USMLE Forum Archives - USMLE Step 3 - Psychatry: Diagnosis again
Psychatry: Diagnosis again
meduploader - 06-01-09 13:44
A 40-year-old woman executive is brought to the emergency department by friends. Her coworkers have been concerned because she has been shouting loudly, making sexual advances on some of her clients, drinking a great deal, and coming into the office at all hours of the day and night. In fact, she seems to never sleep. They noted that she occasionally is crying in her office between bouts of being a huge aggravation to her office staff. Mentally, she is demanding, threatens to kill anyone who gets in her way, speaks rapidly, and seems pressured. She is oriented and her memory is intent. Her history shows that she recently has been divorced and has 2 adolescent children. She has a history of moodiness and mood swings. In college, she had a serious depression and subsequently had several depressed periods lasting a few months each. She has a family history of mental illness; her aunt was in a state hospital for years because of extreme moodiness. In her late 20s, she had a burst of energy and opened a successful retail store for fine women's clothing. During her divorce, her family doctor started her on an antidepressant. What is her diagnosis?
meduploader - 06-01-09 13:44
A 40-year-old woman executive is brought to the emergency department by friends. Her coworkers have been concerned because she has been shouting loudly, making sexual advances on some of her clients, drinking a great deal, and coming into the office at all hours of the day and night. In fact, she seems to never sleep. They noted that she occasionally is crying in her office between bouts of being a huge aggravation to her office staff. Mentally, she is demanding, threatens to kill anyone who gets in her way, speaks rapidly, and seems pressured. She is oriented and her memory is intent. Her history shows that she recently has been divorced and has 2 adolescent children. She has a history of moodiness and mood swings. In college, she had a serious depression and subsequently had several depressed periods lasting a few months each. She has a family history of mental illness; her aunt was in a state hospital for years because of extreme moodiness. In her late 20s, she had a burst of energy and opened a successful retail store for fine women's clothing. During her divorce, her family doctor started her on an antidepressant. What is her diagnosis?
The correct answer and explanation will be available after you answer.
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#15
Re: Psychatry: Diagnosis again babbu5508 - 08-30-10 02:00 My answer is: b.
Bipolar disorder or manic-depressive disorder, which is also referred to as bipolar affective disorder or manic depression, is a psychiatric diagnosis that describes a category of mood disorders defined by the presence of one or more episodes of abnormally elevated energy levels, cognition, and mood with or without one or more depressive episodes. The elevated moods are clinically referred to as mani
#26
Re: Psychatry: Diagnosis again kannaraj - 03-26-11 13:09 My answer is: e.
mania ,sexual advances and depression alternation points to the diagnosis
#29
Re: Psychatry: Diagnosis again babbu5508 - 03-31-11 11:55 Mania, the presence of which is a criterion for certain psychiatric diagnoses, is a state of abnormally elevated or irritable mood, arousal, and/or energy levels
#31
Re: Psychatry: Diagnosis again sudha2015 - 04-16-11 07:51 she occasionally is crying in her office between bouts of being a huge aggravation to her office staff. Mentally, she is demanding, threatens to kill anyone who gets in her way, speaks rapidly, and seems pressured. She is oriented and her memory is intent. Her history shows that she recently has been divorced and has 2 adolescent children. She has a history of moodiness and mood swings. In college, she had a serious depression and subsequently had several depressed periods lasting a few months each
b
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