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A 24-Year-Old Man Is Brought to the Emergency Department by His

question 25

Multiple Choice

A 24-year-old man is brought to the emergency department by his wife after he attempted to barricade himself in the garage. Three weeks ago, while working at a construction site, the patient was almost hit by a falling metal beam. Since the incident, he has become increasingly distressed and believes his supervisor arranged for the beam to deliberately hit him. Earlier today, the patient received a routine work email and is now convinced it contains a hidden message warning that his life is still in danger. He used cannabis and cocaine intermittently in college but has not used either drug for the past year. The patient has no prior medical or psychiatric conditions. Vital signs are within normal limits, physical examination is unremarkable, and urine drug screen is negative. The patient appears hypervigilant and becomes agitated when hospital admission is discussed but calms down after having a conversation with his wife. The patient agrees to hospitalization; however, once admitted, he refuses to take any medications. His condition improves over the course of several days without any pharmacotherapy. The patient is discharged and returns to work without issue. Which of the following is the most likely diagnosis for this patient?

Definitions:

Presentation

The act of showing and explaining the content of a topic to an audience, often supported by visual aids like slides.

Printer

A peripheral device that converts digital documents and images into physical copies on paper or other media.

Output Methods

Various ways in which data or information can be presented, transferred, or made available to another process, device, or user.

Speakers

Devices that convert electrical audio signals into sound waves, enabling the playback of music, speech, and other sounds.