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Psychiatry Practice MCQs

Browse 4,464 high-yield clinical questions in Psychiatry. Includes detailed explanations, options, and topic tags.

#1684 Substance Related and Addictive Disorders

A 19 year-old woman is brought to psychiatry outpatient by her boyfriend for depression and suicidal thoughts. Boyfriend repos that patient yesterday expressed extreme sadness and desire to die. The boyfriend repos that they along with couple of friends were paying for last three days as exams had ended and on fuher prodding revealed that they used alcohol and 'other things' too. He fuher repoed that patient was in great spirits and was enjoying till yesterday, however subsequently she slept for 20 hours, missed the college and was looking very tired. The patient herself repoed that she is feeling very low, and feeling hungry and that she saw very vivid and upsetting dreams during the sleep? Which of the following is the most likely diagnosis in this patient?

#1696 General

A 30-year-old man is brought to the emergency depament by police, who arrested him because he was in the parking lot of a local mall, yelling "I am a golden god" as he stepped in front of moving cars. When questioned about his identity, he talks incessantly in a rapid fashion and threatens to "unleash God's wrath on those who do not submit." He repos that he has not slept in a week, and does not need sleep. He has spent the last week preparing for a secret government mission that only the president knows about. When asked if he ever hears God talking to him, he says, "Of course not, I am God!" Police repo that he has had several prior arrests for reckless driving and lewd acts. On examination, he is disheveled and malodorous. It is nearly impossible to get any fuher history, as he rapidly paces about and mutters, "I must go, I must go" over and over again.Which of the following is the most likely preliminary diagnosis?

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