Practice Question
A 19-year-old female is brought to the clinic by her roommate because she has been "acting strange" for the past 4 months. The patient's grades have been slipping and she does not talk as much as she did at the beginning of the semester. The roommate says that when the patient does talk, she strays from the topic and is hard to follow. During the interview, the patient says a television reporter told her that the government had a special message for her and she should listen to the radio for further instructions. Which of the following conditions is the most likely cause of this patient's symptoms?
Answer Choices:
Correct Answer:
Schizophrenia
Rationale:
💎 Key features include delusions (false beliefs), disorganized thinking, social withdrawal, and poor academic performance over >6 months.
💎 The report of a TV reporter sending her secret messages shows a persecutory delusion—a hallmark of schizophrenia.
💎 Symptoms reflect dopamine dysregulation in the mesolimbic pathway.
💎 Schizophrenia typically presents in late adolescence to early adulthood, with gradual functional decline.
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This question is from GCU-Pathophysiology Final Exam-FALL 2025 which contains 50 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🌡Pathophysiology
- Answer Choices: 4