Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 65 Topic 7 Discussion

Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 65 Topic 7 Discussion

MCCQE Exam Topic 7 Question 65 Discussion:
Question #: 65
Topic #: 7

A 58-year-old woman presents to your office with refractory bipolar I disorder. She is on the following medications: lithium carbonate, valproic acid, and olanzapine. She also takes acetaminophen for osteoarthritis and pantoprazole for gastroesophageal reflux. Lately, she has noticed she bruises very easily. Laboratory work displays a platelet count of 70 × 10⁹/L (normal 130–400). Which one of the following is most likely to induce this side effect?


A.

Olanzapine


B.

Lithium carbonate


C.

Pantoprazole


D.

Acetaminophen


E.

Valproic acid


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