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Kaplan Test Prep and Admissions (Kaptest.com)




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Author12 Posts
  #1


A 47-year-old man is admitted to the hospital after threatening to harm a radio announcer he

believed was broadcasting his thoughts. Over the past 20 years, he has had multiple psychiatric

hospitalizations for threatening people who he believed were plotting against him, trying to control

his mind, or causing him to hear voices by implanting devices in his head. Past symptoms improved

with neuroleptic therapy; after discharge, he discontinued the medication and his symptoms

worsened. Which of the following is the most appropriate pharmacotherapy to decrease this

patient's risk for future hospitalization?

A

) Clozapine

B

) Fluphenazine hydrochloride

C

) Haloperidol decanoate

D

) Risperidone

E

) Trifluoperazine hydrochloride



___________________
You become what you think you are!

  #2

C


  #3

who knows what we should do in order to inrease the patient compliance with drugs ??

  #4

D.



the least toxic of all. less the no of toxicity less would be hospitalization and increase compliance.



your thoughts


___________________
Aagae Aagae Dekho hota hai kiya !!!

  #5

Haloperidol decanoate is used as depot IM injection for patients with compliance problem.

Other opinions please.

  #6

haloperidol decanoate is the IM form of haloperidol... (lasts 4-6weeks)

  #7

i think the issue is that of compliance. all anti psychotics would be affective in dealing with psychosis but which has the least side effects is important.

haloperidol is given for acute bizzare beh and agitation. true but long term use can cause Extra pyramidal effects which are not required!

can some one please post the right answer


___________________
Aagae Aagae Dekho hota hai kiya !!!

  #8

when we have problem with patient compliance then we should shift to depot preparations as [ haloperidol deconate]...

so I'll go for......( C )


___________________
" You Are Limited Only By What You Think " .........Dr.Sharvil (99er forum member)

  #9

OK


___________________
Aagae Aagae Dekho hota hai kiya !!!

  #10

C nod

  #11

No it is D ,,absolutely respiridone

  #12

C. Depot prep is needed as of now...

EPS come later Q is not focusing on that very point







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