Harper PSY630 Chapter 10 Test Disorders Featuring Somatic Symptoms

Question 1The treatment that helps relieve the symptoms of illness anxiety disorder is:

                Anti-anxiety medications

                Anti-psychotic medications

                Antidepressant medications

                Antagonistic medications

Question 2Foreign invaders of the body that stimulate a response from the immune system are:

                Antigens

                Lymphocytes.

                Natural killer T-cells.

                Helper T-cells.

Question 3____________ seek out and destroy body cells that have already been infected by viruses.

                Helper T-cells

                Natural killer T-cells

                B-cells

                Antibodies

Question 4People who are consistently angry, cynical, impatient, competitive, driven, and ambitious are displaying a _____________ and are at greater risk for heart disease.

                sociocultural stressor

                Type A personality

                Type B personality

                repressive coping style

Question 5Research using the Social Readjustment Rating Scale indicates that:

                Low but not high levels of stress are associated with physical illness.

                The greater the life stress, the greater the chance of illness.

                Physical but not psychological stressors are related to illness.

                Serious illnesses like cancer are related to stress.

Question 6A person who feigns physical symptoms out of a wish to be a patient might be diagnosed with:

                Stress disorder.

                Psychotic disorder.

                Factitious disorder.

                Conversion disorder.

Question 7A person experiencing blindness, paralysis, or loss of feeling that defies medical explanation, may also be said to be displaying:

                Malingering

                Pain disorder

                Selective symptomatology

                Conversion disorder

Question 8Conversion disorders are more common in:

                Women than men.

                Men than women.

                The middle aged than the young.

                The elderly than the middle aged.

Question 9If you have a high level of cytokines, we know that:

                You have developed antibodies to protect you from infection.

                You are at greater risk for heart disease, stroke, and other illnesses.

                Your liver is not producing bile.

                Your immune system is unusually healthy.

Question 10Cognitive-behavioral therapists treating a conversion disorder would be most likely to focus on:

                Identifying underlying emotional causes for the disorder.

                Helping the patient gain insight into how the disorder is reinforcing.

                Using exposure treatments.

                The unconscious conflict that resides within the patient.

Question 11Barbara appeared at the clinic feeling excessively distressed and anxious over her symptoms and she explained she was home-bound because of them.  She was complaining of pain in her knee and vague complaints of nausea, vomiting, and blurred vision. Her history revealed that she had been going to various clinics for years trying to get treatment for these complaints and a host of other physical symptoms, but the doctors kept telling her they can find no physical causes for her complaints. The diagnostic consensus was that Barbara suffers from:

                Factitious disorder.

                Somatic symptom disorder.

                Preoccupation disorder.

                Body dysmorphic disorder.

Question 12Relaxation training, biofeedback, meditation, and hypnosis all illustrate the use of:

                Psychological treatments for physical illnesses.

                Physical treatments for psychological illnesses.

                Combinations of physical and psychological treatments.

                Insight and social support therapies.

Question 13If you were working in the field of psychoneuroimmunology, you would be studying:

                The relationship between brain functioning and illness.

                The links between psychosocial stress, the immune system, and health and illness.

                The correlation between immune functioning and neurological functioning.

                The development of the neurological system when one is ill.

Question 14It is now becoming apparent through research that people who have few social supports and feel lonely tend to have poorer immune functioning in the face of stress than people who do not feel lonely.  One of the scales that used medical students during their final exam week to test this hypothesis was the:

                Harvard Immune System Scale

                NIH Scale for Loneliness

                Beck Depression Inventory

                UCLA Loneliness Scale

Question 15The effect of norepinephrine and cortisol on a body experiencing stress is:

                To keep the body's immune system functioning at a high level throughout the stress.

                To keep the body's immune system functioning at a low level throughout the stress.

                Initially to stimulate the immune system, then to inhibit it.

                Initially to inhibit the immune system, then to stimulate it.

Question 16One criticism of the Social Readjustment Rating Scale is:

                The small sample size.

                Men developed the scale.

                It was developed in the late 1960s.

                It does not take into consideration the life stress reactions of specific populations.

Question 17With conversion disosrder and somatic symptom disorder, it is important to remember that both the bodily and psychological reactions are often influenced by:

                Psychodynamic errors.

                Repression during the oral stage.

                Culture.

                Confrontational approaches by therapists.

Question 18Which of the following is a primary characteristic of individuals with Munchausen syndrome by proxy?

                They are psychotic.

                They are very independent.

                They are emotionally needy.

                They have limited intelligence and limited education.

Question 19Henry often sleepwalks and has frequent sleep terrors.  He would most likely be diagnosed with:

                Parasomnias.

                Hypersomnias.

                Narcolepsy.

                Circadian rhythm.

Question 20When a person feigns an illness to achieve some external gain, such as financial compensation or deferment from military service, the doctor may suspect the patient is:

                Utilizing the principle of primary gain.

                Utilizing the principle of secondary gain.

                Malingering.

                Posing.