A 27-year-old man comes to the physician because he has been hearing voices in his apartment during the past year. He also reports that he has been receiving warning messages in newspaper articles during this period. At night, he was unable to sleep and reported hearing the voices of demons threatening to kill him". He avoids meeting his family and friends because they do not believe him. He does not use illicit drugs. The patient was diagnosed with schizophrenia and initially treated with chlorpromazine. He now is reluctant to take the medication, saying, "I don't like how it makes me feel." His medication is subsequently changed to fluphenazine. Compared to the patient's initial treatment, fluphenazine is more likely to cause which of the following?

Question

A 27-year-old man comes to the physician because he has been hearing voices in his apartment during the past year. He also reports that he has been receiving warning messages in newspaper articles during this period. At night, he was unable to sleep and reported hearing the voices of demons threatening to kill him". He avoids meeting his family and friends because they do not believe him. He does not use illicit drugs. The patient was diagnosed with schizophrenia and initially treated with chlorpromazine. He now is reluctant to take the medication, saying, "I don't like how it makes me feel."  His medication is subsequently changed to fluphenazine.  Compared to the patient's initial treatment, fluphenazine is more likely to cause which of the following?

Quizplus · Accepted Answer

Eductional Objective: First-generation antipsychotics can be classified according to high or low potency and have characteristic side effect profiles.  Low-potency antipsychotics are more likely to cause sedation, anticholinergic side effects, and orthostatic hypotension.  High-potency antipsychotics are more likely to cause extrapyramidal symptoms (eg, dystonia, akathisia, parkinsonism).

A 27-Year-Old Man Comes to the Physician Because He Has