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 Posted: Mon Sep 14, 2015 1:26 pm
It was another night of studying following another day of working during the earlier hours of it for Elysha Cruz as her pen moved determinedly in her hand's grasp.
A hypnotic drug that may be prescribed to treat insomnia increases the activity of a major neurotransmitter system in the brain as is entailed by its therapeutic effect or action. Specifically, said neurotransmitter system involved is GABAergic. Okay, she went over what she wrote as a note for the current question she was reviewing once more and then deemed herself ready to move on to the next question.
A drug that can treat general anxiety disorder is sertraline but it may cause some sexual dysfunction. And thus, a switch to a short course of alprazolam can address this. Alprazolam's molecular action on neuronal membranes which is increased inward Cl- current mediates the therapeutic effect of it. Alright another review question's paraphrased notes was done; now on to the next one.
Elysha paused for a few beats after reading the patient's age and other characteristics as she started processing the following question. Then she went on to read and comprehend the patient's chief complaint for factoring in while considering the data. Yup, learning medicine, she found, was a repetitive cycle; rinse, repeat, and such and such. But, despite the challenge of learning so much information, Elysha was much happier after she had learned study skills like these in comparison to when she had started out in med school and puzzled through a notable chunk of basic sciences with approaches including much trial and error in terms of how to more effectively study and review. And it was still a challenge now, most definitely.
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Posted: Sun Oct 11, 2015 5:44 am
Okay, now on to the past history part of the given information in the question. Elysha made a mental note upon reading that a year ago now, the patient had stopped drinking alcohol. This is important because whether a patient is presently an alcoholic should be taken into account and influence the prescription due to how drugs may react in a patient's system, she continued on with her logic mentally to recap concepts she learned of relevance to the analysis of this question again. A part of the patient's recent medical history was that he was treated with sildenafil upon suffering from erectile dysfunction. After taking a few moments' pause to figure out how to take notes on this question to supplement her review of its concepts, Elysha summarized her thoughts in writing as an example case and prepared to add on to the notes in wrapping up this question with an examination of the rest of it. In this case, a provisional diagnosis of general anxiety disorder was made, and a cognitive behavioral therapy with an appropriate drug treatment of diazepam was prescribed.
And thus, serving as an idea of it, this was the general feel of the flow of another study night's blazing trail.
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