Title: Usmle Step 1 MCQ’s # 36
Subject: Behavioral Science
Q NO 36: A 40-year-old woman is being seen by a physician for the 10th time this year for evaluation of vague aches and pains. An extensive prior evaluation has excluded the possibility of serious disease. During the inter’ view with this patient, she makes repeated statements along the lines of, “What I want doesn’t matter. Do what you want.” And, “I’m afraid you won’t have time to see me anymore.” The traits this patient is exhibiting are most consistent with which of the following personality disorders?
A. Dependent
B. Histrionic
C. Obsessive-compulsive
D. Paranoid
E. Schizoid
Explanation:
The correct answer is A. This scenario is classic for “dependent” personality. Look for reliance on others, subordination of own needs, and fear of abandonment. Note that in real life, patients may show symptoms of more than one personality disorder.
Histrionic personality disorder (choice B) is characterized by theatricality, suggestibility, a strong desire for attention, and shallowness.
Obsessive-compulsive personality disorder (choice C) also called anancastic personality disorder, is characterized by obsessions, perfectionism, rigidity, and self-doubt.
Paranoid personality disorder (choice D) is characterized by suspiciousness, oversensitivity, querulous ness, and an unforgiving character.
Schizoid personality disorder (choice E) is characterized by emotional coldness, solitude, and social insensitivity.
Source: http://www.usmleworldwide.com/blog/?p=735
Subject: Behavioral Science
Q NO 36: A 40-year-old woman is being seen by a physician for the 10th time this year for evaluation of vague aches and pains. An extensive prior evaluation has excluded the possibility of serious disease. During the inter’ view with this patient, she makes repeated statements along the lines of, “What I want doesn’t matter. Do what you want.” And, “I’m afraid you won’t have time to see me anymore.” The traits this patient is exhibiting are most consistent with which of the following personality disorders?
A. Dependent
B. Histrionic
C. Obsessive-compulsive
D. Paranoid
E. Schizoid
Explanation:
The correct answer is A. This scenario is classic for “dependent” personality. Look for reliance on others, subordination of own needs, and fear of abandonment. Note that in real life, patients may show symptoms of more than one personality disorder.
Histrionic personality disorder (choice B) is characterized by theatricality, suggestibility, a strong desire for attention, and shallowness.
Obsessive-compulsive personality disorder (choice C) also called anancastic personality disorder, is characterized by obsessions, perfectionism, rigidity, and self-doubt.
Paranoid personality disorder (choice D) is characterized by suspiciousness, oversensitivity, querulous ness, and an unforgiving character.
Schizoid personality disorder (choice E) is characterized by emotional coldness, solitude, and social insensitivity.
Source: http://www.usmleworldwide.com/blog/?p=735
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