiety about their health despite medical reassurance.
Question 7: Inadequate lubrication swelling in reaction to sexual arousal, making it impossible to achieve or maintain until the sexual activity is complete.
- Female/male Orgasmic Disorder
- Female Sexual Arousal Disorder (Correct answer)
- Sexual Aversion Disorder
- Hypoactive Sexual Desire Disorder
Correct answer: Female Sexual Arousal Disorder
Female Sexual Arousal Disorder is characterized by a persistent or recurrent inability to attain or maintain sufficient sexual arousal, typically manifested by inadequate lubrication-swelling response, until the completion of sexual activity. This directly matches the described symptoms of inadequate lubrication and swelling in reaction to sexual arousal.
Fear of being hurt or watched, along with a preoccupation with one or more delusions or frequent auditory hallucinations.
There is no flat or improper affect, incoherent speech, or chaotic or catatonic behaviour.
Answer: Schizophrenia Paranoid type