WBR1135
| Author | [[PageAuthor::Pratik Bahekar, MBBS [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | |
| Sub Category | |
| 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 She started drinking 6 beer everyday, unable to concentrate on work, and appears to be withdrawn.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::Dependent personality disorder |
| Answer A Explanation | [[AnswerAExp::Dependent personality disorder is a personality disorder that is characterized by a pervasive psychological dependence on other people. This personality disorder is a long-term condition in which people depend on others to meet their emotional and physical needs, with only a minority achieving normal levels of independence. She does not display characteristics of dependent personality disorder.]] |
| Answer B | AnswerB::Schizoaffective disorder |
| Answer B Explanation | AnswerBExp::She does not show features of psychosis, visual hallucination of lost individuals is a common feature in a bereavement. |
| Answer C | AnswerC::Bipolar Disorder |
| Answer C Explanation | AnswerCExp::No history of mood swings or features of bipolar disorder. |
| 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: |
| Approved | Approved::No |
| Keyword | WBRKeyword::Major Depressive Disorder, WBRKeyword::Grief |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |