WBR0001

Author	PageAuthor::
Exam Type	ExamType::USMLE Step 1
Main Category	MainCategory::Behavioral Science/Psychiatry, MainCategory::Pharmacology
Sub Category	SubCategory::Neurology
Prompt	[[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	AnswerA::Carbamazepine (Tegretol).
Answer A Explanation	AnswerAExp::
Answer B	AnswerB::Gabapentin (Neurontin).
Answer B Explanation	AnswerBExp::
Answer C	AnswerC::Venlafaxine (Effexor).
Answer C Explanation	AnswerCExp::
Answer D	AnswerD::Amitriptyline.
Answer D Explanation	AnswerDExp::
Answer E	AnswerE::Lithium (Lithobid).
Answer E Explanation	AnswerEExp::
Right Answer	RightAnswer::E
Explanation	[[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. Educational Objective: References: ]]
Approved	Approved::No
Keyword
Linked Question	Linked::
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