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:

Word Salads

A speech pattern that is characterized by confused or unintelligible mixture of seemingly random words and phrases.

Emotional Reasoning

A cognitive process where individuals base their beliefs or decisions on their emotions rather than on objective reality.

Creativity

The ability to produce original and valuable ideas or solutions.

Academic Field

A branch of knowledge that is studied or taught in a formal education setting.