A 35-year-old man comes to the psychiatrist at the insistence of his wife. She reports that for as long as she has known her husband, he has been exceedingly suspicious of those around him. She states that he trusts no one and is always convinced that friends and neighbors are trying to take advantage of him in some way. Once slighted, he holds onto grudges for a very long time. The patient is guarded and mildly hostile toward the physician, convinced that he is not interested but, rather, is just “earning too much money” from the encounter. Which of the following is true of patients with this disorder?
a. They usually also suffer from paranoid psychosis
b. They have a predisposition to develop schizophrenia
c. They often have a preoccupation with helping the weak and the powerless
d. They usually present themselves in a quiet and humble fashion
e. They are often litigious
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 e; They are often litigious.
Persons with a paranoid personality disorder characteristically show marked suspiciousness of others and are extremely sensitive to any potential threat or injustice. They frequently look for hidden motives or meanings, are contemptuous of the weak, and are very sensitive to issues of power and dominance. They often are moralistic or self-righteous and may be quite litigious. The percentage of affected persons who go on to develop schizophrenia is not known, but schizophrenia or paranoid psychosis is not the typical outcome.