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Quizzes > Health & Medicine

Cluster B Test: Check Your Knowledge of Personality Disorders

Quick, free cluster B quiz to test your knowledge. Instant results.

Editorial: Review CompletedCreated By: Mohd Fazley JoheryUpdated Aug 24, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art showing faces puzzle pieces representing antisocial borderline narcissistic traits on sky blue background

Use this quiz to check your understanding of Cluster B personality disorders with short case items and instant feedback. For more practice, see the cluster b personality test, focus on antisocial features with the antisocial personality disorder test, or explore related traits in the psychopath quiz.

Which set lists only Cluster B personality disorders?
Antisocial, Borderline, Histrionic, Narcissistic
Paranoid, Schizoid, Schizotypal, Antisocial
Avoidant, Dependent, Obsessive-Compulsive, Borderline
Schizoid, Histrionic, Avoidant, Narcissistic
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Which core feature best defines antisocial personality disorder (ASPD)?
Excessive perfectionism and control
Odd beliefs and magical thinking
A pervasive disregard for and violation of the rights of others
Social inhibition due to feelings of inadequacy
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Which hallmark best characterizes borderline personality disorder (BPD)?
Preoccupation with orderliness and rules
Pervasive instability in relationships, self-image, and emotions with marked impulsivity
Detachment and restricted emotional expression
Grandiose self-importance with need for admiration
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Which cluster of features is central to narcissistic personality disorder (NPD)?
Grandiosity, need for admiration, and lack of empathy
Suspiciousness, distrust, and grudges
Unstable mood episodes lasting weeks
Persistent social detachment and indifference
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Personality disorder patterns typically begin by which developmental period?
Middle adulthood only
After age 60
Late childhood exclusively (before age 10)
Adolescence or early adulthood
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Which criterion captures abandonment concerns typical of BPD?
Frantic efforts to avoid real or imagined abandonment
Flattened affect with limited range of emotions
Compulsions aimed at reducing anxiety
Persistent avoidance of social situations
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Which is specifically required for a DSM-5 diagnosis of antisocial personality disorder?
Evidence of conduct disorder with onset before age 15
At least one manic episode
History of major depressive disorder
Presence of hallucinations
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Which behavior aligns with a diagnostic criterion of BPD related to self-harm?
Compulsive checking rituals
Persistent auditory hallucinations with delusions
Prolonged hypomanic episodes
Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
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Which is NOT required for an ASPD diagnosis?
Evidence of conduct disorder before age 15
Individual is at least 18 years old
Presence of psychotic symptoms (e.g., hallucinations or delusions)
Pervasive pattern of disregard for others
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Which defense mechanism is strongly associated with BPD?
Intellectualization
Isolation of affect
Reaction formation
Splitting (alternating idealization and devaluation)
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Which reaction to criticism is most characteristic of NPD?
Persistent guilt and remorse
Calm acceptance with self-reflection
Indifferent detachment
Narcissistic injury with rage or counterattack to perceived slights
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Which feature is central to histrionic personality disorder?
Persistent avoidance due to fears of criticism
Odd speech and eccentric behavior
Discomfort when not the center of attention, often with inappropriate, sexually provocative behavior
Preoccupation with details and lists
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Which description best fits vulnerable (covert) narcissism?
Compulsive orderliness and control
Consistent social detachment and anhedonia
Episodic euphoria with decreased need for sleep
Hypersensitivity to evaluation, shame-proneness, and withdrawal behind a facade of grandiosity
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Which statement best describes empathy in NPD?
Complete absence of any empathic capacity
Impaired empathy with difficulty recognizing or identifying others' feelings and needs
Normal or heightened empathic accuracy across settings
Empathy intact but selectively enhanced under stress
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Which best contrasts healthy self-esteem with narcissism?
Narcissism reflects accurate self-appraisal
Healthy self-esteem requires others' constant praise
Healthy self-esteem depends on social dominance
Healthy self-esteem is stable and competence-based; narcissism is contingent, grandiose, and easily threatened
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Which course pattern is most accurate when comparing BPD and ASPD over time?
ASPD traits reliably remit fully by age 25
BPD symptoms often lessen with age more than ASPD traits do
BPD inevitably worsens progressively across the lifespan
Both BPD and ASPD are invariably lifelong without change
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Which developmental factor is strongly associated with BPD?
Late-life traumatic brain injury
Prenatal exposure to lead only
Exclusive genetic inheritance without environmental influence
Childhood trauma and invalidating environments
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Which feature favors BPD over bipolar disorder in a differential diagnosis of mood swings?
Episodic psychosis lasting months
Decreased need for sleep for a week
Discrete multi-day hypomanic episodes independent of context
Affective instability with rapid mood shifts reactive to interpersonal stressors
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Which principle best guides culturally sensitive diagnosis of personality disorders?
Apply identical norms globally without adjustment
Ignore cultural context if symptoms appear dramatic
Diagnose based on single-incident behavior
Diagnose only when enduring traits deviate from cultural norms and cause impairment, not when behaviors are culturally normative
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Which statement about attachment is most associated with BPD?
Dismissive-avoidant attachment without fear of abandonment
Indiscriminate social engagement
Secure attachment and strong distress tolerance
Fearful-preoccupied attachment with heightened sensitivity to rejection
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Study Outcomes

