Facharzt FMH Psychiatrie Und Psychotherapie Practice Questions - Facharzt FMH Für Psychiatrie Und Psychotherapie Spécialiste FMH En Psychiatrie Et Psychothérapie Exam

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A 29-year-old man is brought to the emergency department by the police after climbing onto the roof of a municipal building in Zurich, shouting that he has been appointed by the federal council to eliminate the national debt. He has slept 1 hour per night for 6 days, speaks with intense pressure, displays racing thoughts and grandiosity, and has spent CHF 45,000 on luxury watches within 48 hours. Physical exam and drug screen are negative. According to SGPP and CANMAT guidelines, what is the most appropriate first-line pharmacotherapeutic approach?

Initiate sertraline 50 mg/day combined with zolpidem 10 mg at bedtime Administer oral citalopram 20 mg/day with intensive dynamic psychotherapy Initiate low-dose lamotrigine 25 mg/day monotherapy Initiate an atypical antipsychotic (e.g., olanzapine, quetiapine, or aripiprazole) either as monotherapy or combined with a mood stabilizer (e.g., lithium or valproate)

Correct Answer:

Initiate an atypical antipsychotic (e.g., olanzapine, quetiapine, or aripiprazole) either as monotherapy or combined with a mood stabilizer (e.g., lithium or valproate)

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