Difference between revisions of "WBR0001"

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|SubCategory=Pharmacology
 
|SubCategory=Pharmacology
 
|Prompt=A 23-year-old woman comes to your office with symptoms of depressive episodes, insomnia, and decreased appetite. She also reports episodes of excited mood and euphoria. You recognize her disorder as likely bipolar in nature and refer her to a psychiatrist in the area. After 2 months, she returns to your office and states her symptoms of mood swings as well as very high and low periods of excitation have improved after her psychiatrist placed her on medication, although she can't remember the name. However, she does complain of recent menstrual irregularities, constipation, and fatigue. What medication was likely used to control her bipolar type symptoms?
 
|Prompt=A 23-year-old woman comes to your office with symptoms of depressive episodes, insomnia, and decreased appetite. She also reports episodes of excited mood and euphoria. You recognize her disorder as likely bipolar in nature and refer her to a psychiatrist in the area. After 2 months, she returns to your office and states her symptoms of mood swings as well as very high and low periods of excitation have improved after her psychiatrist placed her on medication, although she can't remember the name. However, she does complain of recent menstrual irregularities, constipation, and fatigue. What medication was likely used to control her bipolar type symptoms?
 +
|AnswerA=Carbamazepine (Tegretol).
 +
|AnswerB=Gabapentin (Neurontin).
 +
|AnswerC=Venlafaxine (Effexor).
 +
|AnswerD=Amitriptyline.
 +
|AnswerE=Lithium (Lithobid).
 +
|RightAnswer=E
 +
|Explanation=This patient has likely been placed on lithium (Lithobid) for mood stabilization, one side effect of which is hypothyroidism that can not only be counterproductive to therapy but also cause for discontinuation of the medication.
 
|Answer=Carbamazepine (Tegretol).,Gabapentin (Neurontin). ,Venlafaxine (Effexor). ,Amitriptyline.
 
|Answer=Carbamazepine (Tegretol).,Gabapentin (Neurontin). ,Venlafaxine (Effexor). ,Amitriptyline.
|RightAnswer=Lithium (Lithobid).
 
|Explanation= This patient has likely been placed on lithium (Lithobid) for mood stabilization, one side effect of which is hypothyroidism that can not only be counterproductive to therapy but also cause for discontinuation of the medication.
 
 
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Revision as of 19:53, 18 October 2012


Author
Exam Type
Main Category Endocrinology
Sub Category Pharmacology
Prompt A 23-year-old woman comes to your office with symptoms of depressive episodes, insomnia, and decreased appetite. She also reports episodes of excited mood and euphoria. You recognize her disorder as likely bipolar in nature and refer her to a psychiatrist in the area. After 2 months, she returns to your office and states her symptoms of mood swings as well as very high and low periods of excitation have improved after her psychiatrist placed her on medication, although she can't remember the name. However, she does complain of recent menstrual irregularities, constipation, and fatigue. What medication was likely used to control her bipolar type symptoms?
Answer A Carbamazepine (Tegretol).
Answer A Explanation
Answer B Gabapentin (Neurontin).
Answer B Explanation
Answer C Venlafaxine (Effexor).
Answer C Explanation
Answer D Amitriptyline.
Answer D Explanation
Answer E Lithium (Lithobid).
Answer E Explanation
Right Answer E
Explanation This patient has likely been placed on lithium (Lithobid) for mood stabilization, one side effect of which is hypothyroidism that can not only be counterproductive to therapy but also cause for discontinuation of the medication.

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