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A sample question

Paper A › PA-03 Psychopharmacology › Mood stabilisers · Medium

A 41-year-old with bipolar affective disorder has been stable on lithium for six years. Routine bloods show a rising creatinine and an eGFR that has fallen from 78 to 52 mL/min/1.73m² over two years. Lithium level is 0.7 mmol/L. Which is the most appropriate next step?

• AStop lithium immediately and start no replacement
• BDiscuss the risks and benefits, involve renal advice, and plan a switch while monitoring closely
• CContinue unchanged and repeat bloods in twelve months
• DIncrease the lithium dose to bring the level to 1.0 mmol/L

Everything is mapped to the syllabus

Every question and textbook section is tagged to a syllabus node, so progress is reported per topic and you can see where the gaps are rather than just a total score.

• PA-01 Foundations of psychiatric assessment
  • History and mental state
  • Risk assessment
  • Formulation
• PA-02 Psychopathology
  • Disorders of perception
  • Disorders of thought
  • Affect
• PA-03 Psychopharmacology
  • Antipsychotics
  • Antidepressants
  • Mood stabilisers
• PA-04 Neuroscience and neuroanatomy
  • Neurotransmitters
  • Functional anatomy
  • Imaging

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