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type1
D007
qwen235
l017
A 35-year-old female, divorced and working as a freelance writer, presented with a complex psychiatric syndrome of 2 years and 3 months duration, marked by persistent functional impairment. For the majority of this period, she experienced a major depressive episode characterized by anhedonia, significant decrease in ap...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
gpt5
l018
A 72-year-old widowed retired male presents with a 2-year and 3-month history of mood and psychotic symptoms associated with significant functional decline. For the past 2 years and 1 month, he has exhibited persistent low drive, marked reduction in initiative for daily activities, decreased appetite occurring nearly e...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
gemini
l018
A 25-year-old single male gym instructor presents with a 2-year and 3-month history of functional impairment. For 2 years and 1 month, he has experienced a notable loss of motivation, decreased appetite, middle insomnia, and psychomotor retardation. He also reports excessive guilt. Concurrently, for the past 1 year and...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
qwen235
l018
A 48-year-old divorced female working as a travel agent presents with a complex psychiatric syndrome of 2 years and 3 months duration, marked by persistent functional impairment. The clinical course is characterized by the concurrent presence of mood and psychotic symptoms for the majority of the illness, with a major ...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
gpt5
l019
A 36-year-old married male solar panel technician presents with a 2 year and 3 month history of mood and psychotic symptoms associated with marked functional decline. For the past 2 years and 1 month, he has experienced a persistent depressive episode characterized by markedly reduced interest in previously enjoyable a...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
gemini
l019
A 32-year-old married male police officer presents with a two-year and three-month history of a complex psychiatric illness. For the past two years and one month, he has experienced a prominent depressive episode characterized by anhedonia, decreased appetite, non-restorative sleep, and psychomotor agitation. During th...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
qwen235
l019
A 46-year-old male, divorced and working as a taxi driver, presents with a complex psychiatric course persisting for approximately 2 years and 3 months. The clinical picture is characterized by the concurrent presence of psychotic and mood symptoms. For the majority of this period, the patient has experienced a major d...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
gpt5
l020
A 47-year-old divorced female real estate agent presents with a 2-year, 3-month history of mood and psychotic symptoms associated with significant functional decline. For approximately 2 years and 1 month, she has exhibited pervasive low mood with marked social withdrawal, diminished engagement in previously meaningful...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
gemini
l020
A 52-year-old female, employed as a toll booth collector and divorced, presents with a duration of illness spanning 2 years and 3 months. Her divorce occurred several years prior to the onset of her current symptoms. For the past 2 years and 1 month, she has experienced a major depressive episode characterized by promi...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
qwen235
l020
A 30-year-old married female and wedding photographer presents with a 2-year and 3-month history of psychiatric symptoms characterized by the concurrent presence of psychotic features and a major depressive episode. For the majority of this illness duration, the patient has experienced persistent depressive symptoms, i...
A. Major Depressive Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Depressive Type)
D. Schizoaffective Disorder (Depressive Type)
type1
D007
gpt5
l021
A 24-year-old single female social media manager presents with a 1 year 5 month history of mood and psychotic symptoms associated with significant functional decline at work and in social domains. Over the past 1 year 2 months, she has exhibited pervasive low mood with marked social withdrawal, substantial reduction in...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
gemini
l021
A 28-year-old single male, working as a struggling actor, presents with a 17-month history of psychiatric symptoms. Approximately 14 months prior to presentation, he developed a constellation of depressive symptoms, including significant social withdrawal, a 7% weight gain, chronic fatigue, ruminative guilt, and recurr...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
qwen235
l021
