MEDizzy
MEDizzy
USMLE
NEUROLEPTIC DRUGS
A 35-year-old man was admitted to a psychiatric hospital following a failed suicide attempt. He had a history of multiple drug abuse and was in jail for 2 months after wounding a relative. The psychiatric interview disclosed a patient with persecutory delusions, auditory hallucinations, remarkably at affect, and social withdrawal. A presumptive diagnosis was made, and a therapy was prescribed. Which of the following drugs would be most appropriate for this patient?
Explanation
ExplanationThe correct answer is D. The symptoms of the patient indicated that he was most likely suffering from an acute psychotic disorder. Clozapine is not a drug of choice for first-episode patients, but it can be a first-line drug for a patient with a history of suicidality, comorbid substance abuse, and significant negative psychotic symptoms, as in this case.
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