A 28-Year-Old Man Is Brought to the Emergency Department by His

question 231

Multiple Choice

A 28-year-old man is brought to the emergency department by his roommate, who is concerned about his change in behavior over the past 2 weeks.  The roommate describes the patient as "a regular guy who is usually very responsible."  Last week, the patient abruptly quit his job as a computer programmer and started placing large bets on an online gambling site because he was "sure to make millions."  The roommate says that the patient has been staying up most nights scribbling notes for his autobiography on small scraps of paper.  The patient says, "My new mission is to spread understanding."  He denies any alcohol or drug use, which his roommate affirms.  This patient is most likely to exhibit which of the following additional findings?

• A)Flat affect
• B)Low self-esteem
• C)Poor hygiene
• D)Pressured speech
• E)Psychomotor slowing
• F)Social withdrawal
• G)Thought blocking

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