A 44-year-old married male working as a shipbuilder presents with psychiatric symptoms persisting for approximately 1 year and 5 months, with continuous functional impairment noted over this period. For the past 11 months, the patient has exhibited psychotic symptoms, including disorganized thinking characterized by de...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
gpt5
l022
A 51-year-old married male postman presents with a 1 year 5 month history of mood and psychotic symptoms associated with significant functional decline. For the past 1 year 2 months, he has exhibited pervasive loss of motivation, marked reduction in work productivity, prominent physical fatigue, unintentional weight lo...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
gemini
l022
A 19-year-old single female culinary student presents with a 1 year and 5 months history of psychiatric symptoms, experiencing significant functional impairment. For the past 1 year and 2 months, she has endorsed a pervasive loss of motivation, physical fatigue, significant and unintentional weight loss, and profound f...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
qwen235
l022
A 35-year-old divorced female ghostwriter presents with a 1 year and 5-month history of persistent psychiatric symptoms characterized by the concurrent presence of psychotic and depressive features. For the majority of this period—specifically 1 year and 2 months—she has experienced a major depressive episode marked by...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
gpt5
l023
A 46-year-old married male truck driver presented with a 1 year 5 month history of mood and psychotic symptoms associated with significant functional decline. For approximately 1 year 2 months, he has experienced a pervasive loss of interest and pleasure, diminished appetite most days, and marked cognitive fatigue with...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
gemini
l023
A 62-year-old married female, who works as a part-time census taker, presents with a 1-year and 5-month history of a complex psychiatric illness marked by significant functional impairment. The patient exhibits disordered thought processes, characterized by tangential speech and repetitive, non-goal-directed movements,...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
qwen235
l023
A 67-year-old widowed female, currently engaged in volunteer work, presents with a 1-year and 5-month history of psychiatric symptoms marked by continuous functional impairment. Over the past 11 months, the patient has exhibited psychotic symptoms including tangential thought process, characterized by speech that consi...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
gpt5
l024
A 58-year-old married male building maintenance supervisor presents with a 1 year 5 month history of mood and psychotic symptoms associated with significant functional decline at work and home. For approximately 1 year 2 months, he has exhibited persistent low mood with marked loss of interest in previously enjoyed act...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
gemini
l024
A 29-year-old single female, a civil service exam student, presents with a 1 year and 5 months history of psychiatric symptoms. She exhibits disorganized speech characterized by clang associations and displays inappropriate childlike silliness. Diminished emotional expression is also noted. Concurrently, she reports a ...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
qwen235
l024
A 22-year-old single male, working as a freelance video editor, presents with a 17-month history of psychiatric symptoms marked by continuous functional impairment. Over the past year and two months, the patient has exhibited a major depressive episode characterized by anhedonia, hypersomnia, persistent fatigue despite...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
gpt5
l025
A 26-year-old married female dental hygienist presents with a 1 year 5 month history of mood and psychotic symptoms associated with significant functional decline at work and in social roles. For approximately 1 year 2 months, she has experienced a persistent depressive episode characterized by pronounced social withdr...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
gemini
l025
An 80-year-old retired, widowed male presents with a complex psychiatric history spanning approximately 1 year and 5 months. For the past year and 2 months, he has experienced significant social withdrawal, increased appetite, mental fatigue, and excessive guilt, culminating in a suicide attempt. Concurrently for 11 mo...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D007
qwen235
l025
A 59-year-old single female government official presents with a 1-year and 5-month history of psychiatric symptoms characterized by the concurrent presence of mood disturbance and psychotic features. For the majority of this period—specifically 1 year and 2 months—she has experienced a major depressive episode with pro...
