Psychiatry Quiz #10: Mood Disorders

1. A 25-year-old woman presents to her primary care physician with a 2-month history of persistent sadness, loss of interest in activities she previously enjoyed, significant weight loss, insomnia, and feelings of worthlessness. She also mentions having recurrent thoughts of death but denies any specific plan for suicide. Which of the following is the most appropriate initial diagnosis? 

Question 1 of 5

2. A 30-year-old man is brought to the psychiatric clinic by his family due to a 1-week history of markedly elevated mood, increased energy, decreased need for sleep, inflated self-esteem, and excessive spending. His family also reports that he has been more talkative than usual and seems to be easily distracted. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 45-year-old woman presents to her psychiatrist for a follow-up visit. She reports experiencing periods of intense energy and creativity, during which she feels on top of the world, followed by episodes of severe depression. These mood swings have occurred several times over the past two years. She denies any history of a full manic episode. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 28-year-old man is evaluated for a 4-year history of fluctuating mood states. He describes periods of elevated mood, increased productivity, and heightened creativity that last for a few days, followed by episodes of mild depression. These mood swings do not significantly impair his social or occupational functioning but cause him distress. Which of the following is the most likely diagnosis? 

Question 4 of 5

5. A 22-year-old college student is brought to the emergency department by her roommate for being acutely suicidal. The patient reports feeling hopeless and has been experiencing significant guilt, severe insomnia, and a marked decrease in concentration for the past 3 weeks. She also mentions losing interest in her studies and social activities. There is no history of manic or hypomanic episodes. Which of the following is the most immediate next step in management? 

Question 5 of 5


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