A 14-year-old boy is brought to the physician because he told his mother he wished he were dead. He has been irritable for the past several weeks, and has been isolating himself in his room, avoiding his friends. He has been complaining of general aches and pains as well. Which of the following symptoms may well also be present in this patient?

A 30-year-old man comes to the psychiatrist for the evaluation of a depressed mood. He states that at least since his mid-20s he has felt depressed. He notes poor self-esteem and low energy and feels hopeless about his situation, though he denies suicidal ideation. He states he does not use drugs or alcohol, and has no medical problems. His last physical examination by his physician 1 month ago was entirely normal. Which of the following treatment options should be tried first?

A 26-year-old man comes to the physician with the chief complaint of a depressed mood for the past 5 weeks. He has been feeling down, with decreased concentration, energy, and interest in his usual hobbies. Six weeks prior to this office visit, he had been to the emergency room for an acute asthma attack and was started on prednisone. Which of the following is the most likely diagnosis? Mood disorder secondary to a general medical condition

A 42-year-old woman sees her physician because she has been depressed for the past 4 months. She also notes that she has gained 20 lb without trying to. She notes that she does not take pleasure in the activities that she once enjoyed and seems fatigued most of the time. These symptoms have caused the patient to withdraw from many of the social functions that she doesn‟t enjoy “much of anything” right now. Which of this patient‟s symptoms point preferentially to a postpartum depression as opposed to postpartum blues?

A 14-year-old boy is brought to the psychiatrist because for the past 25 months he has been irritable and depressed almost constantly The ?oy notes that he has difficulty concentrating, and he has lost 5 lb during that time period without trying. He states that he feels as if he has always ?een depressed, and he feels hopeless about ever feeling better. He denies suicidal ideation or hallucinations. He is sleeping well and doing well in school, though his teachers have noticed that he does not seem to be able „© concentrate as well as he had previously Which of the following is the most likely diagnosis?

A 10-year-old boy is brought to the psychiatrist by his mother. She states that for the past 2 months he has been increasingly irritable, withdrawn, and apathetic. He has been refusing to do his homework, and his grades have dropped. Which of the following is the best next step in management?

A 35-year-old woman is seeing a psychiatnst for treatment of her major depression. After 4 weeks on fluoxetine at 40 mg/day, her psychiatrist decides to try augmentation. Which of the following is the most appropriate medication?

A 32-year-old man is being created for a severe major depression. Which of the following symptoms, if present, is one of the most accurate indicators of longterm suicidal risk?

A 53-year-old man is admitted to psychiatry after a serious suicide attempt. He remains nearly catatonic on the unit, refusing to either eat or drink. He also remains quite suicidal, and requires one-to-one observation at all times. Which of the following is the most appropriate treatment?

Mood stabilizers used as Prophylaxis for manic patients include all of the followings except:

Somatic disturbances in depression include:

Indications of ECT in depression are:

I'm not eating anymore, and I constantly feel guilty for everything. I feel like I'm in a deep trench and I'm suffering down below.' Select the single best choice that best corresponds to the given statement:

A 28-year-old male doctor believes that he is the best looking male in the world and that everyone at work is trying to befriend him. He also claims that he is highly gifted and that he had cured his own leukemia. Select the single best choice that bestcorresponds to the given statement.

Substance-Induced mood disorders depression include all of the followings except:

A depressed patient doesn't smile or laugh when a Specialties joke is shared by a fellow patient. She shows a defect in which of the following aspects of mental state examination?

Depressed elderly patient may present primarily with:

The following general medical conditions can presented with depression except:

Side effects of Selective serotonin reuptake inhibitors (SSR1s) include all of the followings except:

The following general medical conditions can present with mania except:

Which of the following is an open-ended question

Which of the following statements about suicide is false?

Which of the following is a major difference between mood and affect in mental state combinations?

Nihilistic delusion will be congruent with which of the following findings of mental state examination?

Depressed patient is highly at risk for suicide if he had:

Somatic disturbances in depression include all of the following except:

For 2 years, mood varies from hypomania to moderate depression with free intervals of less tha 2 months. Which diagnosis that match this statement?

It occurs when a patient who has had major depression also experiences a hypomanic episode, but never gets fully manic episode. Which diagnosis that match this statement?

Regarding Catecholamine hypothesis of mood disorders: Low brain norepinephrine causes mania and its elevated level can cause depression. Dopamine activity may be reduced in mania and increased in depression.