MCAT Social and Behavioral Sciences : Psychological Disorders and Anomalies

Study concepts, example questions & explanations for MCAT Social and Behavioral Sciences

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Example Questions

Example Question #1 : Obsessive Compulsive Disorders

Which of the following best represents the typical onset age for obsessive compulsive disorder?

Possible Answers:

1-9 years old

Over 45 years old

25-45 years old

9-25 years old

Correct answer:

9-25 years old

Explanation:

While it may occur in children under five, obsessive compulsive disorder generally presents either in childhood (age 10-12) or in early adulthood (ages 18-22). Onset after age 25 is less common, and onset in middle age is rare. 

Example Question #1 : Bipolar Disorder

Lithium is a medication that is effective in the treatment of __________.

Possible Answers:

bipolar disorder

post-traumatic stress disorder

panic disorder

schizophrenia

obsessive-compulsive disorder

Correct answer:

bipolar disorder

Explanation:

The manic and depressive phases of bipolar disorder can be treated with the mood stabilizer lithium. Lithium is used for the prevention of future depression and suicide and for the prevention of future mania. Schizophrenia is treated with antipsychotic medications. Medications to reduce nightmares, insomnia, and startle reactions are used in the treatment of post-traumatic stress disorder. Benzodiazepines and selective serotonin reuptake inhibitors (SSRIs) are used to treat panic disorders. SSRIs are also used to treat obsessive-compulsive disorder.

Example Question #1 : Bipolar Disorder

A patient goes to her primary care doctor complaining of mood swings affecting her in such a way that she often feels either very "high" or very "low." She denies any thoughts of worthlessness or of hurting herself, doesn't have trouble concentrating on tasks, and has no psychotic episodes when she is "low." When feeling "high," she has increased energy and happiness. Her symptoms are indicative of which of the following mood disorders?

Possible Answers:

Bipolar II with rapid cycling

Bipolar I

Schizoaffective disorder

Major depressive disorder

Cyclothymic disorder

Correct answer:

Cyclothymic disorder

Explanation:

Cyclothymic disorder is a mild form of bipolar disorder where a person mood swings over a period of years that go from mild depression to elevated mood and excitement.

Individuals with any form of bipolar disorder will most likely experience some psychotic episodes. During manic episodes, they will have delusions of grandeur, racing ideas and speech, distractibility and high-risk behaviors. They generally sleep and eat less often during these episodes as well. A patient with cyclothymic disorder lacks the vegetative symptoms associated with major depressive disorders. They can concentrate normally and lack both suicidal ideations and feelings of worthlessness when "low."

Example Question #1 : Personality Disorders

People who are impulsive, unstable in mood, and manipulative are exhibiting the symptoms of __________.

Possible Answers:

antisocial personality disorder

borderline personality disorder

dissociative identity disorder

schizophrenia

generalized anxiety disorder

Correct answer:

borderline personality disorder

Explanation:

Borderline personality disorder is a diagnosis in people who are impulsive, unstable in mood, and manipulative. They can be charming and friendly one minute and angry, irritable, and sarcastic the next. People who need to escape from extreme trauma, most often from sexual or physical abuse in childhood, may develop distinct different personalities. This is termed dissociative identity disorder. People who lie, cheat, steal, and have no sense of responsibility and no anxiety of guilt about their behavior are described as having an antisocial personality disorder. People with schizophrenia experience hallucinations and delusions. Generalized anxiety disorder consists of persistent, excessive worrying and uncontrolled anxiety that has lasted for at least six months. 

Example Question #12 : Psychological Disorders And Anomalies

A 24 year old male experiences difficulty forming healthy adult relationships. He has extreme reactions when someone disagrees with him, and may scream or accuse people of abandoning or betraying him. He has an explosive temper and can behave in self-destructive ways, such as driving while intoxicated, binge eating, and engaging in self-deprecating speech. His family states that he tends to form unhealthy opinions of others: he will make a new friend who he puts onto a pedestal, then he will demonize that same individual when they fail to meet his expectations. 

This individual is exhibiting symptoms of which of the following personality disorders?

Possible Answers:

Borderline personality disorder

Obsessive-compulsive disorder

Paranoid personality disorder

Schizotypal personality disorder

Correct answer:

Borderline personality disorder

Explanation:

"Borderline personality disorder" is characterized by difficulty regulating behavior or thoughts, extreme fluctuations in mood, unstable relationships due to idealization or demonization, fear of abandonment or other attachment disorders, and impulsive or reckless behavior.

The other choices are incorrect. "Obsessive-compulsive disorder" is typified by repetitive, unwelcome thoughts that compel the individual to perform ritualistic acts. "Paranoid personality disorder" is a condition of pervasive, long-standing paranoia and general mistrust of others. "Schizotypal personality disorder" is an antisocial disorder: individuals experience social anxiety, the urge to isolate themselves from others, and odd behavior or beliefs.

