A 25-year-old law school graduate has worked in his first job with a private law firm for 1 year. He sees his primary care practitioner because of weakness in his right hand and arm that was present when he awoke yesterday morning
He is unable to hold a pen or to use his computer. He denies recent injury. Other extremities are normal and the client shows no other evidence of neurological impairment. The client is scheduled to take the bar examination, for the second time, in 10 days but seems philosophical about his inability to use his hand. Which information, taken together, would form the basis for a diagnosis of conversion disorder?
I. Sudden onset
II. Specific functional loss
III. Negative neurological findings
IV. Upcoming bar examination
V. Philosophical attitude
A) I and II
B) I, II, and III
C) I, II, III, and IV
D) IV only
C
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