E.weight loss 11.A 17-year-old girl consults the doctor because she has not had her menses within the last 4 months.On questioning,she also describes being very sensitive to cold and being constipated.However,overall she feels well and does not see any need for treating these latter symptoms.Her weight is 34 kg (75lbs),her height 1.65 m(5 ft 4 in).A pregnancy test is negative.Results of a neurological examination are normal, and her axillary and pubic hair is normally developed.What is the most likely cause of her secondary amenorrhea? A.anorexia nervosa B.Celiac disease C.Crohn's disease D.diabetes insipidus E.panhypopituitarism 12.A 28-year-old woman is brought to the hospital because she had not come out of her room for 3 days,missing work.She would eat only when a tray was brought in. 1While you are trying to understand her,she suddenly stops talking,staring into space.She probably has which of the following? A.ambivalence B.delusion C.illusion D.negativism E.thought blocking 2 If the patient was observed in her room alone talking loudly and gesticulating,this is probably an example of which of the following? A.delusion B.hallucination C.compulsive behavior D.panic behavior E.schizophrenia 3 When the patient arrives,she is observed walking very slowly,and when you try to speak with her,she responds very slowly after a long latency.This may be an example of which of the following? A.autistic thinking B.circumstantiality C.folie a deux D.psychomotor retardation E.thought blocking 4 Further history reveals that the patient had her first psychiatric hospitalization at age 20 when she made a suicide attempt.Otherwise,she is known to be a rather cheerful person.She is gainfully employed,but there are times when she has shopping sprees running up enormous credit card debt.There seems to be no history of substance abuse.Family history reveals that her maternal grandmother had died in aE. weight loss 11. A 17-year-old girl consults the doctor because she has not had her menses within the last 4 months. On questioning, she also describes being very sensitive to cold and being constipated. However, overall she feels well and does not see any need for treating these latter symptoms. Her weight is 34 kg (75lbs), her height 1.65 m (5 ft 4 in). A pregnancy test is negative. Results of a neurological examination are normal, and her axillary and pubic hair is normally developed. What is the most likely cause of her secondary amenorrhea? A. anorexia nervosa B. Celiac disease C. Crohn's disease D. diabetes insipidus E. panhypopituitarism 12. A 28-year-old woman is brought to the hospital because she had not come out of her room for 3 days, missing work. She would eat only when a tray was brought in. ①While you are trying to understand her, she suddenly stops talking, staring into space. She probably has which of the following? A. ambivalence B. delusion C. illusion D. negativism E. thought blocking ② If the patient was observed in her room alone talking loudly and gesticulating, this is probably an example of which of the following? A. delusion B. hallucination C. compulsive behavior D. panic behavior E.schizophrenia ③ When the patient arrives, she is observed walking very slowly, and when you try to speak with her, she responds very slowly after a long latency. This may be an example of which of the following? A. autistic thinking B. circumstantiality C. folie à deux D. psychomotor retardation E. thought blocking ④ Further history reveals that the patient had her first psychiatric hospitalization at age 20 when she made a suicide attempt. Otherwise, she is known to be a rather cheerful person. She is gainfully employed, but there are times when she has shopping sprees running up enormous credit card debt. There seems to be no history of substance abuse. Family history reveals that her maternal grandmother had died in a