Schizophrenia and related disorders Quiz: Ace Your Exams
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A 33-year-old man comes to the emergency department for a 3-week history of auditory hallucinations. Earlier in the day, he went to work and was advised by his supervisor to seek hospital evaluation. He describes his hallucinations as green aliens on his shoulders commanding him to harm others. He has no past psychiatric or medical history and does not use recreational substances. Temperature is 37.0 °C (98.6 °F), pulse is 80/min, respirations are 15/min, and blood pressure is 135/85 mmHg. Cardiopulmonary examination is normal. The mental status exam shows a calm male who appears his stated age with disorganized thought processes, a narrow range of affect, and increased latency of response. Urinary drug screen and blood alcohol levels are both negative. Which of the following is the most appropriate diagnosis?
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