USMLE Forum Archives - USMLE Step 3 - psy
psy
conym5 - 07-03-09 13:16
After witnessing a violent argument between her parents, a young woman
develops sudden blindness, but she does not appear
as distraught as would be expected. Her pupils react normally to light
and she does not get hurt when she trips over obstacles. Her parents,
who are in the middle of a bitter divorce, put aside their differences
to focus on their daughter’s illness. What is the most appropriate diagnosis?
conym5 - 07-03-09 13:16
After witnessing a violent argument between her parents, a young woman
develops sudden blindness, but she does not appear
as distraught as would be expected. Her pupils react normally to light
and she does not get hurt when she trips over obstacles. Her parents,
who are in the middle of a bitter divorce, put aside their differences
to focus on their daughter’s illness. What is the most appropriate diagnosis?
The correct answer and explanation will be available after you answer.
Page 1
#3
Re: psy
conym5 - 07-04-09 08:51 ans:D
Conversion disorder
is characterized by the sudden appearance of one or more symptoms simulating
an acute neurological illness in the context of severe psychological
stress. The symptoms with which conversion disorder manifests conform
to the patient’s own understanding of the medical condition and are not
associated with the usual diagnostic signs. Contrary to malingering and
factitious disorder, conversion disorder is nonvolitional. Conversion disorder
is more frequent in women, with a female-to-male ratio of 2–5 to 1.
#12
Re: psy lakreol - 09-16-09 21:02 is it because this event has made her parents stop arguing (which could be a form of gain I assume..)
#22
Re: psy babbu5508 - 08-30-10 01:46 My answer is: d.
Conversion disorder is a condition where patients present with neurological symptoms such as numbness, blindness, paralysis, or fits, but where no neurological explanation is possible.
Page 1