skip to main content

Acute mania with psychosis — RCPSC EM MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePsychiatric emergenciesAcute mania with psychosisRCPSC EM

CTAS 2. A 30-year-old with bipolar disorder is pacing, shouting, and threatening staff. He has slept 2 hours in 5 days and believes he is invulnerable. Vitals are stable, glucose is normal, and de-escalation fails. What is the most appropriate initial management?

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

Reveal the answer and explanation

Correct answer: E — Offer oral antipsychotic or benzodiazepine, use IM medication if unsafe

Acute agitation from mania should be managed with de-escalation, least-restrictive medication, and safety measures proportionate to risk.

Reference: Canadian Psychiatric Association agitation resources; CAEP ED mental health resources