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Bipolar mania — MCCQE Part 1 MCQ

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EasyPsychosisBipolar maniaMCCQE Part 1

A 27-year-old man has 1 week of decreased need for sleep, pressured speech, grandiosity, spending sprees and risky driving. He has no substance intoxication on screening. Which of the following is the most likely diagnosis?

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Correct answer: D — Bipolar I disorder, manic episode

Sustained elevated or irritable mood with decreased need for sleep, grandiosity and functional impairment is mania, which establishes bipolar I disorder. Anxiety or adjustment disorder does not cause this cluster of manic symptoms. Acute management prioritizes safety, assessment for psychosis and mood stabilizer or antipsychotic treatment.

Reference: https://mcc.ca/objectives/medical-experts/