Which of these best describes factitious disorder?
Worry about health despite no symptoms.
Normal voluntary and sensory dysfunction.
Worry is out of proportion to the symptoms.
Deliberate exaggeration and fabricated symptoms.
The Correct Answer is D
A. Worry about health despite no symptoms. This describes illness anxiety disorder (formerly hypochondriasis), where individuals have an excessive fear of having a serious illness despite minimal or no physical symptoms. Unlike factitious disorder, these individuals are not fabricating symptoms but are genuinely convinced they are sick.
B. Normal voluntary and sensory dysfunction. This does not describe any recognized psychiatric disorder. However, conversion disorder (functional neurological symptom disorder) involves involuntary neurological symptoms (e.g., paralysis, blindness) without a medical cause, whereas factitious disorder involves intentional symptom fabrication.
C. Worry is out of proportion to the symptoms. This is characteristic of somatic symptom disorder (SSD), where individuals have excessive concern and distress over real but often minor physical symptoms. Unlike factitious disorder, their symptoms are not deliberately produced or exaggerated for attention.
D. Deliberate exaggeration and fabricated symptoms. Factitious disorder (formerly Munchausen syndrome) involves intentionally faking, exaggerating, or inducing medical symptoms to assume the "sick role". Unlike malingering (which is done for external rewards like financial gain), factitious disorder is driven by an internal psychological need for medical attention.
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Related Questions
Correct Answer is C
Explanation
A. Meaningless rhythm of words. This describes word salad, a disorganized speech pattern where words are strung together without logical connection, often seen in schizophrenia or severe psychosis.
B. Roundabout. This refers to circumstantial speech, where an individual provides excessive, unnecessary details before eventually arriving at the main point. This is commonly seen in mania, obsessive-compulsive disorder (OCD), or cognitive impairment.
C. Made-up words. Neologisms are newly invented words or phrases that have no meaning to others but may carry personal significance to the individual. This is frequently observed in schizophrenia, psychotic disorders, or neurological conditions like aphasia.
D. Repeating of another's words. This describes echolalia, a speech disturbance where a person repeats words or phrases spoken by others, often seen in autism spectrum disorder (ASD), schizophrenia, or catatonia.
Correct Answer is D
Explanation
A. Micromanages others. Individuals with obsessive-compulsive personality disorder (OCPD) exhibit excessive control and perfectionism, often micromanaging tasks and people to ensure everything is done "correctly." They struggle with delegating responsibilities because they believe others will not meet their high standards.
B. Perfectionist. Rigid perfectionism is a core feature of OCPD. Individuals set unrealistically high expectations for themselves and others, leading to chronic dissatisfaction, procrastination, and inefficiency because they fear making mistakes.
C. Workaholic. Those with OCPD are often preoccupied with work and productivity, sometimes neglecting personal relationships and leisure activities. They may prioritize tasks over social interactions, believing that relaxation is a sign of laziness.
D. Wants to be alone. Unlike schizoid personality disorder, individuals with OCPD do not prefer isolation. They often engage with others in structured environments but struggle in relationships due to their rigid expectations, stubbornness, and excessive control over details rather than a genuine desire to be alone.
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