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Kaplan Qbank USMLE



Author4 Posts
  #1

A 42-year-old, unemployed laboratory technician is admitted to the hospital for nausea, vomiting, and abdominal pain. She tells the physician that she had been diagnosed in the past with disseminated lupus erythematosus and that she had Hodgkin disease. She seems worried that an extensive medical workup failed to confirm any of the previous diagnoses or find a cause of her actual symptoms. She insists on being given meperidine to relieve her pain. On examination, the only physical findings are scars and some abscesses on her thighs. She explains that she had been intentionally injured by the nurses in a previous hospital. Which of the following is the most likely diagnosis?


A. Factitious disorder
B. Ganser syndrome
C. Hypochondriasis
D. Malingering
E. Somatization disorder



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  #2

A?

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  #3

A. thanks for the question i just read and clearly found difference betwwen these

  #4

i think this is malingering

Pt pretend to have sympx to get drugs (she is a drug abuser, evidence is scars)

in Factitious, no gain in intension.








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