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Somatic symptom disorder — USMLE Step 3 MCQ

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ModeratePsychiatry (outpatient management)Somatic symptom disorderUSMLE Step 3

A 45-year-old woman has 2 years of multiple distressing bodily symptoms with repeated negative evaluations. She spends hours daily checking symptoms and frequently changes physicians. She is not reassured by normal tests. Symptoms cause occupational impairment. Which of the following is the most likely diagnosis?

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Correct answer: C — Somatic symptom disorder

Somatic symptom disorder involves distressing somatic symptoms plus excessive thoughts, feelings, or behaviors related to those symptoms.

Reference: DSM-5-TR; APA Somatic Symptom Guidance