Which of the following are indicative of hypochondriasis? (Select all that apply.)
Symptoms most commonly appear in early childhood
First diagnosed following a severe stressor.
Sufferers usually have strained interpersonal relationships
The course of the disorder follows a see-saw pattern and tends to become chronic
More frequent in person exposed to a serious illness in childhood
Correct Answer : C,D
C. Hypochondriasis can strain interpersonal relationships due to excessive preoccupation with health concerns, frequent doctor visits, and seeking reassurance from others.
D. Hypochondriasis often follows a chronic course with periods of intense anxiety about health alternating with periods of relative calm. Despite reassurances and negative medical tests, individuals with hypochondriasis may continue to worry about their health
A. Hypochondriasis typically develops in adulthood rather than childhood. It involves persistent anxiety about health and the interpretation of normal bodily sensations as signs of serious illness. Childhood is less commonly associated with the onset of hypochondriasis.
B. While stress can exacerbate symptoms of hypochondriasis, it is not typically diagnosed immediately following a specific stressor. The disorder often develops gradually over time due to a combination of factors, including anxiety, personality traits, and past experiences with illness.
E. There is no consistent evidence suggesting that exposure to serious illness in childhood predisposes individuals to hypochondriasis. The disorder is more associated with individual psychological factors, cognitive biases, and anxiety sensitivity rather than childhood illness exposure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Conversion disorder involves the presence of neurological symptoms that are inconsistent with known neurological or medical conditions. These symptoms often manifest as sensory or motor deficits, such as blindness, paralysis, or seizures, without a clear organic basis. The symptoms are not intentionally produced and are not explained by another medical or psychiatric condition.
A. Hypochondriasis, now known as illness anxiety disorder, involves excessive worry or preoccupation with having a serious illness despite medical reassurance and lack of significant physical symptoms. It does not typically involve sensory or neurological symptoms such as blindness.
C. Malingering involves the intentional production or exaggeration of symptoms for secondary gain, such as financial compensation, avoiding military duty, or obtaining drugs. In malingering, there is typically a clear external incentive for the behavior, which is not evident in the soldier's case.
D. Somatization disorder (now termed somatic symptom disorder) involves multiple and recurrent physical symptoms that are distressing and lead to excessive thoughts, feelings, and behaviors related to these symptoms. It does not typically present with sudden onset of sensory deficits like blindness.
Correct Answer is ["A","B","D","E"]
Explanation
A. Severely restricted food intake can lead to imbalances in electrolytes such as potassium, sodium, and chloride. These imbalances can disrupt normal heart rhythm (arrhythmias) and other vital functions, potentially leading to cardiac arrest, which is a common cause of death in individuals with anorexia nervosa.
B. Individuals with anorexia nervosa are at increased risk of suicidal thoughts and behaviors. This risk may be due to the severe psychological distress associated with the disorder, as well as the physical complications that can feel overwhelming. Suicide can unfortunately be a tragic consequence in some cases.
D Dehydration is a significant risk in individuals with anorexia nervosa, especially when combined with electrolyte imbalances. Dehydration can lead to organ failure, particularly kidney failure, which can be life-threatening if not promptly treated.
E. Severe muscle wasting can occur in individuals with anorexia nervosa, particularly in later stages of the disorder. Loss of muscle mass contributes to overall physical weakness and compromises essential bodily functions, potentially leading to organ failure and death.
C. Anorexia nervosa itself does not directly cause diabetes. However, individuals with severe anorexia may develop metabolic disturbances, including insulin resistance, due to malnutrition. This can lead to abnormal blood sugar levels, but diabetes as a direct cause of death in anorexia is less common compared to other complications.
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