Question 23
A 32-year-old male with an established diagnosis of Bipolar I Disorder presents to the outpatient psychiatric clinic for a scheduled review. Over the past three weeks, his family notes that he has become increasingly talkative, staying up until 3:00 AM working on elaborate home improvement projects, and spending money excessively on tools. On evaluation, he is mildly agitated, speaks rapidly with pressured speech, and demonstrates flight of ideas. However, he maintains good hygiene, has missed no days of work, continues to perform his administrative job duties effectively without reprimand, and shows no evidence of delusions, hallucinations, or suicidal ideation. He strongly requests a medication change to help stabilize his mood. What is the most appropriate first-line pharmacotherapy?
a) Oral Sertraline
b) Oral Quetiapine
c) Oral Clozapine
d) Oral Haloperidol
e) Oral Fluoxetine @DrShakoree @amcmcq #April2026@amcmcq
9June 5, 2026 4.3K 5 5
