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Kaplan Qbank USMLE



Author5 Posts
  #1

A 34 year old female c/o wt gain since starting to take chlorpromazine for chronic undifferentiated schizophrenia.A review of systems and history shows breast enlargement and lactation.serum pregnancy test is negative.which of the following neuroleptics would be a good choice for treatment change?
1) Haloperidol
2) Thioridazine
3) Fluperazine
4) Quetiapine
5) Risperidone

  #2

5) Risperidone


  #3

Typical antipsychotics neuroleptic malignant syndrome anticholinergic effects hyperprolactenemia and extrapyramidal symptoms so swiching to riperidone is the answer also quentiapine is atypical antipsychotic

  #4

the ans should be quietapine, all typical antipsychotics as well as risperidone all cause hyperprolactinemia, so risperidone is the only atypical antipsychotic that also causes hyperprolactinemia

  #5

yes the answer is quietapine

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