Gyrus Daily Questions; Psychiatry #3 - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 11-03-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 720
Threads: 217
Thanked 552 Times in 309 Posts
Reputation: 562
Arrow Gyrus Daily Questions; Psychiatry #3

A 23 year old women was seen today she complained that her neighbor was talking about her, According to the neighbor , her behavior started 3 weeks ago after she was involved in a car accident. Since then she has been following the neighbors for several days and harassing them at work.She believes that the neighbors ate putting poison in her food and want to kill her.When asked why , she is unable to five clear explanation but insists that what she is saying is trues.She states that the voices in her head told her it is true and that your should stop asking question. While in the waiting room.you observe her to be dressed bizarrely and laughing inappropriately. Which od the following is most indicated in the managment of this patient?

A. Haloperidol
B. Clozapine
C. Lorazepam
D. Resperidone
E. Fluphenazine
Reply With Quote Quick reply to this message
The above post was thanked by:
Learner (11-05-2012), yarasara77 (11-09-2012)



  #2  
Old 11-03-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 40
Threads: 8
Thanked 32 Times in 19 Posts
Reputation: 42
Default

Reckon this should be D Risperidone
Reply With Quote Quick reply to this message
The above post was thanked by:
cingulate.gyrus (11-03-2012)
  #3  
Old 11-03-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 791
Threads: 76
Thanked 673 Times in 317 Posts
Reputation: 691
Default

dunno.....i think it should be B....
Reply With Quote Quick reply to this message
 
  #4  
Old 11-03-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 720
Threads: 217
Thanked 552 Times in 309 Posts
Reputation: 562
Default

Answer D. Reperidone.


This patient clearly has psychotic symptoms; therefore you would want to give her medication with the least amount of side effects. Choices A and E are typical anti-psychotics with many side effects. Choices B and D are atypical anti psychotics ; however clozapine is not used first line in the treatment of psychotic symptoms .Lorazepam is not an antipsychotic mediaiton.however it can be used in psychotic patients to reduce agitation.
Reply With Quote Quick reply to this message
The above post was thanked by:
eriqaly (08-07-2015)
  #5  
Old 11-03-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,106 Times in 1,049 Posts
Reputation: 2126
Default

D. Resperidone

She has paranoid schizo and none of the other meds are first line.
__________________
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
Reply With Quote Quick reply to this message
The above post was thanked by:
cingulate.gyrus (11-04-2012)
  #6  
Old 11-03-2012
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 102
Threads: 16
Thanked 58 Times in 45 Posts
Reputation: 68
Default

Shouldnt it b A as haloperidol is better for positive symptons
Reply With Quote Quick reply to this message
The above post was thanked by:
cingulate.gyrus (11-04-2012)
  #7  
Old 11-04-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 720
Threads: 217
Thanked 552 Times in 309 Posts
Reputation: 562
Default

Quote:
Originally Posted by ts1234 View Post
Shouldnt it b A as haloperidol is better for positive symptons
I put that question because of that confusion....
But most preferred drug is the one with least side effect..
Reply With Quote Quick reply to this message
The above post was thanked by:
ts1234 (11-04-2012)
  #8  
Old 11-04-2012
USMLE Forums Addict
 
Steps History: 1+CK+CS+3
Posts: 170
Threads: 6
Thanked 138 Times in 90 Posts
Reputation: 148
Default

am i getting better at this or is the gyrus daily question getting easier day by day?
Reply With Quote Quick reply to this message
  #9  
Old 11-04-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,106 Times in 1,049 Posts
Reputation: 2126
Default

Quote:
Originally Posted by theundead View Post
am i getting better at this or is the gyrus daily question getting easier day by day?
The questions are easier
__________________
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
Reply With Quote Quick reply to this message



Reply

Tags
Psychiatry-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Gyrus Daily Questions; Psychiatry #9 cingulate.gyrus USMLE Step 2 CK Forum 4 11-04-2012 04:36 AM
Gyrus Daily Questions; Psychiatry #1 cingulate.gyrus USMLE Step 2 CK Forum 5 11-03-2012 10:00 PM
Gyrus Daily Questions; Psychiatry #2 cingulate.gyrus USMLE Step 2 CK Forum 8 11-03-2012 09:58 PM
Gyrus Daily Questions; Psychiatry #4 cingulate.gyrus USMLE Step 2 CK Forum 6 11-03-2012 09:56 PM
Gyrus Daily Questions; Psychiatry #6 cingulate.gyrus USMLE Step 2 CK Forum 3 11-03-2012 09:53 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)