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A 70-year-old woman comes to the physician
because of fatigue
and increasing difficulty in her daily functioning
over the past 2
months. During the day, she lies in bed for hours and
cries. She has had a
10.9-kg (24-lb) weight loss over the past 4 weeks,
eats only cookies,
has lost interest in almost everything, and wishes to
kill herself. Her
husband died 4 months ago. Physical examination and
laboratory studies
show normal findings except for decreased serum
albumin and total
protein levels. Which of the following is the most
likely diagnosis?

A
) Adjustment disorder with depressed mood

B
) Bereavement

C
) Bipolar disorder, depressed

D
) Dysthymic disorder

E
) Major depressive disorder

Major depressive disorder

E.

thanks, can u pls tell me what differentiates it frm bereavement? i marked bereavement. i am making a whole lot of mistakes in psych.

prob is increasing with time as in this case.

two thing in this q
1- her husband died 4 months ago. her symptome start 2 month ago
2- with Adjustment disorder with depressed mood...i dont think u will have 24-lb weight loss over 4 weeks, she is very depressed speak more for MDD

this is my explan.

hey thanks a lot man for clarifying that to me, i really appreciate it. in fact i scored below avg in mental disorders and psych. it happened wth nbme 3 that i took last month. i got a score of 630, but did pretty bad in psych. last week i did nbme2 and again its the same story. i really dont know what to do. problems with basics
would it be a good idea to go thro first aid for psych?

no problem
wht is ur score in nbme2??

i dropped a few points. got 580. didnt take it in the right frame of mind. anyway now getting hypertensive abt the test. thanks a lot researcher for the help today.

anytime and good luck