Approach to mood disorders Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 34-year-old woman presents to her primary care doctor because of depressed mood, poor appetite, and difficulty sleeping through the night. She has intermittent thoughts of wanting to not wake up in the morning because she feels her life is hopeless. The severity and frequency of the symptoms have waxed and waned, but she is unable to recall a symptom-free period in her life. She has a history of hypothyroidism that is well controlled and alcohol use disorder in remission without relapses for over 10 years. She works as a district attorney and is doing well professionally. She is an avid birdwatcher when she is not working. Temperature is 36.5°C (97.7°F), pulse is 80/minute, respirations are 15/minute, blood pressure is 115/60 mmHg, and oxygen saturation is 100% on room air. Cardiopulmonary and abdominal exams are within normal limits. Mental status exam shows dysphoric affect with narrow range and minimal eye contact. Which of the following is necessary to make a diagnosis of persistent depressive disorder?

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Symptom-free periods lasting at least three months at a time

Symptom duration of at least two years

Psychomotor slowing

Recurrent thoughts of death

Social isolation