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OBG · Puerperium: psychiatric disorders
Sample itemA woman 5 days after delivery has a tearful mood and anxiety, which resolves in a few days without treatment. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Postpartum blues
Postpartum blues affect up to 50 to 80 per cent of mothers between days 3 and 10 and resolve within two weeks with reassurance. Postpartum depression is persistent for over 2 weeks, and postpartum psychosis is a psychiatric emergency with delusions and hallucinations.
Option by option
A. Postpartum blues (correct)
Correct. Transient low mood in the first week is the blues.
B. Bipolar disorder
Bipolar disorder is a pre-existing diagnosis.
C. Postpartum depression
Postpartum depression is persistent and functionally impairing.
D. Postpartum psychosis
Psychosis involves loss of reality testing.
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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