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Psychiatry · USMLE Step 1 · Healthcare and Nursing

USMLE Psychiatry

Major psychiatric disorders, DSM based diagnostic criteria, and defense mechanisms tested on USMLE Step 1.

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46 basic cards for USMLE Step 1 Psychiatry. Set 1 of 8 in USMLE Psychiatry. It opens with "Minimum duration of depressive symptoms required to diagnose major depressive" and "Minimum number of symptoms (of 9) needed for a major depressive episode". Study it alongside the other USMLE Step 1 sets below.

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Minimum duration of depressive symptoms required to diagnose major depressive disorder
Show answer2 weeks
Minimum number of symptoms (of 9) needed for a major depressive episode, including depressed mood or anhedonia
Show answer5 symptoms
Minimum duration of low mood for persistent depressive disorder (dysthymia) in adults
Show answer2 years
Minimum duration of elevated/irritable mood for a manic episode
Show answer1 week (or any duration if hospitalization is required)
Minimum duration of elevated/irritable mood for a hypomanic episode
Show answer4 days
Defining feature that distinguishes bipolar I disorder from bipolar II disorder
Show answerBipolar I requires at least one full manic episode
Diagnostic requirement for bipolar II disorder
Show answerAt least one hypomanic episode and one major depressive episode, with no history of full mania
Minimum duration for cyclothymic disorder
Show answer2 years of numerous hypomanic and depressive periods not meeting full episode criteria
Minimum duration of excessive worry required to diagnose generalized anxiety disorder
Show answer6 months
Core diagnostic requirement for panic disorder beyond having panic attacks
Show answerAt least 1 month of persistent worry about having more attacks or their consequences
Time to peak intensity of symptoms during a panic attack
Show answerWithin 10 minutes
Minimum duration of fear/avoidance required to diagnose specific phobia
Show answer6 months
Core fear that defines social anxiety disorder
Show answerFear of negative evaluation or scrutiny by others in social situations
Definition of agoraphobia
Show answerMarked fear or avoidance of situations where escape might be difficult or help unavailable
Threshold for obsessions or compulsions to qualify as clinically significant in OCD
Show answerTime-consuming (more than 1 hour per day) or causing significant distress/impairment

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