OCD-related: excoriation disorder: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · OCD-related: excoriation disorder

Sample item

A 24-year-old woman repeatedly picks at her facial skin for hours, causing sores, and fails to stop despite repeated attempts. The diagnosis is

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Excoriation (skin-picking) disorder

Excoriation disorder is recurrent skin picking with lesions and failed attempts to stop, classified within obsessive-compulsive and related disorders. Habit reversal training is first-line, with SSRIs as an option. Body dysmorphic disorder is driven by appearance preoccupation instead.

Option by option

  • A. Trichotillomania

    Trichotillomania is hair pulling.

  • B. Excoriation (skin-picking) disorder (correct)

    Correct. Recurrent skin picking with lesions is excoriation disorder.

  • C. Body dysmorphic disorder only

    Body dysmorphic disorder involves preoccupation with a perceived defect, which is not described.

  • D. Delusional parasitosis

    Delusional parasitosis involves a fixed belief of infestation.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is B, Excoriation (skin-picking) disorder. Excoriation disorder is recurrent skin picking with lesions and failed attempts to stop, classified within obsessive-compulsive and related disorders.

Why is "Trichotillomania" not the answer?

Trichotillomania is hair pulling.

Why is "Body dysmorphic disorder only" not the answer?

Body dysmorphic disorder involves preoccupation with a perceived defect, which is not described.

Why is "Delusional parasitosis" not the answer?

Delusional parasitosis involves a fixed belief of infestation.

What concept does this question test?

It tests OCD-related: excoriation disorder in Psychiatry. Habit reversal training is first-line, with SSRIs as an option. Body dysmorphic disorder is driven by appearance preoccupation instead.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study OCD-related: excoriation disorder?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.