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Discussion

In which of the following disorders do disturbances of perception, wakefulness, attention, thinking, judgment, psychomotor behaviour, and interpersonal behaviour, occur?

1. Substance intoxication
2. Substance withdrawal
3. Substance use disorder

  • A.Only 1 and 3
  • B.Only 3
  • C.Only 1
  • D.Only 2

Answer: C

The key is Only 1, substance intoxication. The stem describes the disturbances of perception, wakefulness, attention, thinking, judgment, psychomotor and interpersonal behaviour that follow recent ingestion of a substance, which is how intoxication is described. Withdrawal brings a different set of symptoms after stopping the substance, and substance use disorder describes a pattern of problematic use, not those acute disturbances.

Because the stem's list of disturbances matches an acute state, intoxication is the one with such sudden, short-lived effects on awareness and behaviour.

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