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Psychiatry · Psychotic disorders: acute and transient psychosis
Sample itemA 28-year-old develops hallucinations, delusions and perplexity over 5 days, which resolve fully within 6 weeks. The ICD-10 category that best fits is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Acute and transient psychotic disorder
In ICD-10 acute and transient psychotic disorders have abrupt onset within two weeks and typically resolve within one to three months. They are commonly reported in developing countries and often follow stress.
Option by option
A. Schizoaffective disorder
Schizoaffective disorder needs prominent affective symptoms.
B. Acute and transient psychotic disorder (correct)
Correct. Acute onset within two weeks with recovery in weeks is acute and transient psychosis.
C. Schizophrenia
Schizophrenia requires a minimum duration of about one month of symptoms and generally persists.
D. Persistent delusional disorder
Persistent delusional disorder lasts at least 3 months and is chronic.
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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