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101.
A 36-year-old male unemployed dishwasher with no history of seizures presents with difficulty thinking coherently and claims that he is an astronaut. Following treatment, he suddenly has a grand mal seizure. Which neuroleptic agent was administered
A.
Haloperidol
B.
Fluphenazine
C.
Clozapine
D.
Molindone
E.
Loxapine


102.
A 31-year-old female is treated with an antipsychotic agent because of a recent history of spontaneously removing her clothing in public places and claiming that she hears voices telling her to do so. Her blood pressure is normally 130/70 mmHg. Since being treated with a drug, she has had several bouts of syncope. Orthostatic hypotension was noted on physical examination. Which drug most likely caused this?
A.
Haloperidol
B.
Olanzapine
C.
Fluphenazine
D.
Chlorpromazine
E.
Sertindole

101 c
102 a?

101 . A Haloperidol ( no idea, just a guess)

102. D Chlopromazine has alpha-blocking action

e,e?

oh yes drguru....u are right........101 is C....clozapine causes seizures.....

102 though is D

102 d agreed

101.
A 36-year-old male unemployed dishwasher with no history of seizures presents with difficulty thinking coherently and claims that he is an astronaut. Following treatment, he suddenly has a grand mal seizure. Which neuroleptic agent was administered
A.
Haloperidol
B.
Fluphenazine
C.
Clozapine
D.
Molindone
E.
Loxapine

The answer is: C

Clozapine differs from other neuroleptic agents in that it can induce seizures in nonepileptic patients. In patients with a history of epileptic seizures for which they are not receiving treatment, stimulation of seizures can occur following the administration of neuroleptic agents because they lower seizure threshold and cause brain discharge patterns reminiscent of epileptic seizure disorders.

102.
A 31-year-old female is treated with an antipsychotic agent because of a recent history of spontaneously removing her clothing in public places and claiming that she hears voices telling her to do so. Her blood pressure is normally 130/70 mmHg. Since being treated with a drug, she has had several bouts of syncope. Orthostatic hypotension was noted on physical examination. Which drug most likely caused this?
A.
Haloperidol
B.
Olanzapine
C.
Fluphenazine
D.
Chlorpromazine
E.
Sertindole

The answer is: D

Although many antipsychotic agents can cause orthostatic hypotension, chlorpromazine is the most likely choice of the agents listed for causing this adverse effect.

hey ebnalfady did u take any NBME form yet,when is ur exam