Psychotic Disorders Practice Test

A 25-year-old woman is brought to the emergency department by her family due to a 2-week history of acute-onset bizarre behavior, disorganized speech, and auditory hallucinations. Her symptoms began shortly after she was unexpectedly fired from her job. Her family reports no prior psychiatric history or substance use. She is oriented to person and place but not time. Her reality testing is poor.

A 55-year-old accountant has the fixed, unshakeable belief that his wife is having an affair. This belief has persisted for over a year, despite his wife's protestations and a lack of any concrete evidence. He has hired private investigators twice, both of whom found no proof of infidelity. Apart from this specific belief and its ramifications (e.g., arguing with his wife), his functioning is unimpaired. He continues to excel at his job and maintains his friendships. He denies any hallucinations, disorganized thoughts, or negative symptoms.