I also press F, but for grading the author, not as a sign of respect.
It doesn't exactly inspire confidence into the reliability of expert assessments, when this is the kind of textbook used to train them.
this post was submitted on 19 Aug 2023
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"which disorder do they most likely have"
This is a typical type of question in higher level studies, where the scenario given is intentionally inconclusive to measure your ability to determine what path may warrant further investigation.
The correct answer is C. Not because it's a diagnosis, but if there were to be a diagnosis, that would be most likely
Not a medical student but graduated with a professional degree. This is the way.
To add to that, one of my professors back in college said of Obsessive Compulsive Disorders that medical and pharmacy students may reflect the symptom profile of the disorder during their studies just to get by. Sounds to me like this is the perspective this professor is demonstrating in this question.
One of my professors said there's about 3 or 4 bouts of hypochondria during med school where you're like "oh fuck, I've got this disease" and this might be one of those moments
Yeah, that shit doesn’t stop after med school… that sticks around
"how many times do you go to the bathroom each day"
"you fuckers turned me into a bathroom next question"
"what?"
"what?" ===ヽ( ͡ಠ ʖ̯ ͡ಠ)ﾉ
It's always fun when the standard battery of questions has some really nonstandard answers
Isn't it b? This sounds like a real life example of the test I was given for ocpd.
Each sentence matches a patient question on the evaluation.
F is still the correct answer.
That test needs to leave that poor (hypothetical) kid alone. That kid is going to (hypothetical) graduate and make more money that that test ever did.
Have you seen the price of textbooks recently?
You have a point. That hypothetical kid is gonna be rich, but not textbook rich.
I have, and so I've sailed the high seas yarr
If that were the intention behind the question, it would demonstrate a poor understanding of likelyhood in a strictly analytical sense. The most likely diagnosis would still be none of the options given, but literally "None".
If it were meant as a simple "Gotcha"-Question, it is semantically poorly constructed - and also ethically questionable to teach a lesson of "select the least wrong option from a preselected set of permitted answers" in the context of medical practise.
edit: wording
I have no idea why you think it is the least incorrect answer. As far as I know, it is spot on. The disorder gripe I kind of get but not why that would be incorrect in any way.
Okay... I am not sure where the miscommunication occurs. Maybe it is because I am looking at the process of diagnosis through the lens of statistics and not from the angle of someone implementing a strategy of eliminating possibilities one by one.
As other commenters have pointed out, there is a possibility remaining unadressed by the question and choices of answers, that is very important in practise: That the student is completely healthy. And even under the assumption, he had anything, the evidence presented is too sparse to make a call like that, irregardless of what little information is there looks spot on or not.
It's okay to admit that a case is inconclusive. That's what science has to deal with all the time. As a diagnostician, you MUST have the mindset of a detective, or you're not a good diagnostician. Going by the book (working down checklists, making simple choices) will mostly work, but when it fails, the potential for harm is great. The best fitting answer a doctor can think of can still be the wrong one while the real answer is hiding somewhere unexpected. I wish the workbook above wouldn't ignore this.
As the answer is having obsessive-compulsive traits it means that there is not enough information to make a diagnosis and based on the existing information those traits do not majorly negatively affect the student's life so the person is, based on known information, most likely healthy apart from some possibly more or less disorderly traits. The diagnostic process requires doctors to use actually most fitting answer as even though it doesn't necessarily mean that is the diagnosis, diagnostic criteria need to be filled even though they are not 100% specific. Evaluation of diagnostic criteria happens every couple of years where they will try to get more specific and sensitive. But that is a lot more involved process than one person changing their opinion of the criteria they use. In medicine, especially physical medicine, you can't always wait for an iron-clad diagnosis and sometimes you can't make iron-clad diagnosis even with the best testing available. Medicine is almost as much art as it is science and for a good reason. And it really is far from finished. In both the science part, medical ethics and biases in medicine are being developed all the time. Art part can be taught but only through experience.
Is it perfect, no. But there are also reasons behind why the question is put like this.