Laguna Tools has semiannual coupon bonds outstanding with a…

Laguna Tools has semiannual coupon bonds outstanding with a $1,000 face value. The bonds have a coupon rate of 7.20%, make semiannual coupon payments, and have 12 years remaining until maturity. The bonds are currently selling for $940. The company’s tax rate is 25%. What is Laguna Tools’ cost of debt?

A 38-year-old woman abruptly stops taking paroxetine 40 mg d…

A 38-year-old woman abruptly stops taking paroxetine 40 mg daily after 2 years of treatment because she “felt better.” Five days later, she presents with dizziness, electric shock-like sensations in her arms, irritability, nausea, and vivid dreams. Which of the following best explains her symptoms?

A 55-year-old man with major depressive disorder has had ina…

A 55-year-old man with major depressive disorder has had inadequate response to two adequate trials of SSRIs (escitalopram and sertraline, each at maximum dose for 8 weeks). His PHQ-9 remains at 17. He has no history of psychosis, mania, or substance use. His provider decides to augment his current antidepressant with an atypical antipsychotic. Which of the following atypical antipsychotics is FDA-approved for adjunctive treatment of major depressive disorder?

A 34-year-old woman with schizophrenia has gained 30 pounds…

A 34-year-old woman with schizophrenia has gained 30 pounds over the past 6 months on her current antipsychotic. She is distressed about the weight gain and asks to switch to a medication with a lower metabolic risk. Her symptoms are well controlled. Which of the following groups of antipsychotics is associated with the least amount of weight gain?

A 12-year-old boy is brought in by his parents for evaluatio…

A 12-year-old boy is brought in by his parents for evaluation of involuntary movements and vocalizations that began at age 8. He exhibits multiple motor tics, including frequent eye blinking and shoulder shrugging, as well as vocal tics such as throat clearing and sniffing. His symptoms wax and wane in severity but have persisted for over 4 years. His parents also report difficulty sustaining attention in school and mild repetitive, ritualistic behaviors. He has age-appropriate social communication skills and no restricted interests. There is no history of substance use or other medical conditions. Which of the following is the most likely diagnosis?

A 29-year-old woman taking fluoxetine 40 mg daily for major…

A 29-year-old woman taking fluoxetine 40 mg daily for major depressive disorder presents to the emergency department after taking several tablets of tramadol for a dental procedure. She is agitated, diaphoretic, and tremulous. On exam, she has bilateral lower extremity clonus, hyperreflexia, and dilated pupils. Her temperature is 38.9°C. Which of the following is the most likely diagnosis?