Q:

A 30 year old man complains of episodes of hearing music and sometimes threatening voices within a couple of hours of heavy drinking. What is the most likely diagnosis?

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A 30 year old man complains of episodes of hearing music and sometimes threatening voices within a couple of hours of heavy drinking. What is the most likely diagnosis?


  1. Delirium tremens
  2. Wernicke’s encephalopathy
  3. Korsakoff’s psychosis
  4. Alcohol hallucinosis
  5. Temporal lobe dysfunction

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The key is D. Alcoholic hallucinosis. [Alcohol hallucinosis can occur during acute intoxication or withdrawal. It involves auditory and visual hallucinations, most commonly accusatory or threatening voices].

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