1 BEH. SCIENCES Two young boys are playing at a daycare center. One holds a ball on top of some blocks that the other child has placed on the floor. The second child helps steady the blocks, then the first child lets go of the ball, knocking the blocks down to the floor. They both watch and then repeat the process. These children are most likely A. 10 months old B. 16 months old C. 18 months old D. 24 months old E. 48 months old Explanation: The correct answer is E. The capacity for cooperative play generally does not begin much before the age of 4. Prior to this time (24-30 months), children may play in a parallel fashion, but without real interaction. A 23-year-old woman visits a primary care physician complaining of recurrent nausea and generalized abdominal pain, which has distressed her and compromised her functioning for the past several months. Thorough evaluations by a gynecologist and gastroenterologist have revealed no abnormalities. She was referred to a neurologist for headaches and has been taking acetaminophen for her "joint pains." The primary care doctor completes a thorough physical exam; the results are normal. Which of the following is the most likely diagnosis? A. Body dysmorphic disorder B. Conversion disorder C. Factitious disorder D. Malingering E. Somatization disorder Explanation: The correct answer is E. Patients with somatization disorder have many medically unexplained symptoms in multiple body systems, causing work limitation, increased visits to the physician, needless surgery, or unnecessary medical treatments. Somatization disorder is distinguished by its ego dystonic symptoms; that is, the patient's functioning is compromised because of the unpleasantness of sympt...
