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Chronic Psychiatric Disease Management Practice Test
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Q1
A 32-year-old man with bipolar I disorder is stable for 2 years on lithium ER 600 mg twice daily. He starts ibuprofen frequently for a new running injury. At follow-up he reports mild tremor and increased thirst but mood remains stable. Vitals normal. Labs: lithium trough 1.3 mEq/L (previously 0.9), creatinine 1.1 mg/dL (baseline 0.9), sodium 139 mEq/L, TSH 4.8 mIU/L. He denies suicidal ideation and wants to keep running. What is the most appropriate next step in managing this patient's condition?
A 32-year-old man with bipolar I disorder is stable for 2 years on lithium ER 600 mg twice daily. He starts ibuprofen frequently for a new running injury. At follow-up he reports mild tremor and increased thirst but mood remains stable. Vitals normal. Labs: lithium trough 1.3 mEq/L (previously 0.9), creatinine 1.1 mg/dL (baseline 0.9), sodium 139 mEq/L, TSH 4.8 mIU/L. He denies suicidal ideation and wants to keep running. What is the most appropriate next step in managing this patient's condition?