ABSTRACT
Question 3 You are a junior doctor in psychiatry and are assisting in your consultant’s outpatient clinic. You see a 40-year-old man with a diagnosis of bipolar affective disorder who was started on lithium 9 months previously and had been on a stable dose. You notice that he is wearing shorts and flip-flops in the middle of
winter. During the consultation he speaks very quickly and jumps from topic to topic. He states that he is looking forward to the weekend as he is planning to re-paint his living room and dining room in glittery-gold paint. Choose the statement from the list below which best fits the following clinical scenario: 1) Lithium treatment should be stopped immediately 2) The patient needs to be commenced on an antidepressant medication 3) The symptoms are consistent with lithium levels of 1.5 mmol/L 4) The symptoms are consistent with lithium levels of 0.2 mmol/L 5) The symptoms are likely caused by a psychotic episode
For each of the following questions please choose the most appropriate drug. Each option may be used once, more than once or not at all.
