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Old 06-23-2012
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Question Postoperative Hallucination

A 38-year-old woman is admitted to the hospital for an elective hysterectomy. On hospital day 3, she experiences auditory and visual hallucinations, has tremors, and is agitated.
Which of the following would be the best therapy?
A. Selective serotonin reuptake inhibitor (SSRI)
B. Propranolol
C. Imipramine
D. Benzodiazepine
E. Atypical antipsychotic
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Old 06-23-2012
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E atypical antipsychotic
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Old 06-23-2012
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D.....delerium tremens....
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Old 06-23-2012
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E
She has delirium (NOT tremens)
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Old 06-23-2012
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Quote:
Originally Posted by XpaezX View Post
E
She has delirium (NOT tremens)
The only antipsychotic which is used in the treatment of Delirium is Haloperidol (a typical antipsychotic) which is not among the answer choices. I am not aware of any atypical antipsychotic being used for Delirium.
Makes you wonder...........

Last edited by Novobiocin; 06-23-2012 at 04:22 PM.
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Old 06-23-2012
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Originally Posted by Novobiocin View Post
The only antipsychotic which is used in the treatment of Delirium is Halperidol (a typical antipsychotic) which is not among the answer choices.
Makes you wonder...........
Yeah I know, sadly it wasnt in the answer choices... BZD would then be the answer?
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Quote:
Originally Posted by XpaezX View Post
Yeah I know, sadly it wasnt in the answer choices... BZD would then be the answer?
That's the point I was making. If you know that a particular answer choice is not right but very close to the right answer it cannot be the right answer. That's exactly the reason they put that choice in there........so that people who are looking for an antipsychotic will fall for that.

You can even do this by exclusion:
You can't treat anything with hallucinations with either choices A, B or C.

That leaves D & E. Again, atypical antipsychotics are not used for any kind of delirium so that leaves only D (the right answer).

Quote:
D. This woman is probably experiencing either alcohol or benzodiazepine withdrawal; in either case, benzodiazepines would be the treatment.
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