Once an individual has detoxified successfully from alcohol, maintenance of the abstinence is the next goal, which is a difficult goal to achieve. It has been estimated that approximately 50% of patient with chronic alcohol use disorder relapse within 3 months after completing treatment. Which of the following is not a recommended medication for relapse prevention in detoxified patients with chronic alcohol use disorder?
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Patients with a history of childhood separation anxiety or c…
Patients with a history of childhood separation anxiety or chronic illness may be predisposed to a certain personality disorder. What is that disorder?
Before prescribing a benzodiazepine for anxiety, you should…
Before prescribing a benzodiazepine for anxiety, you should always weight the risks and benefits of prescribing benzodiazepines. Which of the following statements about benzodiazepines’ side effects and drug interactions is true?
Which of the following medications would you educate the pat…
Which of the following medications would you educate the patient to look for the development of a rash in week four of treatment?
Whenever 34-year-old Margaret has to give a presentation in…
Whenever 34-year-old Margaret has to give a presentation in front of a group, she becomes very nervous. She starts sweating profusely, her legs feel like “spaghetti,” and she often has immense trouble remembering what she wanted to say. The patient states that these events are infrequent. She is otherwise without anxiety symptoms and does not want to take something that would make her feel “loopy.” Vital signs are within normal limits. Medical history is significant for past alcohol abuse, from which she has been abstaining for 7 years. What is the most appropriate prescription?
You are treating a 78-year-old patient with a diagnosis of m…
You are treating a 78-year-old patient with a diagnosis of major depression disorder and a history of myocardial infarction, s/p stent, cardiac arrhythmia, and emphysema. Which medication would be most appropriate for this patient?
Which medication required liver function tests every 6-12 mo…
Which medication required liver function tests every 6-12 months?
A 24-year-old make with current major depressive episode has…
A 24-year-old make with current major depressive episode has experienced only a minimal reduction of depressive symptoms after 10 weeks of treatment with citalopram at 40mg daily. The patient complaints of a nearly complete loss of sexual desire and difficulty attaining an erection. This sexual difficulty is causing problems in his marriage. He has no history of medication problems and uses no illicit substances. What would mostly like be the next step in treatment?
The PMHNP is interviewing a patient who describes pronounced…
The PMHNP is interviewing a patient who describes pronounced worry; somatic complaints of sweating, dizziness, and palpitations; and an impending feeling of doom. What is the most likely diagnosis for this patient?
You are a treating a patient with a diagnosis of major depre…
You are a treating a patient with a diagnosis of major depression disorder, who states that she is 6 weeks pregnant, which antidepressant has an increased risk of cardiac defects, including atrial and ventricular septal defects?