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Postpartum psychosis — DRCOG MCQ

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ModeratePostnatalPostpartum psychosisDRCOG

A 31-year-old woman ten days postpartum has grandiose delusions, no sleep and disorganised behaviour. What is the most likely diagnosis?

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Correct answer: D — Postpartum psychosis

Postpartum psychosis is the best answer because the vignette is testing Postpartum psychosis and the recommended approach is consistent with NICE CG192. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Threatened miscarriage; Pelvic inflammatory disease; Stress urinary incontinence; Ectopic pregnancy would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE CG192