A 24-year-old man is brought by family for bizarre behavior, auditory hallucinations, and disorganized speech for 2 months. He has poor self-care and ...

Question

A 24-year-old man is brought by family for bizarre behavior, auditory hallucinations, and disorganized speech for 2 months. He has poor self-care and social withdrawal. There is no substance use or medical illness. What is the most appropriate next step in management?

Accepted Answer

Observation only

Answer

Start a selective serotonin reuptake inhibitor

Answer

Begin an antipsychotic medication

Answer

Hospitalize him for electroconvulsive therapy

Answer

Start mood stabilizer

us-usmle-step-2 MCQ (SBA): First-Episode Psychosis

A 24-year-old man is brought by family for bizarre behavior, auditory hallucinations, and disorganized speech for 2 months. He has poor self-care and social withdrawal. There is no substance use or medical illness. What is the most appropriate next step in management?