Answer each of the
following questions (there is only one correct answer to each question).
1
The patient with OCD has recurrent obsessions or compulsions
that are severe enough to:
A. be time consuming
B. cause marked distress
C. cause significant impairment
D. all of the above
2
Obsessions are persistent ideas, impulses, images, or
thoughts that are
A. superstitious
B. inappropriate, intrusive, and anxiety provoking
C. repetitive and annoying
D. bothersome to others
3
The goal of compulsions is to:
A. reduce or prevent anxiety
B. provide gratification or pleasure
C. be organized
D. always do things correctly
4
The most current theory is that the cause of OCD is
related to:
A. decreased serotonin in the blood
B. increased dopamine in the blood
C. abnormal neurocircuitry
D. parents' overemphasis on cleanliness or perfection
5
The most common symptoms of OCD involve:
A. a need for symmetry and order
B. excessive checking, washing or cleaning
C. unwanted aggressive or sexual thoughts
D. the need to ask questions or confess sins
6
OCD is considered as a diagnosis when:
A. the patient exhibits five or more symptoms
of OCD
B. family members begin to complain about the
behavior
C. the behavior results in significant impairment
or distress
D. all of the above
7
OCD is most effectively treated with:
A. medication and cognitive therapy
B. cognitive therapy and psychotherapy
C. behavior therapy and cognitive therapy
D. behavior therapy and medication
8
The most common medications used to treat OCD are:
A. Parnate and Nardil
B. Luvox, Prozac, Zoloft, Paxil, and Anafranil
C. Effexor and haloperidol
D. Lithium, risperidone and buspirone
9
SRI's and SSRI's work by:
A. slowing the reuptake of serotonin
B. increasing blood levels of serotonin
C. inhibiting the effectiveness of serotonin
D. producing more serotonin
10
Side effects of the SSRI's include:
A. restlessness, impulsiveness, sleepiness, impaired
clotting
B. weight loss, headaches, insomnia, decreased
energy
C. tremors, weakness, nausea, abdominal pain,
loss of appetite
D. all of the above
11
Side effects of Anafranil include:
A. dry mouth, constipation, excessive sweating
B. tachycardia, dizziness, tremor, agitation,
memory problems
C. diarrhea, headaches, bradycardia, weight loss,
heartburn
D. A and B
12
Sexual side effects of the SSRI's and SRI's include:
A. lowered sexual drive
B. delayed ability to have an erection or orgasm
C. spontaneous orgasms while yawning
D. all of the above
13
Low doses of anti-obsessional medications:
A. are never effective for treating OCD
B. are usually sufficient to relieve OCD symptoms
C. reduce OCD symptoms in a very small number
of patients
D. are most effective in patients who are depressed
14
Special caution should be used when giving SSRI's and
SRI's to:
A. patients with heart disease or liver disease
B. diabetics and elderly patients
C. patients with impaired kidney function
D. patients with depression
15
Side effects of MAOI's include:
A. blood pressure changes, edema, fatigue, tremors
B. anxiety, insomnia, drowsiness, dizziness,
twitching
C. dry mouth, gastric distress, constipation,
anorexia, diarrhea
D. all of the above
16
The interval between trials of Prozac and MAOI's must
be
A. 2 weeks
B. 5 weeks
C. 1 month
D. no interval is needed
17
The principle behavioral techniques for treating OCD
are:
A. thought stopping and aversive conditioning
B. exposure and response prevention
C. desensitization and flooding
D. implosion therapy and exposure
18
The purpose of exposure is to:
A. help the patient relax
B. assist the patient in avoiding obsessions
C. decrease the anxiety and discomfort associated
with obsessions
D. expose obsessive thoughts and compulsive behaviors
19
The purpose of response prevention is to:
A. assist the patient in avoiding obsessions
B. decrease the frequency of rituals or obsessive
thoughts
C. physically prevent the patient from participating
in compulsive behaviors
D. all of the above
20
Behavior therapy works best when:
A. the therapist is well trained in behavior
therapy
B. the patient is highly anxious and desperate
for relief
C. the patient's family provides constant reassurance
D. all of the above
21
Cognitive therapy involves:
A. changing the patient's behavior
B. attempts to change distorted thinking and
beliefs
C. helping the patient get in touch with his
feelings
D. exploring the patient's dysfunctional childhood
22
OCD patients tend to:
A. overestimate risks
B. have poor tolerance of social expectations
C. have a decreased sense of responsibility
D. all of the above
23
The Four-Step Self-Treatment Method is used:
A. to supplement exposure and response prevention
B. as a stand-alone intervention
C. in conjunction with psychotherapy
D. only with patients who have checking and washing
compulsions
24
Supportive psychotherapy:
A. is frequently used to treat OCD patients
B. may be helpful in conjunction with behavior
therapy and medication
C. is used to explore attitudes about cleanliness
learned in childhood
D. B and C
25
Support groups can help in all of the following ways
except:
A. helping OCD patients realize that their symptoms
are not unique
B. assisting the OCD patient's family in dealing
with the disorder
C. providing education about OCD
D. arranging for funding of outpatient treatment
26
Children and adolescents with OCD have a tendency:
A. towards perfectionism and have a more adult-like
moral code
B. to be less intelligent than their peers
C. to have more anger and guilt
D. A and C
27
Pregnant women should:
A. never take anti-obsessional medications
B. take the smallest dose possible and avoid
multiple medications
C. avoid taking Anafranil and Prozac
D. B and C
28
About two-thirds of OCD patients have:
A. suffered from other anxiety disorders
B. Tourette's Syndrome
C. a major depressive episode during their lifetime
D. Obsessive-Compulsive Personality Disorder
29
Tests that may be ordered during the treatment of OCD
include:
A. complete blood counts
B. CT scans
C. electroencephalograms
D. all of the above
30
Anti-obsessional medications may not begin working for:
A. 1 to 2 weeks
B. 4 to 6 weeks
C. up to 8 weeks
D. up to 12 weeks
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