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Psychiatry · Dissociative disorders
Sample itemAfter a traumatic event, a patient cannot recall important autobiographical details about the event, although examination and imaging show no neurological cause. Which diagnosis is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Dissociative amnesia
Dissociative amnesia is an inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. A neurological cause should be considered and excluded clinically.
Option by option
A. Malingering
Malingering requires intentional symptom production for external incentive and cannot be assumed from inconsistency alone.
B. Dissociative amnesia (correct)
Correct. Trauma-linked autobiographical memory loss without a neurological explanation is typical.
C. Transient global amnesia
Transient global amnesia presents with sudden anterograde memory impairment, usually in older adults.
D. Major neurocognitive disorder
Major neurocognitive disorder produces broader persistent cognitive decline and loss of independence.
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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