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USMLE Q Bank Step 1-11





A 36 year-old man presents to the emergency room asking for removal of software implanted in his body by his neighbor. He tells you that his x-wife is hiring this neighbor to spy on him. For the last 6 years he has been hearing them talking about him and all details of his life. He lives alone and he does not have any friends. He has no kids and one sister who do not visit him anymore since he accused her of spying on him. His physical examination and laboratory studies are unremarkable. Drug test is negative. What is the most likely diagnosis?

A-Brief psychotic disorder

B-Bipolar disorder

C-Major depressive disorder

D-Schizophrenia

E-Schizophreniform disorder




Answer:

This patient has psychosis in the form of delusions and hallucinations for 6 years. Duration of these symptoms suggests the diagnosis of schizophrenia. Brief psychotic disorder has a time limit of 1 day to 1 month. Schizophreniform disorder is considered if symptoms continue from 1 month to 6 months.

The correct answer is D



7 thoughts on “USMLE Q Bank Step 1-11”

  1. This is correct. Thank you Dr. Swanson

  2. 1 generation antiphychotic use
    Chlorpromazine
    Fluphenazine
    Haloperidol
    Thioridazine
    Trifluoperazine

    Or 5-HT RECEPTOR AFFINITY NEW DRUGS
    CLOZAPINE
    OLANZAPINE
    QUETIAPINE
    RISPERIDONE
    ZIPRASIDONE
    ARIPIPRAZOLE

  3. Hi Dr Azam
    This is paranoid schizophrenia. A straight forward scenario shows that he is worried that his wife is doing bad thing to him. It is also diagnosed as schizophrenia because it lasts for 6 years. It is a great question. Thank you for visiting our website.

  4. What type of schizophrenia is this kindly explain thanks

  5. ” choices D and E are incorrect.

    The correct answer is D”

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