Nokea
A woman wears a size 7 shoe. She says, My feet are huge. I've asked three orthopedists to surgically reduce my feet. The patient tries to buy shoes to make her feet look smaller and, in social settings, conceals both feet under a table or chair. Which health problem is likely?
Correct Answer: C
Rationale: The correct answer is C: Body dysmorphic disorder. This disorder involves a preoccupation with perceived flaws in physical appearance that are not observable to others. In this case, the woman's belief that her feet are huge despite wearing a size 7 shoe indicates a distorted body image. She seeks surgical interventions and hides her feet, which are characteristic behaviors of individuals with body dysmorphic disorder.
A: Dissociative amnesia with fugue involves memory loss and wandering behavior, which are not exhibited in this scenario.
B: Illness anxiety disorder involves excessive worry about having a serious illness, which is not the focus of the woman's concern.
D: Dissociative identity disorder involves the presence of two or more distinct identities or personality states, which is not evident in this case.