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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
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14.
A 67-year-old man with long-standing signs and symptoms of congestive heart failure is admitted to
the hospital because of progressive shortness of breath. Examination shows no other abnormalities.
An x-ray film of the chest shows cardiomegaly, cephalization of blood vessels, and a right-sided
pleural effusion. Which of the following sets of pleural fluid findings is most likely in this patient?
Leukocyte Segmented
Protein Glucose count neutrophils Monocytes
(g/dL) (mg/dL) (/mm3) (%) (%)
A 2.5,10,10,000,50,50
B),2.5,90,2000,60,40
C),3.8,40,30,000,80,20
D)4.5,60,10,000,20,80
E)4.5,90,2000,50,50
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12. A 52-year-old woman comes to the physician because of decreased libido; this symptom began
8 months ago, after she underwent a total abdominal hysterectomy and bilateral salpingooophorectomy
for leiomyomata uteri and menorrhagia. She has been taking hormone replacement
therapy with conjugated estrogen since the operation. Examination shows a moist, rugated vagina.
Which of the following is the most likely cause of these findings?
A
) Decreased androgens
B
) Decreased estrogen
C
) Decreased follicle-stimulating hormone (FSH)
D
) Decreased luteinizing hormone (LH)
E
) Decreased progesterone
F
) Decreased prolactin
G
) Increased androgens
H
) Increased estrogen
I
) Increased FSH
J
) Increased LH
K
) Increased progesterone
L
) Increased prolactin
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46...problem here is compliance of patient so v ve to give some depot form....deconate preps are depot....so C is the answer
14 b
12 not sure
neone want to correct?
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46. C bcoz of non-compliance
14. not sure why only rt side? please help!
12. A bcoz androgen cause libido
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thnx guys for the input and my point were-
in 46.only dcanoate preps are depot or can it be hydrochloride also?
in 14.a case of chf-so ?transudative effusion-then wha is the normal range os cell count?
in 12.why is the androgen cause here?coz adrenals are source of androgens (major)anyway...
so please help mw with these...
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in 12 wht abt dec FSH and dec LH b/c they also cause dec libido
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i think it could be c or d i m not sure about c or d
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thnx guys and drlove and could u help me with other ones too?
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