Directions: Try the USMLE Step 3 question(s) which are displayed below, pick one answer from the choices below and then check the answer by clicking get answer button.
Question
A 45-year-old woman is brought to the emergency department by her family because she is “in a maniac state”. The patient has not slept for several days, has flight of ideas, has maxed out five credit cards, and believes that she is indestructible. She has always been extremely reluctant to seek treatment and has never had consistent outpatient follow-up in the past. She has had two distinct depressive episodes, with consistent sadness, tearfulness, and passive suicidal ideation, and two other manic episodes in the last 6 months. In addition to hospitalization, the most appropriate pharmacotherapy for this patient is
A. Amitriptyline
B. Lithium
C. Propanolol
D. Theophylline
E. Valproic acid
