Deck · USMLE Step 1

Behavioral Health

Psychiatry and behavioral science — mood, anxiety, psychotic, personality, substance use disorders, psychopharmacology mechanisms, and neurotransmitter changes in disease.

70 cards · audited · SM-2 spaced repetition

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Included with the full USMLE Step 1 program — 14 decks, 1,546 cards.

Sample cards

1

What is the minimum symptom duration and count required to diagnose a major depressive episode (MDD)?

At least 5 of 9 SIG E CAPS symptoms (including depressed mood or anhedonia) present for ≥2 weeks, causing functional impairment.

2

What do the SIG E CAPS neurovegetative symptoms of major depression stand for?

Sleep changes, loss of Interest (anhedonia), Guilt/worthlessness, low Energy, decreased Concentration, Appetite/weight change, Psychomotor changes, Suicidal ideation — plus depressed mood.

3

Which monoamine neurotransmitters are implicated as DECREASED in the monoamine hypothesis of major depression?

Serotonin (5-HT), norepinephrine (NE), and dopamine — the monoamine hypothesis posits reduced monoaminergic transmission underlies depression.

4

How is persistent depressive disorder (dysthymia) distinguished from major depression by duration?

Dysthymia is a chronic, milder depressed mood present most days for ≥2 years (≥1 year in children/adolescents), with ≥2 additional symptoms and no symptom-free period >2 months.

5

What defines bipolar I disorder versus bipolar II disorder?

Bipolar I requires at least one full manic episode (≥1 week or any duration if hospitalized); bipolar II requires at least one hypomanic episode plus at least one major depressive episode, with NO full manic episode.

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