A 72-year-old woman with mild cognitive impairment due to Al…
A 72-year-old woman with mild cognitive impairment due to Alzheimer’s disease (MMSE 24/30) undergoes PET imaging confirming the presence of amyloid plaques. Her family asks about newly approved disease-modifying therapies. Which of the following monoclonal antibodies targeting amyloid-beta has been approved by the FDA and has demonstrated slowing of cognitive decline in early Alzheimer’s disease?
Read DetailsA 45-year-old man who smokes 1 pack per day presents to your…
A 45-year-old man who smokes 1 pack per day presents to your clinic. He has hypertension, COPD, and expresses interest in quitting smoking. He previously tried nicotine patches but relapsed after two weeks. He is open to medication options. Which is the most appropriate next step in treatment?
Read DetailsA 23-year-old woman presents with her first episode of psych…
A 23-year-old woman presents with her first episode of psychosis, including auditory hallucinations and paranoid delusions. She has no prior psychiatric history. Her medical history is significant for type 2 diabetes mellitus (HbA1c 8.2%) and obesity (BMI 34). She is very concerned about weight gain and its impact on her diabetes control. Which of the following antipsychotics would be the most appropriate first-line choice for this patient?
Read DetailsA 62-year-old man with a history of alcohol use disorder pre…
A 62-year-old man with a history of alcohol use disorder presents to your outpatient clinic. He has been sober for 2 years but continues to struggle with insomnia and irritability. He reports occasional cravings but does not want to relapse. Which non-pharmacological intervention would be most beneficial at this stage?
Read DetailsA 46-year-old man presents to your clinic reporting tremors,…
A 46-year-old man presents to your clinic reporting tremors, anxiety, and diaphoresis 12 hours after his last drink. He typically consumes one pint of vodka daily. He denies seizures or hallucinations. Vital signs: BP 152/90, HR 110, T 99.2°F. What is the most appropriate next step in management?
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