A person comes to the clinic reporting, I wear a scarf across my lower face when I go out but because of my ugly appearance. Assessment reveals an average appearance with no actual disfigurement. Which problem is most likely?

Correct Answer: B

Rationale: The correct answer is B: Body dysmorphic disorder. This individual's distorted belief about their appearance despite no actual disfigurement aligns with the symptoms of body dysmorphic disorder. People with this disorder obsess over perceived flaws in their appearance. Incorrect choices: A: Dissociative identity disorder involves multiple distinct personality states, not related to body image. C: Pseudocyesis is a false belief of being pregnant, unrelated to body image. D: Malingering involves feigning symptoms for external gain, not related to distorted body image perceptions.

Correct Answer: A

Rationale: Sudden, severe headache and neck stiffness may indicate meningitis. A neurologic assessment and evaluation for meningeal irritation are critical. Blood pressure, glucose levels, and throat inspection are secondary.

Correct Answer: A

Rationale: A drowsy patient who can be easily aroused indicates a decreased level of consciousness. Alertness, quick responses, and full wakefulness are normal findings.

Correct Answer: A

Rationale: A positive Babinski sign in an adult indicates possible neurological dysfunction and requires documentation and further evaluation. Ignoring the finding or assessing unrelated parameters is inappropriate.

Correct Answer: D

Rationale: Motor nerve fibers, such as alpha motor neurons, typically have a diameter of 12-20 micrometers. Larger diameters allow for faster conduction of action potentials.