A 24-year-old man is admitted to the inpatient psychiatry unit after his mother observed him standing in place for hours at a time in abnormal postures. During his exam, the patient stands with one arm raised directly above his head and the other straight out in front of him. He is mute, does not appear aware of his surroundings, and actively resists any attempts to change his position. Which of the following best describes the patient’s behavior?

a. Apraxia

b. Dystonia

c. Synesthesia

d. Catatonia

e. Trance state

the answer is below…

The United States Medical Licensing Examination, or USMLE for short, is a three-part licensing examination that is required in order to receive a license to practice medicine within the United States.

The USMLE assesses a physician’s ability to apply knowledge, concepts, and principles, and to determine fundamental patient-centered skills that are important in health and disease and that constitute the basis of safe and effective patient care.Examination committees composed of medical educators and clinicians from across the United States and its territories prepare the examination materials each year.

This exam is designed by the Federation of State Medical Boards and the National Board of Medical Examiners to determine whether or not an individual understands and can apply the knowledge necessary to practice medicine safely and intelligently.

The USMLE is actually comprised of three different exams that are referred to as steps, which examine the individual’s knowledge of specific topics related to the field of medicine such as basic science, medical knowledge, medical skills, clinical science, and the application of all of these skills and areas of knowledge in the medical field.

All three steps of the USMLE include a series of computerized multiple-choice questions, but the format of the exam and the information covered in each multiple-choice section is different for each step of the USMLE. The USMLE Step II also has a clinical skills portion that examines an individual’s ability to work with real patients and the USMLE Step III has a computerized patient simulation portion in addition to the multiple-choice section of the exam. In order for an individual to receive a license to practice medicine, the individual must pass all three steps of the USMLE.

Medical doctors with an M.D. degree are required to pass this examination before being permitted to practice medicine in the United States of America

The correct answer is d; Catatonia.[1]

The voluntary assumption of an inappropriate or bizarre posture for long periods of time is called catatonic posturing and is usually seen in schizophrenia, especially of the catatonic type. In catatonic posturing, patients resist attempts to make them change position (this is also called negativism). A similar symptom, waxy flexibility, refers to patients who maintain the body position into which they are placed. Apraxia refers to the inability to perform voluntary motor activity although there are no motor or sensory deficits. Dystonia refers to the protracted contraction of a group of muscles. In synesthesia, the stimulation of one sensory modality produces a sensation belonging to another sensory modality (e.g., a color is perceived as a smell). Trance is a sleeplike condition characterized by a reduced state of consciousness.