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Retired NBME 16 Answers

nbme16/Block 4/Question#42 (reveal difficulty score)
A 19-year-old woman is brought to the physician by
Risperidone ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—the_enigma28(69)
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Patient is suffering from Schizophrenia (1 year of symptoms). Treatment is with anti-psychotics (Risperidone: Atypical antipsychtic)

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nbmeanswersownersucks  In case anyone considered Lithium because you thought she had Bipolar with psychotic features, her depressed and sad mood is more likely explained by the negative symptoms of schizophrenia and she would also need current symptoms of/a past history of mania for a diagnosis of Bipolar. +2
drdoom  ah, interesting: so you cannot diagnose bipolar without an episode of mania (either at presentation or some point in the past). nice. +1
leap1608  Watch out for "disheveled and malodorous", which you might skip since its a vague clue but an indicator of schizophrenia! +1



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