A 19-Year-Old Man Comes to the Office for Evaluation of a Hand

question 173

Multiple Choice

A 19-year-old man comes to the office for evaluation of a hand injury.  He says, "I was just minding my own business at work when this dog bit me."  The patient recently started operating a dog-fighting club and adds that his "entrepreneurial skills" have made him "richer than a doctor."  He has been fired from multiple jobs, most recently while working as a car salesman, due to getting into arguments with coworkers and being repeatedly late to shifts.  The patient says, "I was only late a few times.  Haven't you ever been late before, doc?"  During middle school, he was recurrently truant and spent time at a juvenile detention center for tampering with his teacher's car brakes after failing a class.  Which of the following is the most likely diagnosis?

• A)Antisocial personality disorder
• B)Borderline personality disorder
• C)Conduct disorder
• D)Disruptive mood dysregulation disorder
• E)Intermittent explosive disorder
• F)Narcissistic personality disorder
• G)Oppositional defiant disorder

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Definitions:

Ecolonization

Refers to the process where digital technology and internet platforms are used to exert economic and cultural influences across borders.

Authoritarian Governments

Political systems characterized by a concentration of power in a leader or small elite not constitutionally responsible to the public.

Basic Needs

Fundamental requirements necessary for individuals to maintain a healthy and sustainable life, typically including food, water, shelter, and clothing.

Subdued

Characterized by a lack of intensity, excitement, or activity; often quiet or restrained.