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Psychiatry · Mood disorders: curriculum recognition
Sample itemA depressed patient who takes no medication has markedly slowed speech, long delays before answering and reduced spontaneous movement, but responds appropriately and shows no posturing or negativism. Which term describes this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Psychomotor retardation
Slowing of thought, speech and movement is a core feature of melancholic depression. Stupor in catatonia comes with mutism, posturing or negativism. Agitation is the opposite state of restlessness.
Option by option
A. Drug-induced bradykinesia
Drug-induced slowing needs a dopamine-blocking drug exposure.
B. Catatonic stupor
Catatonic stupor involves unresponsiveness with posturing and negativism.
C. Psychomotor agitation
Agitation involves purposeless excess movement.
D. Psychomotor retardation (correct)
Correct. Generalised slowing in a depressed patient fits.
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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