A 19-Year-Old Man Comes to the Office for Evaluation of a Hand

A 19-year-old man comes to the office for evaluation of a hand injury.  He says, "I was just minding my own business at work when this dog bit me."  The patient recently started operating a dog-fighting club and adds that his "entrepreneurial skills" have made him "richer than a doctor."  He has been fired from multiple jobs, most recently while working as a car salesman, due to getting into arguments with coworkers and being repeatedly late to shifts.  The patient says, "I was only late a few times.  Haven't you ever been late before, doc?"  During middle school, he was recurrently truant and spent time at a juvenile detention center for tampering with his teacher's car brakes after failing a class.  Which of the following is the most likely diagnosis?

A) Antisocial personality disorder
B) Borderline personality disorder
C) Conduct disorder
D) Disruptive mood dysregulation disorder
E) Intermittent explosive disorder
F) Narcissistic personality disorder
G) Oppositional defiant disorder

Correct Answer:

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