Somatic Symptom and Related Disorders Practice Test

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• Illness Anxiety Disorder is associated with increased risk for which disorders?
• If there is definite evidence for pretending, which diagnosis should be considered instead?
• Name two common screening tools used to assess somatic symptom burden and health anxiety.
• What is the focus of functional restoration in treating Somatic Symptom Disorder?
• In clinical assessment, the presence of a concurrent medical illness typically results in impairment that is:
• Conversion disorder is now typically referred to as what?
• In somatic symptom and related disorders, individuals commonly present primarily in which settings?
• Which of the following is NOT typically associated with SSD?
• If somatic symptoms are consistent with another mental disorder, that disorder should be considered as what kind of diagnosis?
• Which statement best describes Somatic Symptom Disorder?
• What is the impact of SSD on functioning?
• The duration criterion for the persistent course of Somatic Symptom Disorder is typically more than how many months?
• What is the recommended stance when external incentives are suspected for malingering?
• In Somatic Symptom Disorder, therapy aims to shift the focus from symptom elimination to:
• What is the role of early intervention in SSD prognosis?
• What is a key goal of managing Illness Anxiety Disorder in primary care?
• Which distinction is accurate between Illness Anxiety Disorder and Somatic Symptom Disorder?
• In Factitious Disorder (self-imposed), which of the following is true?
• La belle indifference is best described as which of the following?
• Which statement correctly reflects the DSM-5-TR criteria for Somatic Symptom Disorder?
• Which statement best differentiates Hypochondriasis from Somatic Symptom Disorder and Illness Anxiety Disorder in DSM-5?
• Which statement best describes the comorbidity pattern of somatic symptom disorder?
• Which statement best captures the difference between Somatic Symptom Disorder and Illness Anxiety Disorder?
• Which statement correctly describes a criterion for Functional Neurological Symptom Disorder (Conversion Disorder)?
• How does correlation with neuroanatomy assist in evaluating somatic symptoms?
• Which statement best describes the emotional appraisal in somatic symptom disorder?
• What core communication approach is recommended when managing somatic symptom disorders in primary care?
• Which term describes the loss or alteration of physical function not explained by a medical condition, commonly associated with conversion disorder?
• Which of the following is included in the somatic symptom and related disorders spectrum?
• How might cultural context influence the management of SSD?
• What does the PHQ-15 assess?
• Which statement best differentiates Illness Anxiety Disorder from Somatic Symptom Disorder?
• Which statement best distinguishes illness anxiety disorder from somatic symptom disorder?
• What is the name of the disorder in which a person intentionally fabricates symptoms?
• Which of the following statements about Conversion Disorder criteria is true?
• When a physical sign is present in Illness Anxiety Disorder, it is typically:
• What characterizes Factitious Disorder Imposed on Another?
• Can a preexisting medical condition be present with Factitious Disorder?
• Which statement best distinguishes Factitious Disorder from Malingering?
• Which statement is true regarding the use of SSRIs in Illness Anxiety Disorder?
• What is the effect of behavioral activation in SSD?
• Which DSM-5 category is most likely when a patient has one or more somatic symptoms with disproportionate thoughts about seriousness?
• True or False: When a concurrent medical illness is present, the degree of impairment is more marked than would be expected from the physical illness alone.
• For assessing PFAMC in children, whose history is most helpful?
• In Illness Anxiety Disorder, somatic symptoms are:
• Which of the following is NOT a behavioral feature of somatic symptom disorder?
• What is the impact of SSRD on health care utilization and costs?
• What does Psychological Factors Affecting Other Medical Conditions entail?
• High level of medical care utilization in SSD often
• What is meant by 'secondary gain' in somatic symptom disorders?
• Why is a collaborative approach with primary care important in SSD and related disorders?
• Which disorder involves intentionally producing symptoms to assume the sick role without obvious external rewards?
• Which two DSM-5-TR specifiers are often used with Somatic Symptom Disorder?
• Which disorder involves preoccupation with having or acquiring a serious illness with few or no somatic symptoms?
• What iatrogenic risk is associated with somatic symptom and related disorders (SSRDs)?
• How should families be engaged in care for youths with somatic symptom disorders?
• What term describes non-organic, functional symptoms that are inconsistent with neuroanatomy and may vary with distraction?
• Why is reassurance often insufficient for SSD or Illness Anxiety Disorder, and what alternative strategy helps?
