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Kaplan Qbank USMLE



Author10 Posts
  #1

25. A 22-year-old woman is brought to the emergency department by police

after they found her walking naked down the middle of the street. She is

screaming that the police are planning to hurt her and that they are members of

a secret society that has been following her for months. She is not cooperative

with history taking and says quickly, "Plants aren't often watered. Those

doorknobs need polishing. Where's the merry-go-round?" She is emaciated,

dirty, and disheveled. Laboratory studies show mild microcytic anemia. Urine

toxicology screening is negative. Which of the following is the most likely

diagnosis

A. Adjustment disorder with disturbance of conduct
B. Dissociative fugue
C. Schizophreniform disorder
D. Schizotypal personality disorder
E. Substance-induced mood disorder

  #2

c

  #3

I agree.

  #4

why not d

  #5

What are the hints to diagnose this patient?

___________________
The Key to Succeed is Patience.

  #6

Hints

- She is screaming that the police are planning to hurt her and that they are members of

a secret society that has been following her for months

-She is dirty, and disheveled

- toxicology screening is negative

Distractive

She says quickly, "Plants aren't often watered. Those

doorknobs need polishing. Where's the merry-go-round?"


  #7

This question is dumb because Schizophreniform involves a specific time period of 1-6 months for diagnosis. Although she makes her statement about "...following her for months" their is no possible way to assume that as an implication of how long she has had the disease for. After all, she could have had full blown Schizophrenia for years and that statement could become valid.

But as long as their is no time frame it is impossible to be sure of the diagnosis.

But I did put C cause it was the closest.

shocked

  #8

its not a bad ques pearljam schizophrenaia isn,t in the choice and rest dont fit .c is the right ans

  #9

its not schizotypal bcos hallucinations are absent in a psychotic disorder..


  #10

C. Schizophreniform disorder

___________________
JSK .. O Lord !! Increase my capacity to Absorb knowledge ..







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