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Somatic symptom disorder — MCCQE Part 1 MCQ

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HardMedically Unexplained SymptomsSomatic symptom disorderMCCQE Part 1

A 43-year-old woman has 2 years of abdominal discomfort, fatigue and intermittent headaches despite repeated reassuring investigations. She is distressed and frequently attends walk-in clinics. Examination is normal today, and she asks whether you think she is exaggerating. What should you tell this patient?

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Correct answer: E — The symptoms are real, and care should focus on function, regular follow-up and avoiding repeated low-yield tests

Somatic symptom disorder requires validating that symptoms are real while shifting care toward function, continuity, mental health support and avoidance of repeated low-yield investigations. Saying symptoms are imaginary damages trust. Recurrent CT imaging and opioids can cause harm without addressing the underlying problem.

Reference: Canadian Psychiatric Association somatic symptom guidance