07-16-2012, 07:11 PM
NBME 5 Q.
A 26-year-old man comes to the physician because of a 6-month history of losing consciousness when he laughs. He sleeps 12 to 14 hours every night, has vivid dreams and nightmares, and feels tired during the day. He was recently involved in a motor vehicle collision. Findings on physical examination are unremarkable. Which of the following is the most likely diagnosis?
A) Absence seizures
B) Complex partial seizures
C) Major depressive disorder
D) Malingering
E) Narcolepsy
F) Post-traumatic stress disorder
G) Sleep apnea
H) Sleep terror disorder
A 26-year-old man comes to the physician because of a 6-month history of losing consciousness when he laughs. He sleeps 12 to 14 hours every night, has vivid dreams and nightmares, and feels tired during the day. He was recently involved in a motor vehicle collision. Findings on physical examination are unremarkable. Which of the following is the most likely diagnosis?
A) Absence seizures
B) Complex partial seizures
C) Major depressive disorder
D) Malingering
E) Narcolepsy
F) Post-traumatic stress disorder
G) Sleep apnea
H) Sleep terror disorder