nbme 3 psych q - mydream270

[ArchivalUser]

34. A 34-year-old man is brought to the emergency department by his family because of a decreased need for sleep, increased goal-directed activity, increasingly irritable and unstable mood, and uncharacteristic sexual promiscuity over the past week. Yesterday, he quit his long-standing job at a hardware store and plans to move to Washington, DC, to become the "Senator-in-Chief." He says that this position is being created especially for him by the president. He believes that he has developed supersensitive hearing and is now able to hear conversations of people hundreds of miles away. He has no history of drug use, and there is no personal or family history of psychiatric illness. On examination, he is extremely irritable and agitated, threatening to "punch out anyone who tries to mess with me." Which of the following is the most likely diagnosis?
O A) Bipolar disorder
O B) Cyclothymic disorder
O C) Delusional disorder
O D) Schizophrenia
O E) Schizophreniform disorder

[ArchivalUser]

33. A 47-year-old woman comes to the physician because of a 2-day history of fever and joint pain. Six days ago, she completed a 10-day course of dicloxacillin for folliculitis. She appears comfortable. Her temperature is 38.6°C (101.5°E), pulse is 721min and regular, respirations are 161min, and blood pressure is 120176 mm Hg. Examination shows an urticarial rash over the trunk and extremities. There is moderate generalized lymphadenopathy and diffuse joint tenderness. The remainder of the examination shows no abnormalities. Which of the following is the most likely cause of these symptoms?
O A) Epstein-Barr virus infection
O B) IgE-mediated allergic reaction
O C) Mycobacterium haemophilum infection
O D) Serum sickness
0 E) Staphylococcal sepsis

[ArchivalUser]

any suggestions

[ArchivalUser]

34.....A ?? one episode of mania may define bipolar disorder.
33.....D ??

[ArchivalUser]

those are the given answers , can you expain me the 2nd q

[ArchivalUser]

34. why cant it be a delusional disorder