case study

Which of the following medications would be most appropriate in this patient?

diazepam
0
No votes
amitriptyline
3
60%
doxepin
1
20%
oxazepam
0
No votes
buspirone
1
20%
 
Total votes: 5

moh shaikh
Going Well
Going Well
Posts: 11
Joined: 13 Oct 2013, 20:36
University: Elrazi College of Medical and Technological Sciences
Degree (College): MBBS
Graduation Year: 2018
Plan \ Working On: MRCP
Working on (2): USMLE
Speciality: General Medicine
Job Title: House Officer (intern)
Work Place: elrazi college
Has thanked: 3 times
Been thanked: 11 times
Contact:

case study

Unread post by moh shaikh »

A 28-year-old woman presents to your clinic
complaining of feeling “on edge.” Upon further
questioning, you discover that she has also
noticed problems with irritability, insomnia,
fatigue, and restlessness. She also has a history
of worrying about things that seem to not
bother those around her. She states these symptoms
have been present for years but have
recently become worse. When you try to gather
more information, she interrupts to say that
she cannot stay much longer because she is
afraid that she will lose her new job as a
machinist.
These users thanked the author moh shaikh for the post (total 3):
SudaMediCathuraiaibrahimismailalamin
thuraiaibrahim
Contributor
Contributor
Posts: 153
Joined: 06 Jul 2010, 06:47
University: Khartoum University
Degree (College): MBBS
Graduation Year: 2004
Plan \ Working On: MRCP
Speciality: General Medicine
Job Title: SHO (Medical or Resident)
Work Place: KSA
Madina-Shajwa-PHC
Has thanked: 40 times
Been thanked: 16 times
Contact:

Re: case study

Unread post by thuraiaibrahim »

هانى ,, اسماعيل ,, د. سودان ,,
إيناس ,,
و بقية فطاحلة سوداميديكا
discuss please
Image[/url]
moh shaikh
Going Well
Going Well
Posts: 11
Joined: 13 Oct 2013, 20:36
University: Elrazi College of Medical and Technological Sciences
Degree (College): MBBS
Graduation Year: 2018
Plan \ Working On: MRCP
Working on (2): USMLE
Speciality: General Medicine
Job Title: House Officer (intern)
Work Place: elrazi college
Has thanked: 3 times
Been thanked: 11 times
Contact:

Re: case study

Unread post by moh shaikh »

I'll post the Answer and explanation at midnight GMT +3
s.madih
Member
Member
Posts: 29
Joined: 25 Sep 2011, 21:16
University & College: U of K, MBBS
Country & City: Khartoum
Graduation Year: 1995
Post-Graduation: Plan: MRCP
Job Title (other): SHO
Work Place: KSA- Hafer Albatin- school health
Has thanked: 6 times
Been thanked: 5 times
Contact:

Re: case study

Unread post by s.madih »

I think the scenario of a generalised anxiety disorder ( GAD ) --- The best choice is diazepam because she has insomnia.Since we are not told that she is benzodiazapine naive or not , we assume that she has not taken it before and therefore the first choice should be buspirone (a none benzodiazepine anxiolytic- does not cause dependence but it does not improve sleep ! ) , this is why I think diazepam is the best answer but the disadvantage is that it causes dependence!.
These users thanked the author s.madih for the post (total 2):
SudaMediCamoh shaikh
moh shaikh
Going Well
Going Well
Posts: 11
Joined: 13 Oct 2013, 20:36
University: Elrazi College of Medical and Technological Sciences
Degree (College): MBBS
Graduation Year: 2018
Plan \ Working On: MRCP
Working on (2): USMLE
Speciality: General Medicine
Job Title: House Officer (intern)
Work Place: elrazi college
Has thanked: 3 times
Been thanked: 11 times
Contact:

Re: case study

Unread post by moh shaikh »

The answer is (E) (Buspirone) This patient’s symptoms are consistent with
an anxiety disorder. Given her occupation, an
anxiolytic medication with no sedative properties
would be most preferable. Buspirone is a
nonsedating anxiolytic agent that is a partial
agonist at 5-HT1A receptors. Unlike benzodiazepines,
such as diazepam and oxazepam
(Serax), it has no hypnotic, anticonvulsant, or
muscle relaxant properties. Amitriptyline and
doxepin have also been used to treat anxiety,
especially when associated with depression;
however, these drugs are also sedating
These users thanked the author moh shaikh for the post (total 5):
SudaMediCathuraiaibrahims.madihismailalaminissrarose99
Post Reply

Return to “Quizes & Questions”