A 24-year-old has five days of decreased need for sleep, increased energy, rapid speech, and new goal-directed activity. She has no psychosis,

Question

A 24-year-old has five days of decreased need for sleep, increased energy, rapid speech, and new goal-directed activity. She has no psychosis, hospitalization, marked impairment, or substance exposure. Which diagnosis is most likely?

Accepted Answer

Hypomanic episode with elevated activation and no marked impairment

Answer

Major depressive episode with reduced energy and loss of interest

Answer

Delirium with acute fluctuating attention and altered awareness

Answer

Generalized anxiety disorder with persistent diffuse daily worry

Answer

Cyclothymic disorder with chronic subthreshold mood fluctuation

Bipolar disorder — USMLE Step 3 MCQ

A 24-year-old has five days of decreased need for sleep, increased energy, rapid speech, and new goal-directed activity. She has no psychosis, hospitalization, marked impairment, or substance exposure. Which diagnosis is most likely?