WBR1135

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Author [[PageAuthor::Pratik Bahekar, MBBS [1]]]
Exam Type ExamType::USMLE Step 2 CK
Main Category MainCategory::Psychiatry
Sub Category SubCategory::Psychiatry
Prompt [[Prompt::A 44 year fashion coordinator, had a daughter, who suffered from major depressive disorder. She was on fluvoxamine and lorazepam. 2 weeks back daughter was found dead in her apartment with syringes and heroin by her side. She went to see a psychiatrist and started discussing suicide, she regrets being a bad mother and concentrating too much in career. She has started seeing her daughter in garage and laundry room. Psychiatrist decides to keep a close follow up and asks her to return after 1 week. On the second visit, she seems to be increasingly obsessed with suicide. She started drinking 6 beer everyday, unable to concentrate on work, and appears to be withdrawn. Psychiatrist provides reassurance and asks to visit after a week. On the third visit, she mentions difficulty in falling sleep, waking up at 3am in the morning, feeling of worthlessness, and loss of interest. She never had a problem with drugs or alcohol. What is the most likely diagnosis?]]
Answer A AnswerA::Dependant personality disorder
Answer A Explanation AnswerAExp::
Answer B AnswerB::Schizoaffective disorder
Answer B Explanation AnswerBExp::
Answer C AnswerC::Bipolar Disorder
Answer C Explanation AnswerCExp::
Answer D AnswerD::Major depressive disorder
Answer D Explanation AnswerDExp::
Answer E AnswerE::Normal Grief
Answer E Explanation AnswerEExp::
Right Answer RightAnswer::D
Explanation [[Explanation::

Educational Objective:
References: http://www.ncbi.nlm.nih.gov/pubmed/24042244 http://www.dsm5.org/Pages/Default.aspx]]

Approved Approved::No
Keyword WBRKeyword::Major Depressive Disorder, WBRKeyword::Grief
Linked Question Linked::
Order in Linked Questions LinkedOrder::