Personality disorders: obsessive-compulsive personality: 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 · Personality disorders: obsessive-compulsive personality

Sample item

A man is preoccupied with rules, lists and perfectionism, which interferes with completing tasks. He is stubborn and hoards money, but sees these traits as reasonable and does not feel distressed by them. Which diagnosis fits?

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

The answer and the reasoning

C. Obsessive-compulsive personality disorder

OCPD is a Cluster C disorder of perfectionism, rigidity and control that is ego-syntonic, in contrast to OCD, where obsessions and compulsions are ego-dystonic and distressing. Compulsions in the sense of rituals are typically absent in OCPD.

Option by option

  • A. Schizoid personality disorder

    Schizoid disorder involves detachment.

  • B. Obsessive-compulsive disorder

    OCD features unwanted obsessions and rituals that cause distress.

  • C. Obsessive-compulsive personality disorder (correct)

    Correct. Ego-syntonic perfectionism is OCPD.

  • D. Generalised anxiety disorder

    GAD involves excessive worry.

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 C, Obsessive-compulsive personality disorder. OCPD is a Cluster C disorder of perfectionism, rigidity and control that is ego-syntonic, in contrast to OCD, where obsessions and compulsions are ego-dystonic and distressing.

Why is "Schizoid personality disorder" not the answer?

Schizoid disorder involves detachment.

Why is "Obsessive-compulsive disorder" not the answer?

OCD features unwanted obsessions and rituals that cause distress.

Why is "Generalised anxiety disorder" not the answer?

GAD involves excessive worry.

What concept does this question test?

It tests Personality disorders: obsessive-compulsive personality in Psychiatry. Compulsions in the sense of rituals are typically absent in OCPD.

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 Personality disorders: obsessive-compulsive personality?

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.