PERSONALITY DISORDERS – CLUSTER B

PERSONALITY DISORDERS – CLUSTER B

Q. 1

Young person with self mutilating behaviour and impulsivity is suffering from?

 A Dependent personality disorder
 B Borderline personality disorder
 C Adjustment disorder
 D

Paranoid personality disorder

Q. 1

Young person with self mutilating behaviour and impulsivity is suffering from?

 A Dependent personality disorder
 B Borderline personality disorder
 C Adjustment disorder
 D

Paranoid personality disorder

Ans. B

Explanation:

Borderline personality disorder

REF: Kaplan and sadock’s 10′ edition page 800

DSM-IV- Diagnostic Criteria for Borderline Personality Disorder

A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and

marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more)

of the following:

  1. Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
  2. a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
  3. identity disturbance: markedly and persistently unstable self-image or sense of self
  4. Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
  5. recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
  6. affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only hours and only rarely more than a few days)
  7. chronic feelings of emptiness
  8. inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
  9. transient, stress-related paranoid ideation or severe dissociative symptoms

Q. 2

True about treatment of personality disorder:

 A Antipsychotic drugs are used

 B SSRI used in treatment

 C

Behaviour therapy

 D

All

Ans. D

Explanation:

A, B, C i.e. Antipsychotic drugs are used, SSRI used in treatment, Behaviour therapy


Q. 3

A person having the habit of repeated self inflicted injuries, what is the type of personality

 A

Borderline personality disorder

 B

Schizoid personality disorder

 C

Histrionic personality disorder

 D

Narcissistic personality disorder

Ans. A

Explanation:

A i.e. Border line personality disorder

Habit or repeated self inflicted injuries (ex. suicidal tendencies) is characteristic feature of Borderline personality disorder.


Q. 4 True about personality disorder:

 A

It arises during childhood

 B

It matures during adulthood

 C

Suspiciousness is seen in paranoid personality disorder.

 D

All

Ans. D

Explanation:

A. i.e. It arises during childhood; B. i.e. It matures during adult; C i.e. Suspiciousness is seen in paranoid personality disorder


Q. 5

A young lady was admitted after taking overdose of diazepam after broken affair. She has history of slitting her wrist previously. Most likely diagnosis is

 A

Narcisstic Personality Disorder

 B

Dependent P.D.

 C

Borderline P.D.

 D

Histirionic P.D.

Ans. C

Explanation:

C i.e. Border line Personality disorder

In Personality disorders – that onset can be traced back atleast to adolescence or early adulthood; the behaviour deviates markedly from the expectations of individual culture, is inflexible & pervasiveQ across a broad range of personal & social situations.


Q. 6

Borderline personality disorder ‑

 A

A chronic feeling of emptiness

 B

Unstable interpersonal relationship

 C

Grandiosity

 D

Low self esteem

Ans. B

Explanation:Ans: B-Unstable interpersonal relationship

Borderline personality disorder

  • The central feature of borderline personality disorder is a pervasive pattern of unstable and intense interpersonal relationships, self perception and mood.
  • The patient makes recurrent suicidal threats and gestures and a small proportion of patients carry out the act of self-mutilation like cutting or burning.
  • The patients have difficulty controlling their anger and impulsivity. There is uncertainty about personal identity.

Q. 7

Most effective treatment in borderline personality disorders‑

 A

Pharmacotherapy

 B

Behaviour therapy

 C

Combination of both pharmacotherapy and behavioural therapy

 D

None

Ans. B

Explanation:Ans. is ‘b’ i.e., Behaviour therapy

  • “Dialectical behavioral therapy (DBT), a type of cognitive behavioral therapy (CBT), has been developed specifically for the treatment of borderline personality disorder, and it appear to be the most effective treatment for this condition”.


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