05-22-2016, 09:41 AM
Just did it online, got 2 questions wrong, need help please!
BTW, if someone need correct answers for other 48 questions, please post here and and I will tell you the right answer according to my choice
1. A 28 year-old man is brought to the emergency department because of flu-like symptoms and cough productive of clear sputum for 24 hours. He has been hospitalized eight times over the past 5 years because of bizarre delusions and hallucinations during which a voice tells him what to do. He has a 9-year history of type 1 diabetes mellitus. In addition to insulin, he is receiving clozapine theraphy(400mg daily) for his psychotic condition. During mental status examination, he is hallucinating and says that he is being pursued by special agents of the government. Leukocyte count is 2750/mm3, and serum glucose concentraion is 140mg/dL. Urinalysis is within normal limits. Which of the following is the most appropriate next step in managment?
A.add lithium carbonate therapy
B.add penicillin therapy
C.decrease the dose of clozapine
D.discontinue clozapine therapy
E. increase the dose of clozapine
2.A 25-year-old woman comes to the physician at her husband's request because of increasing irritability and tense mood over the past year. Her husband would like to start a family, and he is concerned about her ability to handle the added responsibility. She says that she worries about their finances despite the fact that they have no debt and she and her husband have jobs that pay well. Her pulse is 84/min, and blood pressure is 120/70mmHg. Physical examination shows no abnormalities except for sweaty palms. Mental status examination shows tension and anxiety. She admits to occasional difficulty sleeping and periods of mild depression but does not think that this is our of the ordinary. Laboratory studies show:
Hematocrit 38%
Erythrocyte count 4 million/mm3
Leukocyte count 5500/mm3
Serum
Thyroid-stimulating hormone 0.5 uU/mL
Thyroxine(T4) 12 ug/dL
Toxicology screening is negative. Which of the following is the most appropriate pharmacotherapy for this patient?
A. Bupropion
B. Buspirone
C. Levothyroxine
D. Methimazole
E. Quetiapine
BTW, if someone need correct answers for other 48 questions, please post here and and I will tell you the right answer according to my choice
1. A 28 year-old man is brought to the emergency department because of flu-like symptoms and cough productive of clear sputum for 24 hours. He has been hospitalized eight times over the past 5 years because of bizarre delusions and hallucinations during which a voice tells him what to do. He has a 9-year history of type 1 diabetes mellitus. In addition to insulin, he is receiving clozapine theraphy(400mg daily) for his psychotic condition. During mental status examination, he is hallucinating and says that he is being pursued by special agents of the government. Leukocyte count is 2750/mm3, and serum glucose concentraion is 140mg/dL. Urinalysis is within normal limits. Which of the following is the most appropriate next step in managment?
A.add lithium carbonate therapy
B.add penicillin therapy
C.decrease the dose of clozapine
D.discontinue clozapine therapy
E. increase the dose of clozapine
2.A 25-year-old woman comes to the physician at her husband's request because of increasing irritability and tense mood over the past year. Her husband would like to start a family, and he is concerned about her ability to handle the added responsibility. She says that she worries about their finances despite the fact that they have no debt and she and her husband have jobs that pay well. Her pulse is 84/min, and blood pressure is 120/70mmHg. Physical examination shows no abnormalities except for sweaty palms. Mental status examination shows tension and anxiety. She admits to occasional difficulty sleeping and periods of mild depression but does not think that this is our of the ordinary. Laboratory studies show:
Hematocrit 38%
Erythrocyte count 4 million/mm3
Leukocyte count 5500/mm3
Serum
Thyroid-stimulating hormone 0.5 uU/mL
Thyroxine(T4) 12 ug/dL
Toxicology screening is negative. Which of the following is the most appropriate pharmacotherapy for this patient?
A. Bupropion
B. Buspirone
C. Levothyroxine
D. Methimazole
E. Quetiapine