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Sertraline
0%
0/23
Risperidone
61%
14/23
Haloperidol
22%
5/23
Chlorpromazine
9%
2/23
Psychotherapy
4%
1/23
Select Answer to see Preferred Response
This patient is suffering from schizophrenia, manifesting with paranoid delusions and auditory hallucinations for at least six months duration. The atypical antipsychotic risperidone can be used to treat these symptoms. Schizophrenia is more common in males and typically has an earlier onset in comparison to females. Overall, it usually manifests during the late teens to mid-30s. Symptoms can be either positive or negative. Positive symptoms include delusions, hallucinations, disorganized speech, or catatonic behavior. Negative symptoms include flat affect, social withdrawal, lack of motivation, or poverty of speech/thought. Incorrect Answers: Answer 1: Sertraline is an SSRI utilized in the treatment of depressive and anxiety disorders; SSRIs do not have a role in the treatment of the positive symptoms of schizophrenia. Answer 3: Haloperidol is a high-potency, first generation (typical) antipsychotic; the atypical (2nd generation) antipsychotics are the preferred first line treatment for schizophrenia. Answer 4: Chlorpromazine is a low-potency, first generation (typical) antipsychotic; the atypical (2nd generation) antipsychotics are preferred first line treatment for schizophrenia. Answer 5: While psychotherapy is a beneficial adjunct to antipsychotic treatment in the management of schizophrenia, this patient's symptoms necessitate an antipsychotic.
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