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Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. Dale’s first enquiry is whether I am in any way associated either with the government or with his former employer. He doesn’t seem reassured by my negative response. He eyes me skeptically and insists that I inform him if things change and I do become entangled with his persecutors. Why do I treat him pro bono? He suspects some ulterior motives behind my altruism and inexplicable generosity. I explain to him that I donate 25 hours a month to the community. “It’s good for your image, gives you access to local bigwigs, I bet.” – he retorts, accusingly. He refuses to allow me to tape record our conversation.

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. A 28-year-old white man, who has no prior history of psychiatric illness, receives a very prestigious, and unexpected, promotion at work. He feels that a colleague of his was more deserving. He becomes convinced that this colleague is envious of his promotion and that the colleague is therefore planning to sabotage him. His fears generalize to all his coworkers and he begins to avoid work because of his paranoia. After 2 weeks of this behavior, he makes a request to his boss to have the locks in his office changed, as he is certain that his coworkers are planning to steal his files in order to get him into trouble. His boss recommends that he seek medical attention. He does so and is treated with an antipsychotic drug. His symptoms resolve within 1 week and he can function at work again without feeling paranoid.

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. Dee from It’s Always Sunny in Philadelphia is demanding, gullible, has a low frustration tolerance, is overly concerned with her appearance, is energetic, manipulative, seductive, impulsive, and erratic.

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. A 59-year-old woman was admitted to a dermatological ward because she was convinced that there were multiple purulent skin lesions on her back that had spread to her internal organs. She maintained that these symptoms first appeared 7 years previously, following her admission to hospital after a mosquito bite. The patient complained of numerous disorders during the previous years for which she had received treatment from various specialists (e.g., endocrinologists, gastroenterologists, gynecologists, urologists) without seeing any improvement. A general physical examination and laboratory tests did not reveal any abnormalities. Dermatological examinations did not demonstrate any significant skin lesions besides a small scar on her back, which formed as a consequence of intensive self-scratching. While being attended to on the dermatological ward, she was also examined by a psychiatrist, who reported that her “orientation to time, place and person, and also memory and cognition is intact”. The patient was communicative, sometimes even chatty, when describing the course of her disease. She reported many family problems (she was separated from her alcoholic husband but was still living in the same house as him because of financial difficulties). She had hallucinations of a “double back” tingling sensation, caused, so she claimed, by viruses and infected fluid flowing through her whole body to her heart. The patient had no insight as to her real condition. She had retired because of her health problems and spent most of her spare time consulting numerous specialists. Her sleep was disturbed as a result of her sleeping in a sitting position in order “not to have her head flooded by internal pus”. The psychiatrist also noticed a high level of anxiety, although there were no mood disturbances and her affect was appropriate.

Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. A 25-year-old African-American woman is brought to the emergency department by the police after being found walking in traffic at a busy city intersection. The police place her on an involuntary commitment after she states that she was instructed to kill herself by accusatory, commanding voices. On examination the patient appears disheveled, with an indifferent and flat affect, and disorganized thought processes. She answers most questions monosyllabically. When questioned about experiencing auditory hallucinations she answers in the affirmative, but she is unable to articulate coherently the details of her experience. Throughout the examinations she appears intermittently distracted by internal stimuli; when asked what her experience is in the moment, she states: “They are talking to me.” The patient’s family reports that she became increasingly withdrawn after she moved away from home to attend graduate studies at a local university. The family reports that her academic performance in college was above average, but since starting university she has struggled to complete her schoolwork. Since moving, she has also become more isolative: she made no new friends, stopped talking to her college friends, and maintained only sporadic contact with her family. The family was unaware of the patient experiencing any hallucinatory experiences. She had no past history of drug use and her urine toxicology screen was negative, effectively ruling out a drug-induced psychosis.

What are the endings of the conditional tense? Please complete this table: PRONOMS ENDINGS JE AIS TU IL ELLE NOUS VOUS ILS ELLES  

This blood smear is consistent with:   

1.       A 41-year-old Asian female presents with headache, and photophobia of 5 hour duration.  She has never had anything like this before.  In the emergency room, she appears lethargic and confused.  T98.6 F, RR 18, P98, BP 104/62.  She has photophobia.  Fundoscopic exam reveals papilledema.  The rest of the physical exam is unremarkable.  A Lumbar puncture is performed immediately.  Results from the fluid: WBC 12/ml (80% neutrophils) 30000 RBCs/ml, total protein 90, glucose 80.  Gram stain shows no organisms.  Tube 4 shows the same results as tube 1.  Opening pressure is 30 cm H2O. Patient was diagnosed with HIV 20 years ago; CD4 count was 58 3 months ago.  Patient is not on HAART.  This is most consistent with:

1.       What of the following are Criteria for Empyema? a.       pH

What is wrong here?