A. Schizoaffective Disorder (Depressive Type) B. Major Depressive Disorder with Psychotic Features C. Bipolar I Disorder with Psychotic Features D. Schizophrenia
A. Schizoaffective Disorder (Depressive Type)
type1
D008
gpt5
l001
A 42-year-old married male police officer presents with episodic mood and energy disturbances. Over a 2-week period, he experienced a distinctly elevated and euphoric mood accompanied by markedly increased energy and psychomotor activity. During this interval, he demonstrated pronounced overconfidence and grandiose sel...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l001
A 75-year-old married male author presents with a two-week history of an elevated and expansive mood, accompanied by a notable increase in energy. During this period, he exhibited inflated self-confidence, a reduced need for sleep, increased distractibility by extraneous stimuli, and social hyperactivity, all represent...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l001
A 28-year-old single female PhD researcher presents with a one-month history of depressed mood and a distinct prior two-week episode of abnormally elevated mood and increased activity. During the depressive episode, she reported persistent fatigue despite adequate rest, frequent awakenings during the night with difficu...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l002
A 48-year-old married male factory supervisor presents with episodic mood disturbance characterized by distinct manic and depressive phases, each associated with significant functional impairment at work and home. Over a period of approximately 2 weeks, he experienced a markedly elevated and irritable mood with pronou...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l002
A 49-year-old single female librarian presents with a history of mood disturbance. For the past two weeks, she has exhibited an irritable mood, psychomotor agitation, and grandiose delusions. During this period, she experienced a reduced need for sleep, increased responsiveness to extraneous stimuli, and occupational h...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l002
A 25-year-old single male working as an elevator repair technician presented with a history of distinct mood episodes causing significant functional impairment. He experienced a manic episode lasting two weeks characterized by persistently irritable mood, psychomotor agitation, and marked distractibility to extraneous ...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l003
A 28-year-old single female forensic science technician presents with episodic disturbances in mood, energy, and functioning. Over a 2-week period, she experienced markedly elevated and irritable mood with pronounced mood lability, shifting rapidly between expansive and argumentative states. During this interval, she e...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l003
A 23-year-old single female professional ballet dancer presents with a history of mood disturbances. For a period of two weeks, she exhibited rapid and unpredictable shifts between euphoria and irritability, accompanied by psychomotor agitation. During this time, she reported an inflated sense of self-confidence, signi...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l003
A 33-year-old female, single, working as a broadcast writer, presents with a mood disorder characterized by distinct episodes of abnormally elevated mood and severe depressive symptoms. Over a 2-week period, she exhibited a manic episode marked by labile mood with frequent shifts between euphoria and irritability, psyc...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l004
A 57-year-old married female school principal presents with distinct episodic mood disturbances. Over a 2-week period, she experienced markedly fluctuating mood, shifting abruptly between elevated and irritable states. During this time, she exhibited pronounced psychomotor agitation with difficulty remaining still, a m...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l004
A 47-year-old single female, employed as a department store sales manager, presents with a history of mood disturbances. For a duration of two weeks, the patient experienced a distinct period characterized by significant mood lability, manifesting as rapid and unpredictable shifts between euphoria and irritability. Con...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l004
A 58-year-old married female accountant presents with a history of mood instability characterized by distinct episodes of significantly altered mood and behavior. She experienced a 2-week period of elevated mood lability, marked by abrupt shifts between euphoria and irritability, accompanied by psychomotor agitation an...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l005
A 25-year-old single male delivery driver presents with episodic mood disturbance. Over the past 1 month, he has experienced a persistent low mood with frequent crying spells, markedly reduced energy, and diminished capacity to complete routine tasks. He reports waking several hours earlier than intended and being unab...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l005
A 20-year-old single female K-Pop trainee presents with a history of mood dysregulation. For two weeks, the patient exhibited an abnormally elevated and euphoric mood, accompanied by significant psychomotor agitation and grandiose delusions. During this period, she reported no functional impairment due to several night...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l005
A 28-year-old single male, working as a police patrol officer, presents with a history of recurrent mood disturbances marked by distinct periods of abnormally elevated mood and significant depressive symptoms. For the past two weeks, the patient exhibited persistently elevated mood characterized by euphoria, increased ...
