NBME 3-2........Q 3 speaking prob.

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NBME 3-2........Q 3 speaking prob.

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DrVirgo
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07/23/08 - 06:35 AM

3. A 12-year-old girl is brought to the physician by her mother because she is concerned about her daughter's difficulty making friends and socializing. Her development and adjustment had been normal until 6 months ago when she began to refuse to use restrooms at school or eat in the cafeteria. Her mother describes her as a quiet, serious child who does not readily interact with other people. Her teachers report that her concentration varies. at times, she appears to be daydreaming. On examination, she is reserved but pleasant and appears to be of normal intelligence. Her speech is normal in rate and rhythm. She says that she is concerned that her voice will fail her if she has to read aloud in class. Which of the following is the most likely diagnosis?

O A) Attention-deficitthyperactivity disorder, inattentive type
O B) Autistic disorder
O C) Expressive language disorder
O D) Oppositional defiant disorder
O E) Selective mutism
O F) Social phobia
O G) Age-appropriate behavior

She says that she is concerned her voice will fail her if she reads aloud in class. –that’s not normal.. and none of the other choices fit… so what is it?
E. Selective Mutism? or F. Social Phobia?

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Aashi
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07/23/08 - 07:41 AM

F) Social phobia

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DrVirgo
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07/23/08 - 04:42 PM

Yeah, i think Social Phobia is right because she "does not readily interact with other people." -is a good clue.

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Oussama77
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07/24/08 - 09:44 AM

Her development and adjustment had been normal until 6 months ago

This 6 months period is essential to make the diagnosis.

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DrVirgo
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07/24/08 - 10:01 AM

Oussama77 wrote:
Her development and adjustment had been normal until 6 months ago

This 6 months period is essential to make the diagnosis.

So what do you say the right answer is?

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Oussama77
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07/24/08 - 01:08 PM

Sorry Dr. Virgo

I think it is social phobia. right !

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paheli
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08/10/08 - 06:27 AM

Definitely not E, as she is quiet in all situations.

Has to be F.

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Pioglitazone
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08/13/08 - 05:19 AM

F

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