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NBME 19 Answers

nbme19/Block 1/Question#34 (reveal difficulty score)
12 yo girl unable to walk for 5 days but is ...
Conversion disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1780)
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The key to answering this is that she seems unconcerned with her symptoms, which is a hallmark of conversion disorder (la belle indifference) [FA2020 pg 566]

Illness anxiety disorder would be preoccupation with having a certain illness, and inability to be reassured when there are negative findings.

Depersonalization/derealization is a dissociative disorder and "out of body experience" with a feeling of detachment from the body or environment.

Brief psychotic disorder would present more likely with delusions, hallucinations, or some other characteristic of psychosis.

PTSD would present after an extremely traumatic event when symptoms such as anxiety, flashbacks, hyperarousal, and nightmares persist for greater than 1 month after the event.

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