ACTUAL EXAM TEST BANK| 2 VERSIONS
(VERSION A & B) WITH 450 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+||
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1. A 32-year-old patient reports a 4-week history of
depressed mood, anhedonia, fatigue, insomnia, poor
concentration, feelings of worthlessness, and suicidal
ideation without a plan. Symptoms began after a job loss.
There is no history of mania or hypomania. What is the
most likely diagnosis?
A. Major Depressive Disorder, Single Episode, Moderate
B. Persistent Depressive Disorder (Dysthymia)
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,C. Adjustment Disorder with Depressed Mood
D. Major Depressive Disorder with Psychotic Features
Answer: A
Rationale: Symptoms meet MDD criteria (≥5 symptoms
including depressed mood or anhedonia, ≥2 weeks).
Duration 4 weeks, no mania. Adjustment disorder requires
significant stressor but symptoms would be less than full
MDD criteria. Dysthymia requires ≥2 years.
2. A 45-year-old patient has experienced depressed
mood most of the day, more days than not, for the past 3
years. During this time, she also has poor appetite, low
energy, low self-esteem, and difficulty concentrating. She
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,denies any manic or hypomanic episodes. What is the most
likely diagnosis?
A. Major Depressive Disorder, Recurrent
B. Persistent Depressive Disorder (Dysthymia)
C. Bipolar II Disorder
D. Cyclothymic Disorder
Answer: B
Rationale: Persistent Depressive Disorder (dysthymia)
requires depressed mood most of the day, more days than
not, for ≥2 years (1 year for children/adolescents), plus
≥2 of 6 associated symptoms. No history of
mania/hypomania.
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, 3. A 28-year-old patient presents with a 1-week history
of elevated mood, grandiosity (claims he can communicate
with aliens), decreased need for sleep (sleeps 2 hours but
feels rested), pressured speech that is difficult to interrupt,
and reckless spending ($15,000 on credit cards). He is
easily distracted and agitated. He has never been
hospitalized before. What is the most likely diagnosis?
A. Hypomanic Episode
B. Manic Episode
C. Cyclothymic Disorder
D. Brief Psychotic Disorder
Answer: B
Rationale: Manic episode requires ≥1 week (or any
duration if hospitalized) of elevated/irritable mood plus
≥3 of 7 symptoms (grandiosity, decreased sleep,
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