A 28-Year-Old Woman Is Evaluated for the Recent Onset of Paranoid

question 45

Multiple Choice

A 28-year-old woman is evaluated for the recent onset of paranoid thinking.  For the past 4 months, she has thought that coworkers have been spying on her and talking behind her back.  She is afraid to go to work and worries that she might lose her job.  She has no hallucinations or depression and no significant medical history.  Her father has coronary artery disease and hypertension, and her mother has a history of depression and hypothyroidism.  The patient has a 9-pack-year smoking history and drinks alcohol socially.  Physical examination is unremarkable.  ECG, complete blood count, comprehensive metabolic panel, and urine toxicology screen are normal.  The patient is started on olanzapine.  Which of the following tests would be most important to obtain at the patient's 3-month follow-up visit?

• A)Blood urea nitrogen and creatinine
• B)Complete blood count
• C)ECG
• D)Fasting glucose and lipids
• E)Liver function tests
• F)Prolactin level
• G)Thyroid function tests

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Definitions:

Crowding Out

The phenomenon where increased government spending leads to a reduction in private sector investment or spending due to higher interest rates or competition for resources.

Discretionary Fiscal Policy

It involves government policy changes in taxation and spending designed to influence economic activity, typically to counteract inflation or deflation and stabilize the economy.

Nominal Output

The total value of goods and services produced by an economy, measured in current prices without adjusting for inflation.

Interest Rate

The cost of borrowing money, typically expressed as a percentage of the amount borrowed.