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Psychiatry · Bipolar disorder
Sample itemWhich feature most strongly suggests mania rather than ordinary happiness?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Marked impairment with decreased need for sleep
Mania causes persistently elevated or irritable mood with increased energy, reduced sleep need, and major functional impairment or psychosis.
Option by option
A. Enjoying a holiday
Normal enjoyment is not mania.
B. One productive afternoon
A productive afternoon is not a syndrome.
C. Sleeping longer than usual
Increased sleep does not fit mania.
D. Marked impairment with decreased need for sleep (correct)
Correct: impairment and little sleep are manic red flags.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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