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A 35-Year-Old Woman Comes to the Physician Accompanied by Her

Question 310

Multiple Choice

A 35-year-old woman comes to the physician accompanied by her husband after he started noticing strange behavior. He first noticed her talking to herself 8 months ago. For the past 6 months, she has refused to eat any packaged foods out of fear that the government is trying to poison her. She has no significant past medical history. She smoked marijuana in college but has not smoked any since. She appears restless. Mental status examination shows a flat affect. Her speech is clear, but her thought process is disorganized with many loose associations. The patient is diagnosed with schizophrenia and started on olanzapine. At this patient's 3-month checkup, which of the following studies should be obtained?


A) Blood urea nitrogen and creatinine
B) Complete blood count
C) Electrocardiogram
D) Fasting glucose and lipid panel
E) Prolactin level
F) Thyroid function tests

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