It's definitely an ongoing slap in the face which is why it used to bother me a lot. It still does but I understand it better now.
I once mentioned he had "failed" a quiz about Histrionic Personality disorder. He got upset and spoke to his therapist about it who told him not to put too much weight on these online tests. I agree with the therapist because I know they're not set up to diagnose.
I did the test, myself, and remember the questions. It was not at all flattering to me to know how he'd answer these questions to the point he failed it.. and by that, to him, it meant he got a high score.