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nbme form 1 block 4 q 5 - kiranraja - Printable Version

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nbme form 1 block 4 q 5 - kiranraja - ArchivalUser - 03-26-2009

5. A 44-year-old woman comes to the emergency department 2 days after being discharged from the hospital for abdominal pain; an exploratory laparoscopy showed no abnormalities. Over the past 5 years, she had been admitted to the hospital numerous times for the evaluation of a variety of symptoms; all work-ups had been negative. Her temperature is 39.2 C (102.6 F). Examination shows a reddened, indurated laparoscopic wound. She is admitted to the hospital and given intravenous antibiotics. On the second hospital day, a nurse witnesses the patient rubbing saliva into her laparoscopy site. Which of the following is the most likely diagnosis?

A
) Adjustment disorder with disturbance of conduct

B
) Conduct disorder

C
) Conversion disorder

D
) Factitious disorder

E
) Hypochondriasis

F
) Major depressive disorder

G
) Oppositional defiant disorder

H
) Somatization disorder


0 - ArchivalUser - 03-26-2009

D..


0 - ArchivalUser - 03-26-2009

Answer D


0 - ArchivalUser - 03-29-2009

DD?