A 32-Year-Old Woman Comes to the Office for a Regularly

question 67

Multiple Choice

A 32-year-old woman comes to the office for a regularly scheduled follow-up visit.  She has mild fatigue but no other symptoms.  Medical history is significant for generalized seizures controlled with chronic phenytoin therapy.  Her last seizure was 6 months ago.  She does not use tobacco, alcohol, or illicit drugs.  She is afebrile and vital signs are within normal limits.  Examination shows mild gingival hyperplasia and pallor.  There is no jaundice or lymphadenopathy.  Cardiopulmonary examination is normal.  The abdomen is soft and nontender with no hepatosplenomegaly.  Laboratory results are as follows: Supplementation with which of the following could have prevented this patient's condition?

• A)Folic acid
• B)Iron
• C)Vitamin B₁
• D)Vitamin B₆
• E)Vitamin B₁₂

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Definitions:

Internal Attribution

The process of ascribing the cause of behavior to an internal characteristic of the actor, rather than to external factors.

External Attribution

The process of attributing the cause of one's own or others' behaviors to external factors or situational influences.

Self-Presentational Motivation

The drive to control the impressions others have of us; motives underlying our desire to present ourselves in a certain way to others.

Social Self-Efficacy

A person's confidence in their ability to engage in and succeed at social interactions and relationships.