A 28-Year-Old Man Comes to the Office at His Wife's

question 75

Multiple Choice

A 28-year-old man comes to the office at his wife's insistence.  He reports severe insomnia but otherwise feels physically healthy.  His wife is concerned that the patient is having a difficult time since returning from military duty.  She says, "He used to be so upbeat and easygoing.  Now his moods fluctuate between really tense and on edge to detached and numb."  The patient cannot fall asleep at night because, as soon as he closes his eyes, he sees the horrific scene of his friend being blown up after stepping on a landmine.  During the day, he is hypersensitive to loud sounds such as firecrackers or a car backfiring.  The patient says, "Sometimes I feel as if I'm back in combat and have to duck and take cover."  Vital signs are within normal limits, and physical examination shows no abnormalities.  On mental status examination, the patient has an anxious mood and blunted affect.  Which of the following is the most appropriate pharmacotherapy?

• A)Antipsychotic
• B)Benzodiazepine
• C)Monoamine oxidase inhibitor
• D)Mood stabilizer
• E)Non-benzodiazepine hypnotic
• F)Selective serotonin reuptake inhibitor
• G)Tricyclic antidepressant

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Definitions:

Noncash Assets

Assets that cannot be easily converted to cash, such as property, plant, and equipment, or intellectual property.

Equity Reporting

The process of disclosing information regarding the equity or owner's interest in a company, typically within financial statements.

Statement of Members' Equity

A financial document showing the changes in the equity of a company over a specific period due to various factors like earnings and withdrawals.

Dissolution

The process of legally dissolving a corporation or partnership, involving the cessation of its business operations and the distribution of its assets.