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Bipolar disorder — USMLE Step 3 MCQ

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ModeratePsychiatry (outpatient management)Bipolar disorderUSMLE Step 3

A 29-year-old man has 8 days of decreased need for sleep, pressured speech, impulsive spending, grandiosity, and increased goal-directed activity. He was previously treated for depression with sertraline. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DBipolar I disorder, manic episode

A manic episode lasting at least 1 week with functional impairment establishes bipolar I disorder.

Reference: APA Bipolar Disorder Practice Guideline