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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Only engages in solitary activities. Individuals with schizoid personality disorder (SPD) prefer solitary activities and show little interest in social interactions. They are emotionally detached and lack the desire for close relationships, including friendships and romantic partnerships.
B. Dislikes criticism. While people with SPD may be indifferent to praise or criticism, they are not particularly sensitive to it. Unlike avoidant personality disorder, where individuals avoid social interactions due to fear of rejection, those with SPD are emotionally detached and often indifferent to others' opinions.
C. Always wants to be center of attention. This describes histrionic personality disorder (HPD), not schizoid personality disorder. Individuals with HPD seek constant attention, approval, and validation, whereas those with SPD prefer to remain isolated and avoid social engagement.
D. Affective flattening. Affective flattening (emotional coldness or limited emotional expression) is a key feature of SPD. Individuals display minimal facial expressions, monotone speech, and reduced nonverbal communication, contributing to their perceived social aloofness.
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.
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