Title: Usmle Step 1 MCQ’s # 31
Subject: Behavioral Science
Q NO 31: A physician has known a 35-year-old woman for more than 10 years. During this entire period, she has seemed emotionally cold and distant. She has not developed friendships with either men or women and has always appeared preoccupied with her own concerns. Although she is emotionally cold, she does not appear to specifically trigger confrontational scenes and has not shown any bizarre ideation. These features suggest which of the following diagnoses?
A. Histrionic personality
B. Narcissistic personality
C. Paranoid personality
D. Schizoid personality
E. Schizotypal personality
Explanation:
The correct answer is D. This patient has schizoid personality disorder. These individuals tend to have cold, introverted personalities that limit the degree to which they form strong bonds with other people. They tend to tear closeness and to be given to daydreaming rather than action.
Patients with histrionic personality (choice A) tend to have exaggerated, childlike emotions, sometimes with a sexual overlay.
Patients with narcissistic personality (choice B) tend to be grandiose and preoccupied with self.
Patients with paranoid personality (choice C) tend to be very suspicious of other individuals’ motivations.
Schizotypal personality (choice E) is similar to schizoid personality, but is also associated with oddities of thinking (much less severe than in schizophrenia) such as magical thinking, clairvoyance, or paranoid ideation.
Source: http://www.usmleworldwide.com/blog/?p=663
Subject: Behavioral Science
Q NO 31: A physician has known a 35-year-old woman for more than 10 years. During this entire period, she has seemed emotionally cold and distant. She has not developed friendships with either men or women and has always appeared preoccupied with her own concerns. Although she is emotionally cold, she does not appear to specifically trigger confrontational scenes and has not shown any bizarre ideation. These features suggest which of the following diagnoses?
A. Histrionic personality
B. Narcissistic personality
C. Paranoid personality
D. Schizoid personality
E. Schizotypal personality
Explanation:
The correct answer is D. This patient has schizoid personality disorder. These individuals tend to have cold, introverted personalities that limit the degree to which they form strong bonds with other people. They tend to tear closeness and to be given to daydreaming rather than action.
Patients with histrionic personality (choice A) tend to have exaggerated, childlike emotions, sometimes with a sexual overlay.
Patients with narcissistic personality (choice B) tend to be grandiose and preoccupied with self.
Patients with paranoid personality (choice C) tend to be very suspicious of other individuals’ motivations.
Schizotypal personality (choice E) is similar to schizoid personality, but is also associated with oddities of thinking (much less severe than in schizophrenia) such as magical thinking, clairvoyance, or paranoid ideation.
Source: http://www.usmleworldwide.com/blog/?p=663
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