  1. Understand Core Features of Cluster B Disorders -

    Clarify the hallmark traits and behaviors that define antisocial, borderline, histrionic, and narcissistic personality disorders.

  2. Differentiate Between Cluster B Subtypes -

    Distinguish how each disorder presents uniquely to enhance identification during a cluster b personality disorder test.

  3. Identify Diagnostic Criteria -

    Recognize the key DSM-5 criteria used by mental health professionals for accurate diagnosis of cluster B disorders.

  4. Assess Your Knowledge with a Scored Quiz -

    Evaluate your understanding of cluster b personality disorders through an engaging free quiz that provides instant feedback.

  5. Compare Cluster A and Cluster B Disorders -

    Contrast the traits of cluster B disorders with those of cluster A to refine your differential diagnostic skills.

  6. Apply Key Insights for Exam and Practice Prep -

    Leverage quiz explanations and results to reinforce learning, boost recall, and prepare effectively for exams or clinical scenarios.

Cheat Sheet

  1. DSM-5 Criteria Overview -

    Cluster B personality disorders test uses the DSM-5 framework from the American Psychiatric Association, highlighting enduring patterns of behavior in antisocial, borderline, histrionic and narcissistic types. Familiarity with these five key DSM-5 criteria ensures you can accurately identify each disorder in clinical scenarios.

  2. Distinctive Antisocial vs. Borderline Traits -

    Antisocial Personality Disorder features impulsivity, deceit, and a lack of remorse, while Borderline Personality Disorder centers on emotional instability and fear of abandonment, as described in the Mayo Clinic's guidelines. Recognizing these patterns - like repeated rule-breaking in antisocial versus self-harm in borderline - sharpens diagnostic accuracy.

  3. Recognizing Histrionic and Narcissistic Patterns -

    Histrionic Personality Disorder presents with attention-seeking behaviors and theatricality, whereas Narcissistic Personality Disorder is marked by grandiosity and entitlement (source: National Institute of Mental Health). Spotting cues like excessive praise-seeking or fantasies of unlimited success boosts your performance on the cluster b test.

  4. Key Assessment Tools -

    Familiarize yourself with standard tools such as the Personality Diagnostic Questionnaire-4 (PDQ-4) and the Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD) from reputable research repositories. Practicing sample items and scoring methods helps you navigate the cluster b personality disorder test with confidence.

  5. Mnemonic Trick: "BACH" -

    Use "BACH" (Borderline, Antisocial, Cluster B, Histrionic/Narcissistic) to recall all four disorders quickly during quizzes and exams. This simple mnemonic has been validated in educational psychology studies for improving recall under timed conditions.

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