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Old 08-19-2011
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Default behavioral science Q

A 23-year-old woman is brought to the physician by herroommate because of a 7-month history of progressive changes in behavior. The roommate states that the patient isolates herself in her room most of the time and has little to do with others. The patient has accused the roommate of trying to poison her food and has heard voices telling her that she will be killed. She appears disheveled. On examination, she is extremely guarded and says little. When she does speak, her statements are illogical and difficult to comprehend. She denies any disturbance of mood. Which of the following is the most likely diagnosis?
(A) Brief psychotic disorder
(B) Chronic hallucinogen abuse
(C) Delusional disorder
(D) Major depressive disorder with psychotic
features
(E) Schizophrenia, paranoid type
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Old 08-19-2011
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C) Delusional Disorder
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Old 08-19-2011
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no its not delusional disorder.....
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(E) Schizophrenia, paranoid type
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Old 08-19-2011
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Quote:
Originally Posted by surez18 View Post
A 23-year-old woman is brought to the physician by herroommate because of a 7-month history of progressive changes in behavior. The roommate states that the patient isolates herself in her room most of the time and has little to do with others. The patient has accused the roommate of trying to poison her food and has heard voices telling her that she will be killed. She appears disheveled. On examination, she is extremely guarded and says little. When she does speak, her statements are illogical and difficult to comprehend. She denies any disturbance of mood. Which of the following is the most likely diagnosis?
(A) Brief psychotic disorder
(B) Chronic hallucinogen abuse
(C) Delusional disorder
(D) Major depressive disorder with psychotic
features
(E) Schizophrenia, paranoid type
Its Schizophrenia, the paranoid type is because she thought her roommate was bad AND paranoid is the delusions of persecution....

I wouldn't say delusional because 1) its not fixed 2) she is not normal in terms of socail and occupational functioning which these pts are according to HY.
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Old 08-19-2011
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Quote:
Originally Posted by surez18 View Post
A 23-year-old woman is brought to the physician by herroommate because of a 7-month history of progressive changes in behavior. The roommate states that the patient isolates herself in her room most of the time and has little to do with others. The patient has accused the roommate of trying to poison her food and has heard voices telling her that she will be killed. She appears disheveled. On examination, she is extremely guarded and says little. When she does speak, her statements are illogical and difficult to comprehend. She denies any disturbance of mood. Which of the following is the most likely diagnosis?
(A) Brief psychotic disorder
(B) Chronic hallucinogen abuse
(C) Delusional disorder
(D) Major depressive disorder with psychotic
features
(E) Schizophrenia, paranoid type
Ans is E Pt has disorders of thought ,is disorganized, has delusions esp paranoid and hallucinations for more than 6 months
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