FCPsych Primaries · Writing soon? Start with a timed mock

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Question 14 of 50

A patient on clozapine presents with fever, rigidity, elevated CK, and autonomic instability. The most appropriate immediate action is:

A. Stop the antipsychotic immediately ✓
B. Administer dantrolene and continue clozapine
C. Switch to a typical antipsychotic
D. Prescribe bromocriptine and continue clozapine
2 · Learn why

✓ Correct

This is neuroleptic malignant syndrome (NMS): hyperthermia, lead-pipe rigidity, markedly elevated CK, and autonomic instability. The single most important step is stopping the causative antipsychotic...

📖 Stahl's Essential Psychopharmacology, 5th ed., Ch. 5

Every answer, right or wrong, comes with the full explanation and exact textbook reference.

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Your weakest subtopics

Cranial nerves85%
Basal ganglia72%
Receptor pharmacology45%
Synaptic transmission38%

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