Bipolar I, bipolar II, and cyclothymic disorder 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 19-year-old man presents to the emergency department late in the evening due to severe depression for the past three weeks. Three hours ago, the patient had suicidal thoughts. The patient reports increased sleep, poor appetite, and significant psychomotor depression. Before these symptoms began, the patient experienced a 2-week period of elevated mood, reckless behavior, impulsivity, and racing thoughts, leading to job loss. Temperature is 37.0°C (98.6°F), pulse is 66/min, respirations are 14/min, and blood pressure is 110/68 mmHg. Cardiopulmonary examination is unremarkable. Mental status exam reveals an adult with a withdrawn affect and poorly maintained hygiene and grooming. Complete blood count (CBC), comprehensive metabolic panel (CMP), and urinary drug screen are unremarkable. Which of the following is the most appropriate intervention?

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Observation in the emergency department and reassess in the morning

Referral to outpatient psychiatry

Psychology consult for urgent debriefing

Suicide safety plan and discharge

Inpatient psychiatric admission