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Author Archives: Anonymous

A patient with multiple chronic psychiatric conditions is no…

A patient with multiple chronic psychiatric conditions is nonadherent. Which intervention is MOST effective?

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A 30-year-old man with schizophrenia is very concerned about…

A 30-year-old man with schizophrenia is very concerned about weight gain and metabolic syndrome. Which antipsychotic is MOST appropriate to offer?

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An 11-year-old on methylphenidate ER develops new-onset palp…

An 11-year-old on methylphenidate ER develops new-onset palpitations during sports. Vitals show tachycardia. What is the BEST next step?

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A 63-year-old with bipolar disorder and chronic kidney disea…

A 63-year-old with bipolar disorder and chronic kidney disease (eGFR 35) is stable on lithium. Which statement is MOST accurate regarding renal impairment?

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A 26-year-old with OUD on buprenorphine reports continued cr…

A 26-year-old with OUD on buprenorphine reports continued cravings and intermittent opioid use. What is the BEST medication-management approach?

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A patient is prescribed lorazepam for short-term management…

A patient is prescribed lorazepam for short-term management of acute anxiety. The PMHNP explains that benzodiazepines exert their anxiolytic effects through which mechanism?

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A patient on lamotrigine develops a rash after a rapid dose…

A patient on lamotrigine develops a rash after a rapid dose increase. Which action is MOST appropriate?

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A 70-year-old with dementia develops agitation. Which prescr…

A 70-year-old with dementia develops agitation. Which prescribing principle is MOST appropriate?

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A 45-year-old man treated with high-potency typical antipsyc…

A 45-year-old man treated with high-potency typical antipsychotics develops rigidity, hyperthermia, autonomic instability, and elevated CK. What is the MOST likely diagnosis?

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A 28-year-old woman on quetiapine for bipolar disorder compl…

A 28-year-old woman on quetiapine for bipolar disorder complains of excessive daytime sedation and weight gain. She has no psychotic symptoms. Which antipsychotic is MOST appropriate as an alternative with lower sedation and metabolic risk?

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