NFPA 921 ACTUAL EXAM PAPER 2026
COMPLETE QUESTIONS ANSWERS
VERIFIED SOLUTIONS GRADED A+
⩥ Major Depressive Disorder - Hallmark Features. Answer: ≥5
SIGECAPS symptoms including depressed mood or anhedonia
⩥ Major Depressive Disorder - Critical Exclusions. Answer: History of
mania or hypomania; substance or medical cause
⩥ Major Depressive Disorder - First-Line Treatment Focus. Answer:
SSRI or SNRI; CBT; safety assessment
⩥ Persistent Depressive Disorder - Key Diagnostic Duration. Answer:
≥2 years
⩥ Persistent Depressive Disorder - Hallmark Features. Answer: Chronic
low mood + ≥2 depressive symptoms; never >2 months symptom-free
⩥ Persistent Depressive Disorder - Critical Exclusions. Answer: Full
manic or hypomanic episode
,⩥ Persistent Depressive Disorder - First-Line Treatment Focus. Answer:
SSRI or SNRI; CBT
⩥ Adjustment Disorder - Key Diagnostic Duration. Answer: Within 3
months of stressor
⩥ Adjustment Disorder - Hallmark Features. Answer: Distress greater
than expected; does not meet MDD or GAD criteria
⩥ Adjustment Disorder - Critical Exclusions. Answer: Symptoms lasting
>6 months after stressor ends
⩥ Adjustment Disorder - First-Line Treatment Focus. Answer:
Psychotherapy; watchful waiting
⩥ PMDD - Key Diagnostic Duration. Answer: Cyclic; luteal phase
⩥ PMDD - Hallmark Features. Answer: Mood lability or irritability + ≥5
symptoms resolving after menses
⩥ PMDD - Critical Exclusions. Answer: Non-cyclic depression
⩥ PMDD - First-Line Treatment Focus. Answer: SSRIs (continuous or
luteal phase); CBT
, ⩥ Bipolar I - Key Diagnostic Duration. Answer: Mania ≥7 days or
hospitalization
⩥ Bipolar I - Hallmark Features. Answer: Elevated or irritable mood
with impairment or psychosis
⩥ Bipolar I - Critical Exclusions. Answer: Substance-induced mania
⩥ Bipolar I - First-Line Treatment Focus. Answer: Lithium or valproate;
second-generation antipsychotic
⩥ Bipolar II - Key Diagnostic Duration. Answer: Hypomania ≥4 days +
major depressive episode
⩥ Bipolar II - Hallmark Features. Answer: Elevated energy without
impairment; no psychosis
⩥ Bipolar II - Critical Exclusions. Answer: Any history of mania
⩥ Bipolar II - First-Line Treatment Focus. Answer: Mood stabilizer;
avoid antidepressant monotherapy
COMPLETE QUESTIONS ANSWERS
VERIFIED SOLUTIONS GRADED A+
⩥ Major Depressive Disorder - Hallmark Features. Answer: ≥5
SIGECAPS symptoms including depressed mood or anhedonia
⩥ Major Depressive Disorder - Critical Exclusions. Answer: History of
mania or hypomania; substance or medical cause
⩥ Major Depressive Disorder - First-Line Treatment Focus. Answer:
SSRI or SNRI; CBT; safety assessment
⩥ Persistent Depressive Disorder - Key Diagnostic Duration. Answer:
≥2 years
⩥ Persistent Depressive Disorder - Hallmark Features. Answer: Chronic
low mood + ≥2 depressive symptoms; never >2 months symptom-free
⩥ Persistent Depressive Disorder - Critical Exclusions. Answer: Full
manic or hypomanic episode
,⩥ Persistent Depressive Disorder - First-Line Treatment Focus. Answer:
SSRI or SNRI; CBT
⩥ Adjustment Disorder - Key Diagnostic Duration. Answer: Within 3
months of stressor
⩥ Adjustment Disorder - Hallmark Features. Answer: Distress greater
than expected; does not meet MDD or GAD criteria
⩥ Adjustment Disorder - Critical Exclusions. Answer: Symptoms lasting
>6 months after stressor ends
⩥ Adjustment Disorder - First-Line Treatment Focus. Answer:
Psychotherapy; watchful waiting
⩥ PMDD - Key Diagnostic Duration. Answer: Cyclic; luteal phase
⩥ PMDD - Hallmark Features. Answer: Mood lability or irritability + ≥5
symptoms resolving after menses
⩥ PMDD - Critical Exclusions. Answer: Non-cyclic depression
⩥ PMDD - First-Line Treatment Focus. Answer: SSRIs (continuous or
luteal phase); CBT
, ⩥ Bipolar I - Key Diagnostic Duration. Answer: Mania ≥7 days or
hospitalization
⩥ Bipolar I - Hallmark Features. Answer: Elevated or irritable mood
with impairment or psychosis
⩥ Bipolar I - Critical Exclusions. Answer: Substance-induced mania
⩥ Bipolar I - First-Line Treatment Focus. Answer: Lithium or valproate;
second-generation antipsychotic
⩥ Bipolar II - Key Diagnostic Duration. Answer: Hypomania ≥4 days +
major depressive episode
⩥ Bipolar II - Hallmark Features. Answer: Elevated energy without
impairment; no psychosis
⩥ Bipolar II - Critical Exclusions. Answer: Any history of mania
⩥ Bipolar II - First-Line Treatment Focus. Answer: Mood stabilizer;
avoid antidepressant monotherapy
