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nbme1bloc4q46 - skyblue1
#1
46. A 47-year-old man is admitted to the hospital after threatening to harm a radio announcer he believed was broadcasting his thoughts. Over the past 20 years, he has had multiple psychiatric hospitalizations for threatening people who he believed were plotting against him, trying to control his mind, or causing him to hear voices by implanting devices in his head. Past symptoms improved with neuroleptic therapy; after discharge, he discontinued the medication and his symptoms worsened. Which of the following is the most appropriate pharmacotherapy to decrease this patient's risk for future hospitalization?

A
) Clozapine

B
) Fluphenazine hydrochloride

C
) Haloperidol decanoate

D
) Risperidone

E
) Trifluoperazine hydrochloride



C????? positive syndrome....
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#2
issue of compliance give long acting antipyschotic B
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#3
yes,Haloperidol decanoate is useful in noncompliant pts bcoz it is a long acting injectable depot form
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#4
bbbb
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#5
hi kalps,can you please tell me why not C?
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#6
hey plz can u send me the nbme form too at usmleblues
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#7
C or D, I'd go with C

Depot antipsychotics:
* Flupenthixol decanoate1
* Fluphenazine decanoate2
* Haloperidol decanoate3
* Zuclopenthixol decanoate4
* Pipothiazine palmitate5
* Risperidone - the only atypical antipsychotic available as a depot preparation6
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