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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 30-year-old woman returns 4 weeks after delivery. She reports persistent sadness, guilt, insomnia, and difficulty bonding with the baby. Symptoms occur most days. She denies thoughts of harming herself or the infant. She has good family support. Which of the following would you recommend at the follow-up visit?

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

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Correct answer: A — Begin treatment with psychotherapy and/or SSRI with close follow-up

Postpartum depression requires active treatment and safety assessment; psychotherapy and SSRIs are common first-line options.

Reference: ACOG perinatal mental health guidance: https://www.acog.org/