A. Schizoaffective Disorder (Depressive Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Bipolar Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l006
A 27-year-old single female fashion stylist assistant presents with a history of episodic mood disturbance. Over approximately 5 months, she has exhibited a sustained period of markedly elevated, expansive mood accompanied by pronounced increase in energy and activity. During this time, she demonstrates excessive psych...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l006
A 38-year-old single male construction worker presents with a history of mood disturbances. For the past five months, he has exhibited periods of elevated mood, characterized by euphoria and heightened vitality. During these episodes, he reports increased physical and mental energy, psychomotor agitation, and rapid, pr...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l006
A 52-year-old female librarian presented with a history of distinct mood episodes causing significant functional impairment. Over the past 9 months, she experienced a depressive episode marked by persistent low mood, psychomotor agitation manifesting as pacing and hand-wringing, and profound social withdrawal. She repo...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l007
A 50-year-old married male airline pilot presents with a history of distinct mood episodes associated with significant occupational and interpersonal impairment. Over a 5‑month period, he experienced a sustained period of markedly elevated and erratic mood with abrupt shifts between intense cheerfulness and pronounced ...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l007
A 40-year-old divorced male taxi driver presents with a 14-month history of significant mood disturbance. For the past five months, he has exhibited a distinct period of elevated emotional arousal characterized by mood lability, psychomotor agitation, inflated self-confidence, excessive talkativeness, and racing though...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l007
A 39-year-old male, married and working as a robotics engineer, presents with a history of mood disturbances spanning the past 14 months, marked by distinct periods of aberrant mood and behavior. For five consecutive months, the patient experienced a persistent elevation in mood characterized by lability, shifting rapi...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l008
A 49-year-old married male university professor presents with a history of distinct mood episodes associated with marked functional impairment. He reports a 5-month period of persistently elevated and unusually euphoric mood, accompanied by marked psychomotor agitation and a reduced ability to remain at rest. During th...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l008
A 50-year-old married male, CEO of a small business, presents with a history of mood dysregulation. For the past five months, he has exhibited periods of elevated and euphoric mood, accompanied by significant psychomotor agitation. During these times, he reports inflated self-confidence, increased talkativeness, and a ...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l008
A 44-year-old male, married, working as a shipbuilder, presents with a history of mood disturbance characterized by distinct episodes of mood elevation and depression, each associated with functional impairment. During the manic episode, lasting approximately 5 months, the patient exhibited persistently elevated mood...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l009
A 33-year-old single male film editor presents with a history of distinct mood episodes. Over approximately 5 months, he experienced a sustained period of markedly elevated and euphoric mood accompanied by significantly increased energy and activity levels. During this time he displayed unusually high self-confidence, ...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l009
A 32-year-old single male cloud architect presents with a complex clinical picture. For approximately the past five months, he has exhibited periods of elevated mood, characterized by euphoria and heightened vitality. During these times, he displays increased psychomotor energy, an inflated sense of self-confidence ren...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l009
A 49-year-old male, married, and employed as an auctioneer, presents with a history of mood disturbances characterized by distinct episodes of manic and depressive symptoms, each causing significant functional impairment. The patient experienced a manic episode lasting approximately five months, marked by persistentl...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l010
A 19-year-old single male university freshman presents with a history of episodic mood disturbance associated with marked functional decline in academic and social domains. Over the past 5 months, he has experienced a period of markedly elevated and irritable mood with pronounced affective lability. During this time, ...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gemini
l010
A 26-year-old single female, employed as a junior graphic designer, presents with a psychiatric history significant for distinct periods of mood disturbance. For a duration of five months, she exhibited mood lability, characterized by rapid and unpredictable shifts between euphoria and irritability. Concurrently, she e...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
qwen235
l010
A 72-year-old widowed male, retired, presents with a 5-month history of manic symptoms and a 9-month course of depressive symptoms, both associated with marked functional impairment. During the manic phase, the patient exhibited mood lability with shifting affect between euphoria and irritability, psychomotor agitation...
