Examkin

Soru

Zorluk: KolayPersonality Disorders

During a routine wellness visit, a 28-year-old female patient presents with vague somatic complaints. She arrives wearing a deeply plunging neckline and a theatrical feather boa. Throughout the interview, she is exceptionally flirtatious with the male medical student and refers to the attending physician as her "absolute favorite doctor in the entire universe" despite this being their first meeting. Her speech is impressionistic and lacks detail; when asked to describe her diet, she says it is "glorious and perfectly balanced" without providing any specifics. Her medical history is unremarkable. Which of the following statements regarding this patient's most likely underlying psychiatric condition are true? (Select all that apply)

  1. Clinical presentation is typified by interactions that are frequently inappropriately sexually seductive or provocative.Cevap
  2. The patient typically displays a rapidly shifting and shallow expression of emotions.Cevap
  3. C
    The diagnostic criteria require the presence of active-phase psychotic symptoms lasting for at least 1 month but less than 6 months.
  4. D
    The cornerstone of management involves isolated monotherapy with a selective serotonin reuptake inhibitor to stabilize rapid emotional fluctuations.
  5. E
    Pharmacological management frequently requires concurrent administration of a selective serotonin reuptake inhibitor and a monoamine oxidase inhibitor to target the affective dysregulation.

Cevap

The correct statements are that the clinical presentation involves inappropriately sexually seductive behavior, and the patient displays rapidly shifting, shallow expression of emotions.
The correct options accurately reflect the core DSM-5 diagnostic criteria for Histrionic Personality Disorder. This condition is characterized by a pervasive pattern of excessive emotionality and attention-seeking behavior beginning by early adulthood. Key features include being uncomfortable when not the center of attention, inappropriate sexually seductive or provocative behavior, and rapidly shifting, shallow expressions of emotion.

Adım Adım Çözüm

1
Analyze the patient's behavioral presentation and speech patterns in the vignette.
The patient exhibits provocative clothing, flirtatious behavior, extreme but shallow emotional statements, and impressionistic speech lacking detail.
To synthesize the clinical signs necessary for psychiatric diagnosis.
2
Formulate a primary diagnosis based on the identified pattern of behavior.
The symptoms align perfectly with the DSM-5 diagnostic criteria for Histrionic Personality Disorder.
Establishing the correct diagnosis is required to evaluate the truthfulness of the provided statements.
3
Evaluate each option against the established features and standard management principles for Histrionic Personality Disorder.
Seductive behavior and shallow emotions accurately describe the disorder. Psychotic timeline criteria, inappropriate isolated SSRI monotherapy, and contraindicated SSRI/MAOI combinations are factually incorrect.
To isolate the true statements from the distractors based on common misconceptions.

Anahtar Kavram

Histrionic Personality Disorder
Tahmini Süre:1m 0s
Bu soruyu puanla

Konular

Personality Disorders

Bu konudan daha fazla soru