• Which statement best summarizes the DSM-5-TR criteria for Somatic Symptom Disorder?
• What is recommended as a non-pharmacologic approach in Somatic Symptom Disorder management?
• Which statement best differentiates SSD treatment goals from IAD treatment goals?
• Compared to Somatic Symptom Disorder, Illness Anxiety Disorder is characterized by:
• List three core CBT components commonly used for Somatic Symptom Disorder.
• In Somatic Symptom Disorder, how many somatic symptoms are required to meet the criterion?
• Functional Neurological Symptom Disorder often presents with variability in symptoms and inconsistent examination findings. What is the clinical implication of this pattern?
• Which statement describes prognosis factors for SSD or IAD?
• True or False: Reassurance by physicians generally alleviates concerns in Illness Anxiety Disorder.
• Which of the following is an idiom of distress used to describe somatic presentations in some cultures?
• What kind of change on the SSD-12 indicates treatment response?
• The diagnosis of psychological factors affecting other medical conditions should be reserved for situations in which the effect is, and the factor has clinically significant effects on the course or outcome of the medical condition.
• In pediatric SSD management, which intervention can improve functioning and reduce symptom maintenance?
• Which statement best describes gender prevalence for SSD and Illness Anxiety Disorder?
• Which term is considered outdated in DSM-5 and has been replaced by Illness Anxiety Disorder?
• What is graded exposure in SSD treatment?
• Which of the following is NOT a motor symptom in conversion disorder?
• An example of excessive health-related behavior in IAD would be:
• Which statement about psychological factors affecting other medical conditions is true?
• Which statement best describes the difference in motivation between Factitious Disorder and Malingering?
• SSD is more common in which gender?
• Which statement best describes non-epileptic seizures (PNES) in contrast to epileptic seizures?
• Which finding helps distinguish psychogenic non-epileptic seizures from epileptic seizures, and what diagnostic procedure is typically required?
• What CBT strategy is commonly used for Illness Anxiety Disorder?
• In differential diagnosis, with Panic Disorder, somatic symptoms and health anxiety tend to occur in which type of episodes?
• Which feature is commonly associated with somatic symptom disorder in children?
• When a nonverbal patient presents with somatic symptoms that are incongruent with exam findings and neuroanatomy, what is the clinical significance?
• How does DSM-5-TR classify 'Unspecified Somatic Symptom and Related Disorder'?
• In the differential diagnosis, conversion disorder may coexist with which of the following conditions?
• What is the mainstay of treatment for Somatic Symptom Disorder?
• Name three major DSM-5-TR differential diagnoses for somatic symptom disorders.
• Which of the following are common non-medical management strategies for FDIA?
• Which statement best distinguishes pseudoneurological (functional) symptoms from true neurological deficits?
• What is the clinical significance of trauma history in Functional Neurological Symptoms Disorder (FNSD)?
• What is a core educational message to patients with somatic symptom disorders?
• What is the recommended stance on labeling symptoms as 'psychogenic' in clinical practice?
• Which are two common functional neurological symptom presentations?
• Why is psychoeducation about brain-body connections important in SSRD?
• Deliberate physical self-harm in the absence of suicidal intent can occur in association with other mental disorders, such as which disorder?
• What is the typical prognosis for Functional Neurological Symptom Disorder?
• The element required for PFAMC is that the psychological factor has a clinically significant effect on the medical condition's course or outcome and the effect is evident.
• Which disorder is defined by preoccupation with having or acquiring a serious illness, with minimal somatic symptoms?
• Which ethical principle is most challenged in SSRD, and how is it addressed?
• How should clinicians discuss test results with a patient who has Illness Anxiety Disorder?
• What is a typical testing approach when Functional Neurological Symptom Disorder is suspected?
• Illness preoccupation in Illness Anxiety Disorder must be present for at least how many months?
• Which term is used to describe abnormal central nervous system functioning in conversion disorder?
• What is the Whiteley Index used for?
• Which DSM-5-TR criterion ensures the Somatic Symptom Disorder symptoms cause distress or impairment?
• Which term describes intentional symptom fabrication described by Morrison as a non-DSM-listed cause of somatic complaints?
• What is the minimum duration for symptoms in Somatic Symptom Disorder?
• In the differential diagnosis, which disorder is characterized by distressing and/or disruptive focus on having a disease with minimal somatic symptoms?
