1 Week Of Increasingly in Medicine / Internal Medicine — 24yo Man | Psychiatry | SMLE Q#1406

SMLE Question #1406

Medicine / Internal Medicine Psychiatry
Last updated: February 2026
A 24-year-old man is brought to an outpatient psychiatry clinic by his roommate for 1 week of increasingly unusual behavior. During the interview, he speaks very rapidly and frequently shifts from one topic to another before completing each one. His sentences are grammatically correct, and the connections between ideas remain understandable, though excessively rapid. He denies auditory hallucinations and denies beliefs that his thoughts are being controlled, inserted, or removed. Which term best describes his current pattern of thinking?

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