Approach to mood disorders Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 19-year-old man presents to the emergency department because he has not slept much for the past two weeks. The patient states he needs medication to calm his thoughts and help him sleep. His college fraternity brothers are present with him and report they have not seen the patient sleep, eat, or go to classes for two weeks. They also report that during that time, the patient has been saying he is a “wizard” and has wanted the others to join him to on the roof of the house to do “wizarding training.” The patient says he is “the best wizard that ever lived.” He has no suicidal or homicidal thoughts or plans. He has not recently used alcohol or other recreational substances and does not take any prescribed medications. Temperature is 36.5°C (97.7°F), pulse is 101/min, respirations 20/minute, blood pressure is 130/84 mmHg, and oxygen saturation is 99% on room air. The patient is talking very quickly and is hard to interrupt and question. Mental status exam shows distractibility, increased rate of speech, flight of ideas, and elevated psychomotor activity. Neurologic exam shows equal and reactive pupils bilaterally and no cranial nerve deficits. Cardiopulmonary and abdominal examinations are within normal limits. Laboratory studies, including toxicology screenings, are normal. Which of the following is the most appropriate next step in management? 

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