WBR1137

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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::36 year old man comes to a primary care doctor, with complains of depressed mood and loss of interest from last 7 months when he lost his wife in a car accident. On examinations, his vitals were stable and lab reports were,

Hb 14 Thyroid function test AST 12 U/L ALT 14 U/L ALP 15 U/L Total bilirubin 0.6 mg/dl BUN 14 mg/dL The dexamethasone suppression test did not reveal an adrenal axis pathology. His mood brightened when he learns about positive events. He had a 20 pound weight gain in last 6 months and sleeping 10 hours a day. Also, he described a heavy feeling in his arms and legs. What is the next step in the management?]]

Answer A AnswerA::Prescribe Selegiline
Answer A Explanation AnswerAExp::
Answer B AnswerB::Prescribe Fluoxamine
Answer B Explanation AnswerBExp::
Answer C AnswerC::Prescribe Lithium
Answer C Explanation AnswerCExp::
Answer D AnswerD::Prescribe Risperidone
Answer D Explanation AnswerDExp::
Answer E AnswerE::Prescribe Buspirone
Answer E Explanation AnswerEExp::
Right Answer RightAnswer::A
Explanation [[Explanation::

Educational Objective:
References: ]]

Approved Approved::No
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