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Psychiatry · Culture-bound syndromes: ataque de nervios
Sample itemA Latin American woman, after her brother's funeral, screams, trembles, has chest heat rising to the head and collapses, with subsequent amnesia but rapid recovery. This is
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Ataque de nervios
Ataque de nervios is a culturally recognised distress syndrome in Latin Caribbean groups, triggered by stressful events such as bereavement, with uncontrollable shouting, crying, trembling, heat in the chest, verbal or physical aggression and sometimes faint-like episodes. Recovery is quick and there is no psychosis. It overlaps with panic and dissociation.
Option by option
A. Organic delirium
Delirium shows clouded consciousness with a medical cause.
B. Epileptic seizure
Epilepsy would show stereotyped seizures with postictal confusion.
C. Ataque de nervios (correct)
Correct. A stress-triggered emotional outburst with rapid recovery is ataque de nervios.
D. Schizophrenia
Schizophrenia involves persistent psychosis.
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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