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Psychiatry · Mood disorders: mania
Sample itemA patient has elevated mood, grandiosity, reduced need for sleep and risky spending for 10 days with marked functional impairment. What is the most likely episode?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Manic episode
Mania lasts at least one week or requires admission and causes marked impairment, psychosis, or dangerous behaviour. Hypomania has similar symptoms but no marked impairment.
Option by option
A. Cyclothymic disorder
Cyclothymia involves chronic fluctuating subthreshold symptoms.
B. Hypomanic episode
Hypomania does not cause marked impairment or require hospitalisation.
C. Manic episode (correct)
Correct. Duration plus severe functional disruption meets mania criteria.
D. Major depressive episode
Depression requires low mood or anhedonia rather than elevated mood.
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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