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Previous Topic | Next Topic  NBME Which drug causes Orthostatic Hypotention? 




 
Kaplan Qbank USMLE



Author8 Posts
  #1

30. A 22-year-old college student who has been treated for anxiety and depressed mood for 6 weeks develops episodes in which she feels light-headed and almost faints. Pulse is 110/min, and blood pressure is 110/70 mm Hg while lying down and 85/60 mm Hg while standing. Which of the following drugs is most likely to have caused the orthostatic hypotension?



A) Alprazolam



B) Amitriptyline



C) Buspirone



D) Diazepam



E) Fluoxetine





___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #2

B) Amitriptyline

  #3

Agree

side-effects from alpha blockage of TCA


___________________
The Key to Succeed is Patience.

  #4

nod

  #5

B

  #6

B,agree with all above

  #7

Right... TCA's have alpha 1 blocking effects (and also anticholinergic effects)

___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #8

B Drugs used for the treatment of psychiatric illnesses are all associated with a significant incidence of orthostatic hypotension: phenothiazines, tricyclic antidepressants and monoamine oxidase inhibitors.







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