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Obsessive-compulsive disorder — USMLE Step 3 MCQ

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ModeratePsychiatry (outpatient management)Obsessive-compulsive disorderUSMLE Step 3

A 25-year-old woman spends 3 hours daily washing her hands due to intrusive fears of contamination. She recognises the behaviour is excessive but feels intense anxiety if she resists. Function at work is impaired. Which of the following is the most likely diagnosis?

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Correct answer: EObsessive-compulsive disorder

Time-consuming intrusive obsessions with repetitive compulsions and insight are characteristic of obsessive-compulsive disorder.

Reference: APA Obsessive-Compulsive Disorder Guideline