A 25-Year-Old Man Is Brought to the Emergency Department by Ambulance

question 68

Multiple Choice

A 25-year-old man is brought to the emergency department by ambulance after being found sitting in the street drinking his own urine.  The patient's mother says that a year ago he expressed the belief that he was being watched by an unidentified government agency and subsequently broke up with his girlfriend, quit his job, and disconnected his phone.  The patient's mother has noticed that he no longer seems to care about activities that used to interest him, and last month she found out that he had moved into the family garden shed with his dog.  On examination, the patient is malodorous, disheveled, and laughs for no apparent reason.  He later becomes angry and refuses to sit in a chair for the interview.  The patient switches among unrelated topics and when asked where he lives says, "in the holy buffet of diplomacy."  Temperature is 36.7 C (98 F) , blood pressure is 122/79 mm Hg, and pulse is 80/min.  Physical examination and laboratory evaluation, including urine toxicology, are unremarkable.  Which of the following is the most likely diagnosis in this patient?

• A)Bipolar I disorder
• B)Brief psychotic disorder
• C)Major depression with psychotic features
• D)Psychotic disorder due to a general medical condition
• E)Schizoaffective disorder
• F)Schizophrenia
• G)Schizophreniform disorder

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Definitions:

Short Run

A period in economics during which at least one input, such as plant size, is fixed and cannot be changed.

Physical Capital

Tangible assets such as buildings, machinery, and equipment used in the production of goods and services.

Variable Cost

Costs that vary directly with the level of production, such as raw materials, labor, and energy used in the manufacturing process.

Long Run

A period in economics during which all factors of production and costs are variable, allowing for the full adjustment to changes.