• Which of the following is NOT a recognized specifier for Somatic Symptom Disorder?
• In somatic symptom disorder, how are somatic symptoms typically characterized?
• Hoover's sign is used to differentiate organic from non-organic leg weakness, and inconsistencies on testing support which interpretation?
• Education about mind-body interaction in SSD patients primarily aims to help them engage in which type of strategies?
• What is the role of antidepressants in SSRD management?
• Which is a cognitive feature of somatic symptom disorder?
• Sensory symptoms in conversion disorder include which of the following?
• In Factitious Disorder Imposed on Another, which statement is accurate?
• A patient with SSD may seek care from multiple doctors for the same symptoms.
• Which therapy is evidence-based for Illness Anxiety Disorder and how does it differ from treating Somatic Symptom Disorder?
• Somatic Symptom Disorder impairment is primarily due to what?
• Which statement best differentiates Somatic Symptom Disorder from Illness Anxiety Disorder?
• Is la belle indifférence a reliable sign of conversion disorder?
• Conversion disorder requires one or more symptoms from which two categories?
• Which of the following is a common clinical example of psychological factors affecting other medical conditions?
• In scenarios where malingering is suspected, what is the recommended clinician response?
• When interpreting patient-reported symptoms in SSRD, which approach is most appropriate?
• Onset of conversion disorder may be associated with which of the following antecedents?
• Which psychological factors have been shown to adversely influence medical conditions?
• Which of the following is a type of somatic symptom and related disorder?
• What are Non-Epileptic Seizures (PNES) and how do they relate to Functional Neurological Symptom Disorder?
• What is the clinical emphasis in Somatic Symptom Disorder?
• Which disorder class is commonly co-occurring with conversion disorder, with anxiety disorders being a major example?
• Which scenario best illustrates somatic symptom disorder with disproportionate concerns about a medical condition?
• Which comorbidities are commonly seen with Somatic Symptom Disorder?
• Which factors may contribute to somatic symptom and related disorders?
• What is the recommended approach to differentiate a real symptom from one produced for unconscious reasons?
• In children, how might Somatic Symptom Disorder present?
• In conversion disorder, which specifier is used when symptoms have been present for less than six months?
• Which feature defines Functional Neurological Symptom Disorder (formerly Conversion Disorder) in DSM-5-TR?
• What is the diagnosis when a caregiver induces illness in another person?
• La belle indifference in the context of somatic symptom disorders is best described as which of the following?
• True or False: The diagnosis of conversion disorder requires that the symptoms be explained by neurological disease.
• The diagnosis of psychological factors affecting medical conditions entails a relevant ___ or ____ syndrome or trait and a co-morbid ____ condition.
• What specifier is used when somatic symptoms predominantly involve pain in Somatic Symptom Disorder?
• Which statement describes common psychiatric comorbidities with Somatic Symptom Disorder?
• All somatic symptom and related disorders share a common feature: the prominence of what type of symptoms?
• Somatic symptom disorder and a concurrent medical illness frequently do not occur together.
• Episodes of generalized limb shaking with apparent impaired consciousness in conversion disorder may resemble what type of seizures?
• Which nonverbal sign is most consistent with Functional Neurological Symptom Disorder?
• Early recognition and treatment of Functional Neurological Symptom Disorder is associated with what outcome?
• What is a key consideration to avoid mislabeling when diagnosing Factitious Disorder?
• Which statement describes malingering?
• Which term best describes intentional symptom fabrication not listed as a DSM diagnosis?
• Which statement correctly contrasts Factitious Disorder with Malingering?
• A key differential to consider when diagnosing Illness Anxiety Disorder is:
• What is a major ethical consideration when evaluating for Factitious Disorder?
• What is the role of the general practitioner in managing Somatic Symptom Disorder?
• Which term is used for deliberately reporting symptoms for personal gain?
• Which of the following is a dissociative symptom that can accompany the onset of conversion disorder?
• How does education about mind-body interaction help patients with somatic symptom disorders?
• What is the main purpose of education about brain-body links in CBT for SSD?
• In SSRD management, which statement best describes the role of structured assessments?
• Somatic symptoms without an evident medical explanation are not sufficient to diagnose Somatic Symptom Disorder. True or False?
• Which factor can maintain somatic symptom disorder in youths?
• The Care-seeking specifier for Illness Anxiety Disorder implies what behavior?
