1 Month Of Low in Medicine / Internal Medicine — Case | Psychiatry | SMLE Q#11910

SMLE Question #11910

Medicine / Internal Medicine Psychiatry

Objective: OBJ-253

Last updated: February 2026
A 21-year-old university student is brought by her roommate for 1 month of low mood, poor concentration, reduced appetite, anhedonia, and insomnia. She has missed multiple classes, avoids friends, and spends most of the day alone in her room. She denies alcohol or illicit drug use and has no history of mania or psychosis. Which feature in this scenario is most concerning and requires the most urgent attention?

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