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Psychiatry · Delusional syndromes: Othello
Sample itemA 50-year-old alcohol-dependent man repeatedly accuses his wife of an affair, searching her clothes and bags despite no evidence. The most likely term is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Othello syndrome
Othello syndrome is delusional (morbid) jealousy, classically linked to chronic alcohol use and also seen in psychosis. It carries a risk of violence towards the partner.
Option by option
A. Othello syndrome (correct)
Correct. Fixed delusional belief of spousal infidelity is Othello syndrome.
B. Ekbom syndrome
Ekbom syndrome is delusional parasitosis.
C. De Clerambault syndrome
De Clerambault is erotomania, the belief that someone of higher status loves the patient.
D. Capgras syndrome
Capgras is the belief that a relative has been replaced by a double.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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