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Somatic symptom disorder — USMLE Step 3 MCQ

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HardPsychiatry (outpatient management)Somatic symptom disorderUSMLE Step 3

A 44-year-old woman has persistent abdominal discomfort despite normal endoscopy, CT, CBC, metabolic panel, and stool studies. She spends hours daily checking symptoms and seeking reassurance. Symptoms and health anxiety have persisted for 2 years. Which of the following is the most likely diagnosis?

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Correct answer: A — Somatic symptom disorder

Somatic symptom disorder involves distressing physical symptoms with disproportionate thoughts, feelings, or behaviors about health.

Reference: American Psychiatric Association Clinical Practice Guidelines: https://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines