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Psychiatry · Dissociative disorders: dissociative amnesia
Sample itemA 28-year-old man is found well but cannot recall his name or events of the past week after witnessing a murder. Neurological examination and CT are normal. Which is the likeliest diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Dissociative amnesia
Dissociative amnesia is inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is more than ordinary forgetting. Investigation is normal. Recovery is usually spontaneous, and supportive therapy helps.
Option by option
A. Wernicke encephalopathy
Wernicke encephalopathy needs a nutritional context with ophthalmoplegia and ataxia.
B. Dissociative amnesia (correct)
Correct. Stress-related loss of autobiographical memory with normal tests is dissociative amnesia.
C. Temporal lobe tumour
A tumour would produce neurological signs or imaging abnormalities.
D. Transient global amnesia
Transient global amnesia is anterograde amnesia in older people lasting hours and usually retaining identity.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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