Rest Of Month in Medicine / Internal Medicine — 28yo Woman | Psychiatry | SMLE Q#16501
SMLE Question #16501
Medicine / Internal Medicine
Psychiatry
Objective: OBJ-253
Last updated: February 2026
A 28-year-old woman reports 8 months of recurrent symptoms starting 7–10 days before menses: marked mood swings, irritability, depressed mood, poor concentration, breast tenderness, and bloating. Symptoms resolve completely within 2–3 days after menses begins, and she feels well for the rest of the month. Symptoms cause severe impairment at work and in relationships. She has no history of manic or hypomanic episodes. What is the most likely diagnosis?
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