A 45-Year-Old Man Comes to the Physician Due to 2

question 372

Multiple Choice

A 45-year-old man comes to the physician due to 2 weeks of muscle stiffness and imbalance.  He has no fever, headache, joint pain, or muscle soreness.  The patient has a history of bipolar disorder and suicidal ideations.  He was started on risperidone for a manic episode 2 months ago.  He does not use alcohol or tobacco.
His blood pressure is 130/80 mm Hg and pulse is 68/min.  On examination, there is a low-amplitude resting tremor of both hands.  Finger tapping is slow and irregular on both sides.
Which of the following is the most appropriate next step in management of this patient?

• A)Change risperidone to quetiapine
• B)Obtain brain MRI
• C)Obtain thyroid function tests
• D)Start benztropine
• E)Start pramipexole

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Definitions:

Jury

A group of citizens sworn to give a verdict in a legal case based on evidence presented to them in a court of law.

Federal Court

A court established by the federal government of a country that has jurisdiction over matters involving federal laws.

State Court

A court that operates under the laws of a specific state, dealing with matters not exclusively assigned to federal courts.

Venue

The location where a legal case is tried or a judicial proceeding is carried out.