Question..........................5 - psychmledr

[ArchivalUser]

A college student is brought to the student health center at the urging of his roommate. He has been missing class because he needs to check the room lock many times before he can leave. Once he starts to ride his bicycle to class, he frequently returns several times to lock the door. He repeats this ritual every morning and often when he leaves the house. He misses his appointments and his academic performance suffers. His hands are chafed.

Which of the following is the most likely diagnosis?
A. Generalized anxiety disorder
B. Obsessive compulsive disorder
C. Panic disorder
D. Paranoid personality disorder
E. Posttraumatic stress disorder
F. Obsessive compulsive personality disorder

[ArchivalUser]

BB

[ArchivalUser]

B seems appropriate.

[ArchivalUser]

why not f

[ArchivalUser]

usmle12015, the reason is bc in a personality disorder that must be applied in every aspects of life... but in OCD is focusing in one through and action... here is an example...

http://www.usmleforum.com/showthread.php?tid=802186

[ArchivalUser]

Answer is "B"

Patients with obsessive-compulsive disorder demonstrate repeated, unpleasant thoughts or images (obsessions) or compulsive rituals that they acknowledge are not grounded in necessity. Unlike patients with obsessive-compulsive personality disorder (choice F), patients with obsessive-compulsive disorder do not see their obsessions or compulsive rituals as sensible or to be emulated by others.