Psychiatry Quiz #18: Malingering

1. A 35-year-old man presents to the emergency department with sudden onset of paralysis in his right arm. He shows no distress over his condition and is observed using his right arm when he believes no one is watching. Physical examination and diagnostic tests reveal no neurological deficits. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 29-year-old woman is referred to a psychiatrist by her primary care physician due to concerns of recurrent, unexplained medical symptoms leading to multiple hospital visits. The patient aggressively insists on undergoing more diagnostic tests despite previous results showing no abnormalities. She becomes angry when told that her symptoms might be psychological in origin. There is no apparent external incentive for her behavior. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 22-year-old man presents to the clinic with complaints of memory loss. He claims he cannot remember his name or where he lives. However, he is unable to provide details of how he arrived at the clinic. His presentation lacks consistency, and there are discrepancies in his story upon further questioning. Which of the following best explains this patient's condition? 

Question 3 of 5

4. During a compensation hearing, a 40-year-old man exhibits symptoms of severe back pain, although multiple imaging studies have shown no significant pathology. He is seeking a large settlement from an injury he claims occurred at work. The man has a history of similar claims. Which of the following is the most likely explanation for his behavior? 

Question 4 of 5

5. A 25-year-old woman is brought to the psychiatric clinic by her parents. She has a history of presenting to various hospitals with acute abdominal pain, but extensive workups have always been negative. She becomes defensive when questioned about inconsistencies in her medical history and insists on undergoing more invasive tests. There is no discernible external incentive for her actions. Which of the following diagnoses is most appropriate? 

Question 5 of 5


 

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