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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 1/Question#32 (reveal difficulty score)
A 52-year-old woman is brought to the ...
Bipolar disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—russnels(20)
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Remember that mania episodes in bipolar disorder can be similar to schizophrenia/phreniform... don't let that last hallucination throw you from the trail of clues leading to bipolar before that line. Like I did ;)

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quaranqueen  Another clue is the time course - schizophreniform is 1-6 months +
cbreland  Would "schizoaffective" be an appropriate answer if it was an option? +



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submitted by โˆ—step_prep5(246)
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  • Patient with a history of episodes consistent with depression (sleep changes, decreased energy/interest) who now presents with irritability, decreased need for sleep, pressured speech and distractibility, all consistent with bipolar disorder
  • Bipolar disorder associated with DIG FAST symptoms (Distractibility, Impulsivity, Grandiosity, Flight of ideas, increased Activity, decreased Sleep and Talking loudly/rapidly)
  • Key idea: Aspects of psychosis (such as this patientโ€™s auditory hallucinations) can be seen in multiple psychiatric conditions including bipolar disorder and are NOT specific to schizophrenia, schizophreniform, etc.

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