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Re: Clinical MCQs - 06-06-2006, 06:25 AM

Great job man

The correct answer is C. This patient is suffering from obsessive-compulsive disorder. Clomipramine, a tricyclic antidepressant, and the selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine, are effective in this disorder. None of the other answer choices listed constitute effective therapy for this disorder.
  • Buspirone (choice A) is a non-benzodiazepine anxiolytic that does not have marked sedative or euphoric effects. Unlike the benzodiazepines, buspirone is devoid of hypnotic, anticonvulsant, and muscle relaxant properties.
  • Chlorpromazine (choice B) is an antipsychotic (phenothiazine) drug.
  • Imipramine (choice D) is a tricyclic antidepressant.
  • Phenelzine (choice E) is a monoamine oxidase inhibitor type of antidepressant.
  • Zolpidem (choice F) is a non-benzodiazepine hypnotic agent.
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