Your patient, a 22-year-old young man, says he has been feel…

Your patient, a 22-year-old young man, says he has been feeling more energetic, feeling more artistic, skipping meals every day, drinking at least 6 cups of expresso coffee per day, and is now smoking two packs of cigarettes a day.  He has been maintained on Olanzapine (Zyprexa) 10mg daily for several months but it seems it has stopped working and you decide to double his dose of medication to Olanzapine (Zyprexa) 20mg daily.  You base your decision on which of the following statements?

A 28-year-old married woman presents with symptoms of mixed…

A 28-year-old married woman presents with symptoms of mixed episodes of mania and depression.  You are going to initiate treatment with a mood stabilizer.  Although the mood stabilizers should be used with caution with a woman of child-bearing age, which of the mood stabilizers is a known to be teratogenic?

Your patient has been taking 50mg of naltrexone daily for 3…

Your patient has been taking 50mg of naltrexone daily for 3 months and has had great success cutting down on his alcohol use. When he presents for his follow up visit later this week, you know you’ll need to obtain some bloodwork to maintain safe use of naltrexone. Which lab values will you be reviewing?

A 49-year-old patient recently began taking an MAOI for the…

A 49-year-old patient recently began taking an MAOI for the treatment of refractory depression. After his anniversary dinner he began experience chest pain and was rushes to the hospital where he was later deemed to be in a hypertensive crisis. While talking to his wife, you ask what food they had for dinner. Which of the following if most likely?

A 44-year-old man is taking paroxetine (Paxil) for depressio…

A 44-year-old man is taking paroxetine (Paxil) for depression. He recently reported experiencing sexual dysfunction, leading to the discontinuation of the medication. When he attempts to stop, he experiences akathisia, tingling, and dizziness. Which of the following properties of paroxetine (Paxil) may be responsible for the side effects/withdrawal effects he is experiencing?