Example Question #13 : Psychological Disorders And Anomalies

Which of the following is not a common symptom in borderline personality disorder?

Possible Answers:

Extreme reactions to abandonment, real or perceived

Chronic feelings of emptiness and/or boredom

A pattern of tumultuous relationships with family, friends, and romantic interests, often vacillating from extreme idealization to extreme dislike or devaluation.

The desire to isolate socially

Correct answer:

The desire to isolate socially

Explanation:

The DSM IV criteria for diagnosis of borderline personality disorder includes at least five of the following symptoms:

  • Extreme reactions to abandonment, real or perceived
  • A pattern of tumultuous relationships with family, friends, and romantic interests, often vacillating from extreme idealization to extreme dislike or devaluation.
  • Distorted and unstable self-image, which can result in sudden changes in feelings, opinions, values, plans, or goals
  • Impulsive and destructive behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving, and binge eating
  • Recurring suicidal behaviors or self-harming behavior
  • Intense and highly changeable moods
  • Chronic feelings of emptiness and/or boredom
  • Inappropriate, intense anger or problems controlling anger
  • Having stress-related paranoid thoughts or severe dissociative symptoms, such as feeling cut off from oneself, observing oneself from outside the body, or losing touch with reality.

Example Question #1 : Schizophrenia

Hallucinations, paranoia, and inappropriate behavior are associated with which of the following mental disorders?

Possible Answers:

Dissociative identity disorder

Bipolar disorder

Trichotillomania

Somatoform disorder

Schizophrenia

Correct answer:

Schizophrenia

Explanation:

Schizophrenia is a mental disorder where people perceive things without a stimulation—hallucinations. These people also suffer paranoid delusions, and their behaviors can be totally inappropriate. The development of distinctly separate personalities is called dissociative identity disorder (DID). People with schizophrenia do not have a split personality. People with bipolar disorder alternate between episodes of depression and mania. Trichotillomania is characterized by the repeated urge to pull out body hair. When there is no identifiable physical cause to explain physical disorders that are real to the patient, somatoform disorder may be diagnosed.

Example Question #2 : Schizophrenia

People in their late teens and twenties who have incoherent and disorganized speech, hallucinations, and delusions are exhibiting the symptoms of __________.

Possible Answers:

social phobias

schizophrenia

impulse control disorders

generalized anxiety disorder

bipolar disorder

Correct answer:

schizophrenia

Explanation:

People with schizophrenia have hallucinations, delusions, and difficulty concentrating. Symptoms of schizophrenia typically begin to appear in the late teens and twenties. Social phobias involve fear of being embarrassed in social situations. The most common is fear of public speaking. People with generalized anxiety disorder are frightened of something but are unable to speak about a specific fear. They develop physical fear reactions. Alterations of episodes of depression with episodes of mania is called bipolar disorder. The inability to resist and impulse to perform an action that is harmful to the individual or to others is an impulse control disorder. Examples are kleptomania and pyromania.

Example Question #11 : Psychological Disorders And Anomalies

Major depression is classified as which type of disorder?

Possible Answers:

Mood

Impulse control

Psychosomatic

Anxiety

Dissociative

Correct answer:

Mood

Explanation:

Affective disorders are a group of disorders marked by a disturbance of mood. Included in the category is major depression. People with major depression see nothing but sorrow in the future and may not wish to live anymore. Anxiety disorders are characterized by unreasonable anxiety or fear that is inappropriate to the circumstances and disrupts the person's life. Psychosomatic disorder is a real physical disorder that has a psychological cause, such as tension headaches. Dissociative disorder is a type of personality disorder that involves a disassociation of past experiences from present memory. The origin of dissociative disorders is a need to escape extreme trauma, usually some form of abuse. Impulse control disorders are an inability to resist an impulse to perform an action that is harmful to others. Includes in this category are kleptomania and pyromania.

Example Question #31 : Mcat Social And Behavioral

Magnetic Resonance Imaging (MRI) has been used to compare the brains of people who have depression with those who do not have depression. Which is the correct list of areas of the brain that show up differently on MRIs depending on whether a person has, or does not have, depression?

Possible Answers:

Mood, vision, sleep, appetite, and behavior

Speech, mood, thinking, sleep, and appetite

Mood, thinking, sleep, appetite, and behavior

Vision, movement, memory, speech, sleep

Mood, thinking, sleep, movement, appetite 

Correct answer:

Mood, thinking, sleep, appetite, and behavior

Explanation:

The correct answer is mood, thinking, sleep, appetite, and behavior. Other functions, such as speech, memory, and movement do not appear different depending on whether the patient is depressed. 

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