A. Schizoaffective Disorder (Bipolar Type) B. Bipolar I Disorder with Psychotic Features C. Schizoaffective Disorder (Depressive Type) D. Bipolar I Disorder
D. Bipolar I Disorder
type1
D008
gpt5
l011
A 68-year-old married retired civil servant presents with a 7-month history of episodic disturbances in mood and behavior. During this period, the patient has exhibited pronounced mood lability, with rapid fluctuations between markedly elevated and irritable affect. He demonstrates significantly increased goal-directed...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gemini
l011
A 38-year-old single male high school teacher presents with a 7-month history of a distinct period characterized by significant mood disturbance. Clinical observations indicate marked mood lability, with rapid and unpredictable alterations between states of euphoria and irritability. He reports pervasive hyperactivity,...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
qwen235
l011
A 33-year-old male, divorced and employed as a private investigator, presented with a seven-month history of persistently elevated and unstable mood states, marked by frequent shifts between euphoric and irritable affect. During this period, the patient demonstrated increased goal-directed activity across multiple doma...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gpt5
l012
A 50-year-old married male small business CEO presents with a 7-month history of a distinct period of markedly altered mood and behavior. During this interval, the patient has exhibited a persistently irritable and easily provoked mood, with disproportionate anger in response to minor frustrations, as reported by famil...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gemini
l012
An 80-year-old retired widower presents with a 7-month history of a distinct period of persistently elevated and irritable mood. The patient reports a noticeable increase in energy levels, accompanied by an inflated sense of self-confidence wherein he believes he is capable of achieving anything. He exhibits a markedly...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
qwen235
l012
A 65-year-old male, widowed and formerly employed as a forest ranger, presented with a 7-month duration of altered behavior and mood disturbance. The patient exhibited persistently irritable mood, marked by increased agitation and frequent outbursts in response to minor provocations. He demonstrated a pronounced elevat...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gpt5
l013
A 24-year-old single female graduate student presents with a 7‑month history of markedly abnormal mood and behavior associated with significant functional deterioration in academic and social domains. During this period, the patient has exhibited pronounced mood lability, with abrupt transitions between elevated and ir...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gemini
l013
A 75-year-old married male author presents with a 7-month history of a distinct period of persistently elevated and expansive mood, accompanied by marked functional impairment. He exhibits significant mood lability, characterized by rapid and unpredictable shifts between euphoria and irritability. The patient displays ...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
qwen235
l013
A 28-year-old single male working as a software developer presents with a 7-month duration of persistently elevated and labile mood, marked by fluctuating episodes of euphoria and irritability without apparent trigger. During this period, the patient demonstrated increased goal-directed activity, evidenced by initiatio...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gpt5
l014
A 28-year-old single female PhD researcher presents with a 7-month history of persistently elevated and irritable mood accompanied by marked behavioral and functional changes. During this period, she has demonstrated markedly increased psychomotor activity and subjective energy, with difficulty remaining seated and a c...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gemini
l014
A 49-year-old married male auctioneer presents with a 7-month history of a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy. The patient exhibits significant irritability, characterized by anger and aggression in response ...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
qwen235
l014
A 28-year-old single male working as a software developer presented with a 7-month duration of abnormally elevated mood伴有 notable irritability, during which he reported a marked increase in energy and goal-directed activity. He exhibited persistent irritability with frequent outbursts in response to minor frustrations,...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gpt5
l015
A 23-year-old single female art student presents with a 7‑month history of persistent mood and behavioral changes characterized by a prolonged period of elevated irritability and marked functional decline in academic and interpersonal domains. During this period, she has exhibited pronounced psychomotor agitation, with...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gemini
l015
A 39-year-old married male robotics engineer presents with a 7-month history of significant mood disturbance and behavioral changes. The patient exhibits a predominantly irritable mood, characterized by disproportionate anger and aggression in response to minor stimuli. He reports psychomotor agitation, describing a pe...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
qwen235
l015
A 31-year-old single female, employed as a wedding dress designer, presents with a 7-month duration of significantly elevated arousal and behavioral activation causing marked functional impairment. The patient exhibits persistent irritability, with frequent outbursts in response to minimal provocation, and demonstrates...
