Impulse Control, Gender and Paraphilic Disorders MCQs

Psychiatry · 15 free questions with answers & explanations.

1. A 28-year-old man presents to the emergency department after being arrested for shoplifting. He reports uncontrollable urges to steal objects he neither needs nor intends to use, followed by a sense of release and subsequent guilt. He has been arrested 4 times. He has no financial need. There is no evidence of a manic episode, antisocial personality disorder, or delusional disorder. The diagnosis is:
2. A 40-year-old man reports intense, recurrent sexual urges and fantasies involving fire-setting and watching fires burn. He has set multiple fires 'for sexual gratification.' He denies political motives, financial gain, or delusional beliefs. This pattern, causing significant legal and social impairment, is most accurately diagnosed as:
3. Per DSM-5, what is the minimum criterion that distinguishes a paraphilia from a paraphilic DISORDER requiring clinical intervention?
4. A 30-year-old individual assigned female at birth reports a persistent and strong identification as male since childhood, significant distress with female secondary sexual characteristics, and wishes to be referred to with male pronouns. There is no co-occurring psychotic disorder. Per DSM-5, the appropriate diagnosis is:
5. A 35-year-old man reports intense, recurrent sexual urges involving observing unsuspecting individuals in private activities for the past 6 months, causing significant distress. He has never acted on these urges. According to DSM-5, which is the CORRECT classification?
6. A 28-year-old woman identifies as a transgender woman (assigned male at birth, identifies as female). She requests gender-affirming hormone therapy. According to WPATH Standards of Care Version 8, which of the following is the CORRECT conceptualisation of this clinical scenario?
7. A 40-year-old man is referred for recurrent stealing of objects he does not need for personal use or monetary value. He feels tension before stealing and relief/pleasure during the act, with subsequent guilt. Which is the CORRECT diagnosis and its DSM-5 category?
8. A 35-year-old male presents with recurrent urges to set fires, pleasure/tension release from fire-setting, no monetary or political motivation, and no psychosis. He has set fires on three occasions. The DSM-5 diagnosis is:
9. Under DSM-5, which statement CORRECTLY distinguishes a paraphilia from a paraphilic disorder?
10. Gender dysphoria in DSM-5 is defined as a marked incongruence between which two elements, for at least 6 months duration?
11. A 40-year-old male with pedophilic disorder seeks treatment. He has not offended. The pharmacological treatment that reduces sexual drive by lowering testosterone via suppression of gonadotropins is:
12. A 28-year-old man repeatedly sets fires in his neighbourhood. He describes mounting tension before the act, intense pleasure and relief during the act, and no financial or ideological motive. The DSM-5 diagnosis is:
13. DSM-5 distinguishes between a 'paraphilia' and a 'paraphilic disorder'. Which statement CORRECTLY describes this distinction?
14. Gender dysphoria in the DSM-5 is characterised by a marked incongruence between experienced gender and assigned gender lasting at least:
15. A 35-year-old man with intermittent explosive disorder (IED) has multiple episodes of verbal and physical aggression disproportionate to any provocation, causing relationship breakdown. Which pharmacological agent has the best evidence for reducing impulsive aggression in IED?