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Kaplan Qbank USMLE



Author13 Posts
  #1

A 36yo single man is admitted to the hospital for DVT.He has been inappropriately provocative&seductive toward female staff.Dramatic&suggestible,he appears obsessed with his attractiveness.He exaggerates his familiarity with some staff members&displays shallow,shifting emotions.
For this pt,u might recommend which of the ffg interventions to the staff?
A. be straightforward,explain everything,expect distrust
B. set firm limits,consider an antidepressant
C. similar pts generally do well,but avoid criticism
D. share control with the pt in as many ways as possible
E. set firm limits on pt and staff roles,remain noncritical


___________________
IM resident

  #2

( I think the question has been tempered)

I guess (C). similar pts generally do well,but avoid criticism

___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi

  #3

This patient has Histrionic personality disoreder. Answer A) is the strategy for management of schizoid disorders. E) is for Antisocial disorder. D) is for obscessive-compulsive disorders. B is probably for borderline. The only one left is C.


  #4

I haven't the faintest clue.

  #5

E i guess

  #6

E... there is no reason this patient should get an ssri... It won't help you or them... Plus I don't think this is an indication for sedation or medication of any sort.

___________________
where i lay my head is home.

  #7

C, I guess becos u know he'l respond badly so why create a situation?

  #8

Nisha - whats the answer?

  #9

yeah, what's the answer?
E?

  #10

I think he has histrionic personality so the best thing should be to set specific limits but remain acritical. I'd go for E.

what's the answer?


  #11

E.. whats the answer actually though??

  #12

Wow I didn't realize this q is from 2005! I am afraid we won't have any answer to this and I will remain on my position (option E)

  #13

E. set firm limits on pt and staff roles,remain noncritical



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