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Schizophrenia metabolic monitoring — USMLE Step 3 MCQ

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ModeratePsychiatry (outpatient management)Schizophrenia metabolic monitoringUSMLE Step 3

A 30-year-old man with schizophrenia started olanzapine 6 weeks ago. Hallucinations improved. He has gained 10 lb and feels sedated. Baseline labs were normal. He asks what monitoring is needed. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Monitor weight, lipids, blood pressure, and glucose regularly

Second-generation antipsychotics require metabolic monitoring because they can cause weight gain, dyslipidemia, and diabetes.

Reference: APA Schizophrenia Guideline