with the idea of having that illness. All medical tests and goes to find another
ID: 3463022 • Letter: W
Question
with the idea of having that illness. All medical tests and goes to find another doctor. They are probably suffering from b. Panic Disorder 33, Deliberately lying about symptoms in order to assume the patient role and get attention, even treatment or surgery is 34. A mother repeatedly feeds her child a poison to make the child ill, then keeps taking the child to the hospital and acting as though she does not know what is wrong. The mother has a. Munchausen's syndrome by proxy d. Bipolar disorder disonder Ne medicalExplanation / Answer
27. d. The thoughts are ego-dystonic (the thought is disturbing to the person).
Explanation: Persons suffering from Obsessive-Compulsive disorders experience Obsessions (recurrent intrusive thoughts, images or impulses), followed by Compulsions (repetitive and ritualistic acts and behaviours, for neutralizing the obsessive thoughts). Obsessive thoughts are distressful and disturbing that make it necessary for compulsive acts to be adopted in order to get rid of them. Thus they are ego-dystonic, i.e. disturbing to the person.
28. c. Conversion Disorder
Explanation: Conversion disorders refer to those types of neurological disorders that do not have an organic explanation. These disorders result mostly from psychological conflicts and although there is no medical explanation for the symptoms, the patients do experience them in a real sense, i.e, without feigning or malingering. Although these symptoms get manifested from psychological disturbances and may lead to gains or benefits (e.g. avoiding unpleasant situations, as stated in the given condition), these gains are not intended by the person in a conscious manner.
29. a. Lack of concern over a dramatic medical symptom.
Explanation: La Belle Indifference refers to a condition shown mostly by individuals suffering from conversion disorders or hysteria. It is marked by lack of concern by the individual over his/her markedly prominent medical symptoms. The act is naive and unintended, but at the same time inappropriate, given the intensity of the medical symptoms.
30. b. Malingering
Explanation: Malingering refers to a condition where a person lies about being sick or having a disease/disorder, in an intentional manner. This is done in order to receive materialistic/ secondary benefits, and to avoid unpleasant situations. Malingering is different from Conversion Disorders, because in Conversion Disorders, the symptoms are truly experienced and not feigned, despite not having an organic explanation behind them. Malingering is also different from Factitious Disorders, because in Factitious Disorders, the individuals feign their symptoms for receiving sympathy and care, and not for monetary or materialistic gains (which is a defining feature of malingering). Thus, malingering is the most appropriate alternative for the given statement.
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