Mood disorders: mania: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · Mood disorders: mania

Sample item

A 28-year-old sleeps 2 hours a night, spends lavishly, speaks rapidly and feels he has special powers. Symptoms have lasted 10 days. The diagnosis is:

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Bipolar I disorder, manic episode

DSM-5 mania needs elevated or irritable mood with increased energy for at least 1 week (or any duration if hospitalisation is needed), with marked impairment. Grandiosity, reduced need for sleep, pressured speech and risk-taking fit mania.

Option by option

  • A. Bipolar I disorder, manic episode (correct)

    Correct. A full manic episode defines bipolar I.

  • B. Cyclothymia

    Cyclothymia has subthreshold hypomanic and depressive symptoms over 2 years.

  • C. Bipolar II disorder

    Bipolar II needs hypomania, which lacks marked impairment and psychosis.

  • D. Schizophrenia

    Schizophrenia would not explain the primary mood elevation.

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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Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is A, Bipolar I disorder, manic episode. DSM-5 mania needs elevated or irritable mood with increased energy for at least 1 week (or any duration if hospitalisation is needed), with marked impairment.

Why is "Cyclothymia" not the answer?

Cyclothymia has subthreshold hypomanic and depressive symptoms over 2 years.

Why is "Bipolar II disorder" not the answer?

Bipolar II needs hypomania, which lacks marked impairment and psychosis.

Why is "Schizophrenia" not the answer?

Schizophrenia would not explain the primary mood elevation.

What concept does this question test?

It tests Mood disorders: mania in Psychiatry. Grandiosity, reduced need for sleep, pressured speech and risk-taking fit mania.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Mood disorders: mania?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.