WBR1131
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| Author | [[PageAuthor::Pratik Bahekar, MBBS [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Psychiatry |
| Sub Category | SubCategory::Psychiatry |
| Prompt | [[Prompt::A 65 year old man is brought to an emergency room after he suffered from convulsions. He has no history of seizures, head trauma, hypertension, and diabetes. He has been taking escitalopram from last 2 months for depression, but he forgot to take it in last 3 days. The patient is confused and unable to answer any question. Which of the following medicine you would administer?]] |
| Answer A | AnswerA::Lorazepam |
| Answer A Explanation | [[AnswerAExp::Lorazepam is found to be as effective as diazepam, and has fewer side effects than later.
Short acting benzodiazepine like lorazepam and fosphenytoin are the first line treatment for any cause of convulsion.]] |
| Answer B | AnswerB::Thioridazine |
| Answer B Explanation | AnswerBExp::Thioridazine has no role in the treatment of convulsion. |
| Answer C | AnswerC::Haloperidol |
| Answer C Explanation | AnswerCExp::Haloperidol has no role in the treatment of convulsion. |
| Answer D | AnswerD::Ibuprofen |
| Answer D Explanation | AnswerDExp::Ibuprofen has no role in the treatment of convulsion. |
| Answer E | AnswerE::Buspirone |
| Answer E Explanation | AnswerEExp::Buspirone reduces seizure threshold. It should not be given in convulsion or history of seizure disorder. |
| Right Answer | RightAnswer::A |
| Explanation | [[Explanation::Short acting benzodiazepine like lorazepam is the first line treatment for convulsion. Educational Objective: Short acting benzodiazepine like lorazepam is the first line treatment for convulsion. |
| Approved | Approved::No |
| Keyword | WBRKeyword::Convulsions |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |