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Kaplan Qbank USMLE



Author3 Posts
  #1

44) A 64-year-old male with generalized abdominal pain and jaundice is told by his physician after an extensive workup that he has a diagnosis of pancreatic adenocarcinoma. In the days following the diagnosis, the patient states to his doctors that "I don't have cancer - all I need is a Vitamin B12 shot and I will feel better fast". The patient is oriented at all times, scoring 29/30 on a mini-mental state exam, but refuses all chemotherapy medications, and adamantly refuses to be seen by the hospital oncologist, because "he is a cancer doctor and I don't have cancer." Which of the following diagnoses would be most applicable in this case?


A. Acute stress disorder
B. Adjustment disorder
C. Alzheimer dementia
D. Delusional disorder
E. Major depressive disorder


  #2

B. Adjustment disorder

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

  #3

nice question phuluong........can u please tell the answer.....

thanks.........








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