SOLVED1121

A 65-year-old male presents to the clinic with symptoms of persistent worsening depression. For the past two years, he has been experiencing insomnia, poor concentration, depressed mood, anhedonia, and poor appetite. His depression has failed to improve despite trials with fluoxetine, sertraline, mirtazapine, and venlafaxine. In addition to depression, he has a medical history of benign prostatic hyperplasia, hypertension, and hyperlipidemia. His current medications include fluoxetine, hydrochlorothiazide, tamsulosin, and atorvastatin. His vitals reveal blood pressure 139/87 mmHg, pulse 80/min, respiratory rate 16/min, and temperature 98.0°F (36.7°C). His mental status examination shows psychomotor retardation, slow and soft speech, and poor eye contact. His provider decides to prescribe him a new medication. Two weeks later, the patient returned to the clinic with suprapubic tenderness. Bladder ultrasound reveals a post-void residual of 400 mL. Which of the following medications was this patient most likely prescribed? A. Citalopram B. Duloxetine C. Doxepin D. Bupropion
SCIENCE
HEALTH SCIENCE
NURSING

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