Neurotic and Stress-Related Disorders

A patient fears leaving home, travelling far from home, using buses and waiting in crowded queues. Which phobic disorder best matches this pattern?

Which is the most common type of phobic disorder in the general population?

Which premorbid personality pattern is associated with a poor prognosis in OCD?

Which pair of defence mechanisms does the ego use to avoid anxiety in the psychoanalytic theory of phobic symptoms?

Which biological finding is described in approximately 50% of social phobic cases and distinguishes them from panic attacks?

A patient believes that thinking ill of his son will cause his son to die. Which form of obsession is illustrated?

In the conditioned reflex theory of phobic anxiety, what acts as the unconditioned stimulus?

Which is the most common form of obsession?

Which factor is listed as unrelated to prognosis in OCD?

Which combination of features distinguishes an obsession from a delusion?

A patient repeatedly experiences vividly imagined scenes of cars colliding. Which form of obsession does this represent?

Which response to sodium lactate infusion is described by the lactate panicogenic metabolic theory?

Which feature distinguishes OCD from phobic disorder in terms of avoidance?

A patient has marked obsessional behaviour throughout life, with no recognizable time of onset. Which differential diagnosis of OCD is supported by this history?

Where is the locus coeruleus located?

A student avoids speaking, eating and writing in public because of a persistent irrational fear of scrutiny by others. What is the most likely diagnosis?

Which clinical feature is a favourable prognostic factor in OCD?

In the carbon dioxide hypersensitivity theory of panic, which inhaled mixture is described as provoking panic attacks?

A patient with anxiety neurosis perceives their symptoms as abnormal. Which mental status feature does this demonstrate?

In the two-stage learning theory of obsessive compulsive disorder, which process initially links anxiety to a specific environmental event?

A patient has recurrent doubts about having locked the house and repeatedly returns to check the lock. Which component represents the compulsion?

A patient has recent-onset conversion disorder after a clearly identifiable precipitating event, with good premorbid functioning and no severe associated psychopathology. What outcome is usually expected?

How does a patient with phobic disorder typically judge the fear in relation to the actual dangerousness of its trigger?

A patient repeatedly performs a compulsive ritual because it successfully reduces anxiety. Which process explains the increased likelihood of repeating the ritual?

Which pharmacological class is described as useful in a variety of anxiety disorders, with propranolol as an example?

In phobic disorder, what is stated about whether feared objects, situations or places must be real?

Which risk is the stated reason for stopping benzodiazepines after a few weeks of anxiolytic treatment?

Which drug is explicitly identified as a useful antiobsessional agent in OCD?

How are neurotic symptoms described when the patient regards them as unacceptable and alien?

What is the usual duration of a panic attack in the description of anxiety neurosis?

Following bereavement, a person initially experiences shock, numbness and denial. Although this state usually lasts a few hours, how long may it sometimes persist?

Which feature characterizes the physical symptoms of hypochondriasis?

What distinguishes hysteria from malingering in terms of the underlying conflicts?

How is uncomplicated grief classified?

Which feature of hysteria is specifically described as uncommon in children?

Which disorder is described as having an equal sex distribution?

What is the commonest form of dissociative hysteria?

Which set of defense mechanisms is associated with obsessive compulsive disorder?

Which manifestation is specifically described in severe hyperventilation syndrome?

Under which circumstance does the habit of hyperventilation become particularly marked in hyperventilation syndrome?