This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Psychiatry
[{'content': 'A 68 years old lady thinks that she has done a sin, she is not worth to live this world, she is also having anorexia and insomnia, she is suffering from - \nSelect and explain. \nA. Exogenous depression, B. Endogenous depression, C. Neurotic depression, D. Dissociate disorder', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Diagnostic criteria for Major depression \n\nFive or more of the following symptoms for at least 2 weeks.\n\n\nDepressed mood\nLoss of interest or pleasure in all\xa0\xa0\xa0\xa0\xa0 \nDecreased or increased appetite\nInsomnia or hypersomnia\nPsychomotor retardation or agitation\nFatigue or loss of energy\nFeeling of worthlessness or excessive guilt\nDiminished concentration\nSuicidal thoughts or attempts\n\nDiagnosis of Minor depression\n\nIf less than five but more than two (i.e. 2-4) of the above symptoms are present for at least 2 weeks then the diagnosis is minor depression.\n\nComing to question\n\nThis patient has:-\n\ni)\xa0Excessive guilt (she has done a sin)\nii) Suicidal thoughts (not worth to live this world)\n\xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 iii) Anorexia (decreased appetite)\n\xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 iv) Insomnia\n\n\nSo, this patient has less than 5 symptoms but more than 2 symptoms but more than 2 symptoms Diagnosis is minor depression.\nNow the question arises, which type of depression is it?\n\n\nEndogenous depression :- No external precipitating event or stressors.\nReactive (neurotic/exogenous) :- Precipitated by external events or stressors, e.g. loss of a loved one, failure in love etc.\n\n\nAs no external precipitating factor has been mentioned in the question, this patient is having endogenous depression.\nSo, the final diagnosis is endogenous minor depression. (If the symptoms would have been 5 or more --> endogenous major depression).', 'role': 'assistant'}]