• In Somatic Symptom Disorder, excessive what related to the somatic symptoms or health concerns is required?
• Illness Anxiety Disorder is typically described as chronic and relapsing with onset in early to middle adulthood.
• Which statement differentiates Factitious Disorder from Malingering?
• What distinguishes Somatic Symptom Disorder from Illness Anxiety Disorder in clinical presentation?
• A distinctive characteristic of somatic symptom disorder is not the somatic symptoms per se, but how they ___ and ___ them. Incorporating ___, ___, and ___ components into the criteria.
• What is the DSM term for the criterion describing psychological and behavioral factors that affect an underlying medical condition?
• Which example best illustrates the excessive health-related behavior seen in Illness Anxiety Disorder?
• Which conversion symptom is commonly misdiagnosed as epilepsy, and how is it distinguished?
• Which term is synonymous with Factitious Disorder Imposed on Another?
• Which statement best distinguishes Illness Anxiety Disorder from Somatic Symptom Disorder?
• Functional Neurological Symptom Disorder is characterized by what main feature?
• Conversion disorder is two to three times more common in which gender?
• How many somatic symptoms are required to meet criteria for somatic symptom disorder, as described in DSM-V?
• PFAMC can occur across the lifespan, but is particularly common in which group?
• In Illness Anxiety Disorder, which of the following describes excessive health-related behavior?
• Which statement corresponds to criterion A of the DSM-5-TR Somatic Symptom Disorder?
• What is the typical gender distribution for FND and SSD?
• What are ethical and legal considerations when diagnosing Factitious Disorder?
• How should clinicians handle repeated medical tests in SSD/Illness Anxiety Disorder?
• When an individual falsifies illness in another, which diagnosis is most appropriate?
• Why is early recognition by the general practitioner important in SSD management?
• In Functional Neurological Symptom Disorder, which therapeutic focus is commonly integrated into treatment?
• Which statement best describes DSM-5-TR criterion B for Somatic Symptom Disorder?
• True or False: Individuals with Illness Anxiety Disorder have elevated medical utilization but do not utilize mental health services more than the general population.
• What is the significance of the 'rule-in' approach in evaluating suspected FNSD?
• Non-epileptic attacks in conversion disorder peak in which decade of life?
• How does DSM-5-TR classify 'Other Specified Somatic Symptom and Related Disorder'?
• Which statement best describes health anxiety in Illness Anxiety Disorder?
• What outcome measures indicate successful SSRD treatment?
• Which statement best captures pediatric SSD treatment emphasis?
• SSD is associated with higher rates of comorbidity with which types of disorders?
• What is the clinical approach to Factitious Disorder Imposed on Another (FDIA)?
• Somatic Symptom Disorder major diagnosis emphasizes diagnosis made on the basis of what?
• Which statement best describes the framing of SSRD when educating families?
• Which term is used in DSM-5-TR to describe non-organic neurological symptoms not explained by known neuroanatomy?
• Which statement best describes a primary treatment goal for SSRD?
• In SSRD assessment, which of the following statements about physical examination is most accurate?
• What is the purpose of the SSD-12 scale?
• Which description best captures the biopsychosocial model used in Somatic Symptom Disorder case formulation?
• What is a typical CBT outcome in SSD youths?
• How can substance use complicate somatic symptom and related disorders?
• What are the specifiers for Illness Anxiety Disorder?
• Which statement best differentiates factitious disorder from malingering in terms of rewards?
• What model underpins case formulation for Somatic Symptom Disorder?
• Why might reassurance alone be insufficient in managing SSD?
• What is the role of family in pediatric SSD?
• Which disorders must be ruled out before diagnosing Illness Anxiety Disorder?
• Approximately what percent of individuals previously diagnosed with hypochondriasis are now categorized under Somatic Symptom Disorder?
• In Kyle's scenario, excessive checking for skin cancer and frequent dermatology appointments led to a diagnosis most consistent with which condition?
• Which factors are used to inform differential diagnosis and case evaluation in Somatic Symptom Disorder?
• True or False: The prevalence of Illness Anxiety Disorder is similar in males and females.
• What term describes a lack of concern about the nature or implications of a symptom in conversion disorder?
• Which statement best differentiates Factitious Disorder from Malingering?
• Which statement best reflects treatment considerations for pediatric somatic symptom disorder (SSD) compared with adults?
• What is the main educational goal of patient education in somatic symptom disorders?