Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

Choice A reason: Fecal impaction typically presents with the inability to pass stool and may not be associated with the absence of bowel sounds.

Choice B reason: Incisional infection is usually indicated by localized redness, warmth, and possible discharge, not necessarily by the absence of bowel sounds or flatus.

Choice C reason: Health care-associated Clostridium difficile often presents with diarrhea, not the absence of bowel sounds or flatus.

Choice D reason: Paralytic ileus is characterized by impaired intestinal motility and transit, absence of the passage of flatus, diminished bowel sounds, abdominal distension, and intestinal dilatation, fitting the symptoms described.

Choice A reason: Consuming alcohol as a coping mechanism for stress, especially before work, is concerning and unprofessional for a healthcare provider, as it can impair judgment and performance.

Choice B reason: Seeking advice from friends before asking someone out is a common social behavior and not typically a cause for concern.

Choice C reason: Taking deep breaths to manage anxiety is a healthy coping strategy and is not a cause for concern.

Choice D reason: Studying late into the night might indicate a high level of dedication or poor time management, but it is not inherently concerning unless it leads to chronic sleep deprivation.