A. Bipolar I Disorder B. Bipolar II Disorder C. Bipolar I Disorder with Psychotic Features D. Schizoaffective Disorder (Bipolar Type)
A. Bipolar I Disorder
type1
D008
gpt5
l016
A 35-year-old divorced female hospice caregiver presents with a history of recurrent mood episodes. She reports a 4-month period characterized by markedly irritable mood and substantially increased energy, during which she was unable to remain still and was persistently active. During this time, she displayed inflated ...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gemini
l016
The patient is a 31-year-old single male employed as an air traffic controller. The patient presents with a 4-month history of a distinct period characterized by an irritable mood, increased energy levels, and an overestimation of his own abilities. During this time, he exhibited excessive talkativeness, racing though...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
qwen235
l016
A 50-year-old married female who works as a Human Resources Director presented with a history of distinct mood disturbances with clear functional impairment. She experienced a prolonged period of elevated arousal lasting approximately four months characterized by persistently irritable mood, marked psychomotor agitatio...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gpt5
l017
A 26-year-old single female special education teacher presents with a history of distinct episodic mood disturbances. For approximately 4 months, she experienced a period of markedly elevated and expansive mood accompanied by a pronounced increase in goal-directed activity and energy. During this time, she displayed he...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gemini
l017
A 58-year-old married female accountant presents with a four-month history of a distinct period characterized by an elevated and expansive mood, accompanied by a significant increase in energy levels. During this time, the patient exhibited an overestimation of her abilities, pressured speech, and a flooding of thought...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
qwen235
l017
A 26-year-old single female who works as an emergency room nurse presents with a 4-month history of persistently elevated mood characterized by intense euphoria, marked overconfidence in personal abilities, and an exaggerated sense of self-worth. During this period, she exhibited increased energy with constant physical...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gpt5
l018
A 47-year-old widowed male, employed as a legacy system maintainer (COBOL), presents with a history of alternating mood episodes associated with significant functional impairment at work and at home. Over approximately 4 months, he describes a period of markedly elevated and labile mood, with abrupt shifts between ela...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gemini
l018
A 42-year-old female, employed as a Technical Support Lead and divorced for six years, presents with a four-month history of significant mood disturbance. She exhibits periods of mood lability, characterized by unpredictable shifts between euphoria and irritability. Concurrently, she reports psychomotor agitation, mani...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
qwen235
l018
A 58-year-old married female working as an accountant presents with a 4-month duration of abnormally elevated mood characterized by marked lability, oscillating between euphoria and irritability. During this period, she exhibited persistent psychomotor agitation manifesting as an inability to remain seated, purposeless...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gpt5
l019
A 67-year-old widowed female volunteer worker presents with a history of distinct mood episodes. Widowhood occurred many years prior and is not temporally associated with symptom onset. Over approximately 4 months, she experienced a period of markedly elevated and expansive mood accompanied by pronounced overactivity....
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gemini
l019
A 54-year-old married male, employed as a Factory Quality Control Manager, presents with a history of mood disturbances. For the past four months, the patient has experienced a period of elevated mood, characterized by euphoria and heightened vitality. During this time, he exhibited significant hyperactivity, taking on...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
qwen235
l019
A 48-year-old male, married, working as a factory supervisor, presents with a history of episodic, severe mood disturbances impacting psychosocial and occupational functioning. Over the past four months, the patient exhibited a distinct period of abnormally and persistently elevated mood, accompanied by marked increase...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gpt5
l020
A 27-year-old single male software engineer at a startup presents with distinct mood episodes over the past several months. For approximately 4 months, he experienced a persistently irritable mood accompanied by markedly increased energy and activity, an unusually high sense of ability and confidence, and pressured, ex...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gemini
l020
A 28-year-old married female UI/UX designer presents with a history of mood disturbance over the past seven months. The patient endorsed a four-month period characterized by an irritable mood, increased energy, and an inflated sense of self-confidence. During this time, she exhibited notable talkativeness and reported ...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
qwen235
l020
A 19-year-old single male university freshman presents with a 4-month history of manic symptoms and a subsequent 3-month depressive episode, both associated with significant functional impairment. During the manic phase, the patient exhibited persistently irritable mood, marked by frequent anger and aggression in respo...
