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A 32-Year-Old Man Comes to the Office for Follow-Up a Month

question 69

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A 32-year-old man comes to the office for follow-up a month after being hospitalized for treatment of a manic episode related to schizoaffective disorder.  The patient has no other medical history.  His mania has resolved and he appears calm.  Although he continues to hear a voice narrating his daily activities, the voice has diminished in frequency and intensity.  The patient is less anxious and his sleep has improved.  Vitals signs are within normal limits.  He is 175 cm (5 ft 9 in) tall and weighs 95.2 kg (210 lb) ; he has gained 4.5 kg (10 lb) since discharge.  Physical examination shows no other abnormalities.  Laboratory results are as follows: A 32-year-old man comes to the office for follow-up a month after being hospitalized for treatment of a manic episode related to schizoaffective disorder.  The patient has no other medical history.  His mania has resolved and he appears calm.  Although he continues to hear a voice narrating his daily activities, the voice has diminished in frequency and intensity.  The patient is less anxious and his sleep has improved.  Vitals signs are within normal limits.  He is 175 cm (5 ft 9 in)  tall and weighs 95.2 kg (210 lb) ; he has gained 4.5 kg (10 lb)  since discharge.  Physical examination shows no other abnormalities.  Laboratory results are as follows:   Which of the following medications is most likely to have caused this patient's physical examination and laboratory findings? A) Aripiprazole B) Carbamazepine C) Duloxetine D) Lithium E) Mirtazapine F) Olanzapine G) Valproate H) Ziprasidone Which of the following medications is most likely to have caused this patient's physical examination and laboratory findings?


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