In the future, if you work for a CM, you will need to discus…

In the future, if you work for a CM, you will need to discuss weekly work plans with your trade partners. In these meetings, the trade partner representative will likely make promises to you about the amount of work that they will complete in the upcoming week. Which of the following factors make a promise (commitment from trade) reliable:

A long-term patient with depression finds that his current m…

A long-term patient with depression finds that his current medication regimen is no longer sufficient to relieve his symptoms. He is currently on fluoxetine, which worked well until recently. Given the patient’s prior failure with many other antidepressants, his psychiatrist decides to switch him to an MAOI. However, because of his current use of fluoxetine, the physician must first discontinue its use to prevent serotonin syndrome. For how long should a patient stop use of fluoxetine (or other SSRIs) before beginning treatment with an MAOI? 

A 50-year-old woman presents for evaluation of depressed moo…

A 50-year-old woman presents for evaluation of depressed mood, anhedonia, anxiety, profound insomnia, poor appetite with recent weight loss, and passive suicidal ideation. Her symptoms began 2 months before the presentation. Which medication is the most appropriate to manage the patient’s symptoms? 

A 75-year-old man with mild dementia states he has not been…

A 75-year-old man with mild dementia states he has not been taking his prescribed medications. When asked why, he states, “My grandson wanted a new car, so he’s been using my money for his car payments and gasoline. Since then, he has not been able to afford my medications, and he didn’t seem to care when I told him about it.” What is the most appropriate next step?

A 19-year-old boy presents accompanied by his mother due to…

A 19-year-old boy presents accompanied by his mother due to abnormal behavior for the past few days. The mother says her son has not slept for 3 days and has been expressing ideas about how he plans to cure world hunger; he has also been very energetic and has not stopped talking. The patient has no medical history and takes no medications. He denies any recreational drug, tobacco, or alcohol use. The patient is verbose, hyperactive, and fidgeting on the mental status examination. He is uninterruptible and agitated. A mood stabilizer that is also used for seizures is recommended. The patient is advised that possible side effects of this medication include weight gain and sedation. Which of the following is another possible adverse effect of this medication? 

A 40-year-old woman in a locked inpatient psychiatric unit d…

A 40-year-old woman in a locked inpatient psychiatric unit demonstrates pressured speech and flight of ideas. She appears restless and irritable and has not slept in 4 days. She has had multiple similar episodes throughout her life. She is currently on lithium. She is married and does not use birth control. Her medical history is positive for class 2 obesity and hyperlipidemia. Given the likely diagnosis, which of the following medications is best to treat the patient’s condition?