A. Bipolar I Disorder with Psychotic Features B. Bipolar I Disorder C. Schizoaffective Disorder (Bipolar Type) D. Schizoaffective Disorder (Depressive Type)
B. Bipolar I Disorder
type1
D008
gpt5
l021
A 37-year-old single female factory line worker on a night shift schedule presented with a 1-month history of markedly elevated energy and behavioral change. She described a persistently irritable mood throughout this period, with low tolerance for minor frustrations at home and work. There was prominent psychomotor ag...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
gemini
l021
A 58-year-old married female accountant presents with a one-month history of a distinct period characterized by an irritable mood and psychomotor agitation. During this time, she has also exhibited pressured speech, speaking continuously with a sense of urgency. Her cognitive and behavioral patterns include frequent ta...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
qwen235
l021
A 78-year-old retired widowed female with a one-month history of significantly elevated arousal and behavioral disturbance. The patient exhibits persistently irritable mood, demonstrated by frequent anger and aggression in response to minor provocations. She displays psychomotor agitation, characterized by an inability...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
gpt5
l022
A 34-year-old married male firefighter in a rescue team position presented with a 1-month history of markedly elevated and unusually euphoric mood accompanied by significant behavioral change. During this period, the patient displayed pronounced overactivity, taking on substantially more tasks than usual at work and in...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
gemini
l022
A 41-year-old single female salon owner presents with a one-month history of a distinct period of persistently elevated mood, accompanied by marked functional impairment. During this time, the patient has exhibited increased psychomotor activity, reporting an uncharacteristic surge in work output and initiation of mult...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
qwen235
l022
A 36-year-old male, single, working as a day laborer in construction, presents with a one-month duration of significantly elevated mood characterized by persistent euphoria, increased energy, and unwarranted optimism. During this period, the patient exhibited marked hyperactivity, engaging in multiple projects simultan...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
gpt5
l023
A 31-year-old married female elementary school teacher presents with a 1-month history of markedly abnormal mood and behavior. During this period, she has exhibited pronounced mood lability, with abrupt shifts between elevated, overly cheerful demeanor and marked irritability. She reports a significant increase in goal...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
gemini
l023
A 44-year-old married male employed as a construction site foreman presents with a one-month history of distinct mood and behavioral changes. The patient exhibits significant mood lability, characterized by rapid and unpredictable shifts between elevated affect and irritability. Concurrently, he demonstrates heightened...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
qwen235
l023
A 31-year-old single female working as a hospital administrator presents with a one-month duration of clinically significant mood and behavioral disturbances resulting in marked functional impairment. During this period, the patient exhibited persistent mood lability characterized by abrupt and unpredictable shifts bet...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
gpt5
l024
A 30-year-old single female yoga instructor presents with a 1-month history of markedly elevated and unstable mood with significant functional impairment. During this period, the patient exhibited pronounced mood lability, shifting abruptly between expansive, exuberant affect and marked irritability. Psychomotor activi...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
gemini
l024
A 32-year-old single male archivist presents with a one-month history of significant mood disturbance. His presentation is characterized by pronounced mood lability, with rapid and unpredictable shifts between elevated mood and irritability. He displays notable psychomotor agitation, reporting an inability to rest and ...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
qwen235
l024
A 44-year-old widowed female, employed as a subway cleaner on the night shift, presents with a one-month duration of abnormal mood and behavior causing significant functional impairment. The patient exhibits persistent mood lability, with frequent oscillations between euphoric and irritable states, often shifting rapid...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
gpt5
l025
A 52-year-old divorced female toll booth collector presents with a 1-month history of a distinct period of markedly abnormal mood and behavior. She describes pronounced affective lability, with abrupt shifts between elevated, overly cheerful mood and marked irritability. During this period, she reports markedly increas...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
gemini
l025
A 36-year-old married male construction worker presents with a one-month history of a distinct period of abnormally and persistently elevated energy and mood lability. His presentation is characterized by rapid and unpredictable shifts between elevated mood and irritability. He reports a profound increase in physical a...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder
type1
D008
qwen235
l025
A 47-year-old female, single, working as a social worker, presented with a one-month duration of markedly disturbed mood and behavior resulting in significant functional impairment. The patient exhibited persistent mood lability, with frequent and abrupt shifts between states of intense euphoria and episodes of marked ...
A. Bipolar I Disorder with Psychotic Features B. Bipolar II Disorder C. Bipolar I Disorder D. Schizoaffective Disorder (Bipolar Type)
C. Bipolar I Disorder