Sexual offences and forensic psychiatry: antisocial personality: practice question

A Forensic Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Forensic Medicine · Sexual offences and forensic psychiatry: antisocial personality

Sample item

A 28-year-old man has a history of truancy, cruelty to animals, repeated fights and lying since age 12. He now repeatedly defrauds others and shows no remorse. What is the diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Antisocial personality disorder

Antisocial personality disorder requires a pervasive pattern of disregard for others' rights from age 15, with evidence of conduct disorder before 15, deceit and lack of remorse. Narcissistic, schizoid and borderline types have different cores.

Option by option

  • A. Borderline personality disorder

    Borderline personality shows unstable relationships, self-harm and fear of abandonment.

  • B. Narcissistic personality disorder

    Narcissistic personality shows grandiosity and a need for admiration.

  • C. Antisocial personality disorder (correct)

    Correct. Childhood conduct disorder with adult disregard for others and no remorse indicates antisocial personality.

  • D. Schizoid personality disorder

    Schizoid personality shows detachment and restricted emotional range.

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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Questions about this Forensic Medicine question

What is the answer to this Forensic Medicine question?

The best answer is C, Antisocial personality disorder. Antisocial personality disorder requires a pervasive pattern of disregard for others' rights from age 15, with evidence of conduct disorder before 15, deceit and lack of remorse.

Why is "Borderline personality disorder" not the answer?

Borderline personality shows unstable relationships, self-harm and fear of abandonment.

Why is "Narcissistic personality disorder" not the answer?

Narcissistic personality shows grandiosity and a need for admiration.

Why is "Schizoid personality disorder" not the answer?

Schizoid personality shows detachment and restricted emotional range.

What concept does this question test?

It tests Sexual offences and forensic psychiatry: antisocial personality in Forensic Medicine. Narcissistic, schizoid and borderline types have different cores.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Sexual offences and forensic psychiatry: antisocial personality?

Learn postmortem changes with their timelines, and toxicology as poison, sign, test and antidote. Then use the flashcards and the other Forensic Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.