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Retired NBME 21 Answers

nbme21/Block 4/Question#32 (reveal difficulty score)
A 19-year-old college student says he hears ...
Risperidone ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +6  upvote downvote
submitted by justtryingtopass(6)
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Assume schizophrenia d/t presentation is young male late teens/early 20s. Atypical antipsychotics (Risperidone) are first line.

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 +2  upvote downvote
submitted by โˆ—lovebug(62)
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According to FA 2019, page 561

MECHANISM of atypical psychotics(including Risperidone) is Not completely understood. but Most are 5-HT2and D2 antagonists; Varied effects on ฮฑ and H1 receptors.

These SGAs Have lower binding affinity for D2 receptor than FGAs. so less Extra pyramidal S/E.

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