Arab Board Psychiatry Final Written Practice Questions - Arab Board Psychiatry Final Written Examination Exam

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A 28-year-old man with schizophrenia has experienced persistent auditory hallucinations and persecutory delusions despite sequential 8-week trials of risperidone 6 mg/day and olanzapine 20 mg/day with confirmed medication adherence. What is the most appropriate next step in pharmacological management?

Switch to aripiprazole monotherapy Initiate clozapine therapy with baseline absolute neutrophil count monitoring Augment olanzapine with haloperidol Combine risperidone and olanzapine

Correct Answer:

Initiate clozapine therapy with baseline absolute neutrophil count monitoring

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