USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 20-year-old man is brought to student health services by his girlfriend due to a 4-month history of bizarre behavior. She reports that he has become increasingly irritable and no longer attends classes or spends time with friends. He stays at home and frequently appears to have conversations with internal voices. He reports that aliens control his mind unless he wears a special outfit. Physical examination shows a disheveled young man wearing clothing adorned with strips of aluminum foil. Mental status examination shows disorganized speech and flattened affect. Which of the following is the most likely diagnosis?