The Nightmare Quiz

15 Points Per Correct Answer - No time limit  

1. The term "nightmare" originally described not only a bad dream but also the supernatural being that brought it. To which of the following did the Middle English word "nightmare" refer? A poltergeist A banshee A female goblin A male incubus

2. Concern about mental illness has replaced the concern that frequent nightmares are an indication of demonic activity. According to the DSM-IV, how often must nightmares occur in adults before the patient having them may qualify as having Nightmare Disorder (DSM-IV-TR #307.47)? Monthly Weekly Nightly Over three times nightly

3. An identical twin of a person with nightmares is more likely to have them. True False

4. Although nightmares can constitute a psychiatric diagnosis in themselves, they may be associated with other psychiatric disorders. Which of the following psychiatric disorders may have frequent nightmares as a feature? Post traumatic stress disorder Schizophrenia Depression All of them

5. Following emotional trauma a child or young adult develops frequent nightmares. No other psychiatric symptoms or disorders are present. Which of the following is the most likely outcome? Serious psychiatric pathology will develop. The person will "grow out of it". Long term treatment with mutiple medications will be required. Long term psychiatric hospitalization will be required.

6. Sleep is divided into stages. In which stage of sleep is a nightmare most likely to occur? Stage III REM sleep Stage IV Nightmares are equally likely to occur in any sleep stage.

7. Night terrors are distinct from nightmares. In what way are they different? Patients with night terrors typically have dramatic movements during sleep. Patients with night terrors are difficult to awake. They differ in all these ways. Patients with night terrors are less likely to remember them.

8. Although simple nightmares generally do not require treatment with medication, on occasion sedatives (benzodiazepines) or tricyclic antidepressant medications are prescribed. Which of these drugs may increase nightmares? Neither Tricyclic antidepressants Benzodiazepines Both

9. Avoidance of factors that provoke nightmares is an important part of treatment. Which of the following need not be avoided? Warm baths Frightening stories, movies or quizzes Fatigue Emotional stress

10. When a small child has a monster dream, should a flashlight search of the closet for monsters be made? Yes No