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Postpartum depression — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Postpartum depressionUSMLE Step 3

A 32-year-old woman 6 weeks after delivery reports depressed mood, guilt, insomnia, poor concentration, and intrusive worries. She denies hallucinations or thoughts of harming the baby. Which of the following is the most likely explanation for this patient's findings?

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Correct answer: B — Major depressive episode occurring in the postpartum period

Persistent depressive symptoms beyond the early postpartum blues period are consistent with postpartum depression and require assessment and treatment.

Reference: ACOG perinatal mental health guidance