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Retired NBME 15 Answers

nbme15/Block 1/Question#3 (reveal difficulty score)
A 19-year-old woman is brought to the ...
Olanzapine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1781)
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She has > or equal to 2 symptoms including positive (hallucinations) and negative (flat affect, social withdrawal) symptoms which have been present for >6months, supporting the diagnosis of schizophrenia. Thus, she should be started on an atypical antipsychotic (i.e. olanzapine) which is first-line for schizophrenia.

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whk123  Plus she is also thin so no as such worry for the Olanzapine side effect Obesity, and olanza is the only antipsychotic agent in the list. +2
trazobone  When you mix up fluoxetine with fluphenazine...... +2
whk123  Hey, Let's visualize I hope it may help. U gave ur depressed SIR OX a HAPPY drug after its ingestion he starts FLYing with his dear PARROT all over the CITY. So SSRIs(Happy drugs)- SIR (Sertraline), FLYing OX (FLUOXetine and FLUvOXamine), PARROT(Paroxetine), CITY (CITALOPRAM ans esCITALOPRAM) +1
trazobone  Actually its deSERT for sertraline :) +
whk123  Yeah. Wonders of Sketchy Pharm ;) +



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