A 36-year-old woman with schizophrenia comes to the emergency room with the chief complaint that “they are trying to kill me.” In the examining room, she is hypervigilant and insists on sitting in the corner with her back to the wall. Suddenly she begins to stare intently into the corner and say, “No, you can’t make me do that!” Which of the following symptoms is this patient most likely experiencing?
a. Concrete thinking
c. Flight of ideas
e. Idea of reference
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.
The correct answer is d; Hallucination.
A hallucination is the perception of a stimulus when no sensory stimulus is, in fact, present. Hallucinations can be auditory, visual, tactile, gustatory, olfactory, or kinesthetic (body movements). Auditory hallucinations are most commonly associated with psychotic illness, whereas visual, tactile, gustatory, and olfactory hallucinations often are associated with neurologic disorders. Concrete thinking is the inability to form abstract concepts, such as metaphors, and to focus instead on actual things and facts. Depersonalization is the subjective sensation of the self being disconnected from the world, unreal, or distant. Flight of ideas is a thought process in which consecutive thoughts, while related to some degree, are sequentially tangential. An idea of reference is the belief that something in the environment (commonly the TV or radio) is giving the person special messages meant only for him or her.