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شرح مادة الصيدلة السريرية clinical pharmacology 🧑🏻⚕️ معرف التلي: mohammedsalim10 Instagram: _a1mh
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D.S is 27 years old patient with the following symptoms: Hallucinations; delusions;
illogical conversation; Autistic thinking uncooperativeness, physical aggression, impaired
Self-care skills, and disturbed sleep and appetite, her parents are concerned about her
suicidal attempts. Which antipsychotic medication is best used to address suicidal
behavior?
A- Haloperidol
B- Quetiapine
C- Risperidone
D- Arpiprazole
E- Clozapine
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P.S is 22 years old female with history of the following symptoms: Hallucinations;
delusions; illogical conversation; autistic thinking: uncooperativeness, physical aggression;
impaired self-care skills; and disturbed steep and appetite. P.S is in the emergency
department now, she is severely agitated, shouting and being uncooperative with the staff.
What is the best treatment that should be administered to this patient in the emergency
department?
A- Oral Lorazepam
B- IM Diazepam
C- IM Haloperidol
D- Oral Clozapine
E- IV Phenytoin
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SA, a 28-year-old woman, has been suffering for the past six months from persistent sadness, loss of interest in favorable activities, worthless and difficulty in concentrating at work. She was isolated as well as it was challenging for her to maintain her social relationships. Her doctor started giving her fluoxetine. what would be more important to be closely monitored during the beginning of treatment?
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What is the most likely reason that encourages the physician to start treatment for this patient with venlafaxine and not with fluoxetine?
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J.L is 58 years old man. He has a history of diabetes and hypertension on metformin, atenolol, glyburide, sitagliptin, and aspirin. He is currently diagnosed to have depression. Which one of the drugs that used by JL is associated with a risk of depression?
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Which of the following is NOT a characteristic of Major Depressive Disorder (MDD) as defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th ed.?
a- One or more major depressive episodes.
b- Five or more symptoms present nearly every day during the same 2 week period causing significant distress or impairment.
c- Depressed mood or loss of interest or pleasure must be present in adults.
d- The depressive episode can be attributable to physiological effects of a substance or medical condition.
e- There must not be a history of manic-like or hypomanic-like episodes unless they were induced by a substance or medical condition.
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Regarding selective serotonin uptake inhibitors, which of the following is correct?
a- Due to their enhanced tolerance and relative safety at standard doses, they are regarded as the primary therapeutic option for depression illness.
b- At doses exceeding 50 mg/day, both citalopram and escitalopram can lead to an increase in the QT interval.
c- It is crucial to wait for 5 weeks after stopping fluoxetine before beginning a TCA.
d- The pharmacokinetics of SSRIs are significantly influenced by renal function and the individual's age.
e- SSRI use often leads to significant weight loss as a prominent side effect.
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11 years old Child suffered from boredom, anxiety, failing adjustment, and sleep disturbance, was diagnosed as depressed child, what is the best treatment:
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Ahmed, 19 years old with 110 kg weight patient and had heart disease for 16 years. He is suffering from mood depression with less energy, guilt and increased blood pressure for more than 2 weeks. Physician advised to give him
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Samar, a 18 y o student that failed to enter bachelor exam and underwent bad mood with severe depression for several months. Physician prescribed her paroxetine but there is no actual improvement.
As a pharmacist, what will you advise physician to prescribe for Samar.
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A24yearsold obese man was treated bycitalopram Although his depression was responding to citalopram but he was suffering from sexual dysfunctionWhich drug is the best alternative to treat depression with less risk ofsexual dysfunction for this patient
