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Kaplan Qbank USMLE



Author5 Posts
  #1

A 30-year-old woman comes to the physician for a follow-up examination 4 months after starting treatment with lithium carbonate; during this period she has had a 3.2-kg (7-lb) weight gain. Her medication was prescribed soon after the birth of her son to treat racing thoughts, increased spending, and overtalkativeness; she has had difficulty sleeping for more than 2 hours nightly. Her symptoms decreased after 2 weeks of lithium carbonate therapy. She continues to take lithium carbonate (300 mg three times daily). Her temperature is 37 C (98.6 F), blood pressure is 120/80 mm Hg, and pulse is 70/min. Examination shows normal findings. The most appropriate next step is measurement of which of the following?

A
) Fasting serum glucose level

B
) Leukocyte count

C
) Serum alkaline phosphatase activity

D
) Serum creatinine level

E
) Serum thyroid-stimulating hormone level


  #2

E

  #3

E

That 's a no brainer , I wish I could find one of this in my exam too grin




___________________
The elevator to succes is broke ,you must take the stairs

  #4

When taking Lithium one should check TSH levels for neprogenic diabetes insipidus Big Time

  #5

yes e







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