Schizophrenia & Psychosis · NEET PG Preparation Psychiatry
A 25-year-old woman is brought to the emergency department in a catatonic state. She remains mute, assumes bizarre postures for hours despite being r…
Practice question from Schizophrenia & Psychosis (NEET PG Preparation Psychiatry), with the correct answer and a step-by-step solution.
easy · MCQ · Q-22D43B
A 25-year-old woman is brought to the emergency department in a catatonic state. She remains mute, assumes bizarre postures for hours despite being repositioned, and shows negativism and waxy flexibility. Her family notes she stopped speaking and moving normally 3 days ago. Which of the following is the most appropriate initial pharmacological treatment of choice for catatonia?
- A.Haloperidol
- B.LorazepamCorrect answer
- C.Fluoxetine
- D.Lithium carbonate
Solution
Benzodiazepines, particularly intravenous or oral lorazepam, are the first-line pharmacological treatment for catatonia. A rapid response (often within minutes to hours) confirms the diagnosis and relieves symptoms. High-potency antipsychotics like haloperidol should be avoided initially as they can worsen catatonia or precipitate neuroleptic malignant syndrome.
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