04-08-2009, 11:11 AM
43. A 30-year-old woman comes to the physician
because of
long-standing unhappiness that may have started when
she was rejected by her
classmates as a teenager. She says that although she
has good days, many
days are dominated by negative thoughts about herself.
She appears
somewhat sad and tends to be readily critical of
herself. Although she
sleeps satisfactorily, she often finds her energy
level decreased by the
end of the day. She also has been forgetful. She
weighs 59 kg (130 lb)
and is 157 cm (62 in) tall. Physical examination and
laboratory
studies show no abnormalities. Which of the following
is the most likely
diagnosis?
A
) Adjustment disorder with depressed mood
B
) Depersonalization disorder
C
) Dissociative identity disorder
D
) Dysthymic disorder
E
) Hypothyroidism
F
) Major depressive disorder
G
) Schizoaffective disorder
because of
long-standing unhappiness that may have started when
she was rejected by her
classmates as a teenager. She says that although she
has good days, many
days are dominated by negative thoughts about herself.
She appears
somewhat sad and tends to be readily critical of
herself. Although she
sleeps satisfactorily, she often finds her energy
level decreased by the
end of the day. She also has been forgetful. She
weighs 59 kg (130 lb)
and is 157 cm (62 in) tall. Physical examination and
laboratory
studies show no abnormalities. Which of the following
is the most likely
diagnosis?
A
) Adjustment disorder with depressed mood
B
) Depersonalization disorder
C
) Dissociative identity disorder
D
) Dysthymic disorder
E
) Hypothyroidism
F
) Major depressive disorder
G
) Schizoaffective disorder