03-26-2009, 08:08 PM
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
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