NBME Step 2 CK Form 8 Adverse effect of haloperidol (NBME Answers)

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NBME Answer🗽Explanations

NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 1/Question#6 (reveal difficulty score)
A 27-year-old man with schizophrenia is ...
Adverse effect of haloperidol 🔍 / 📺 / 🌳 / 📖
tags: psych pharm

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submitted by ∗step_prep(148)

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Young man who recently started treatment with haloperidol presents with rigidity, neck rigidity and oculogyric crisis (eyes displaced upwards) most consistent with acute dystonia
Key idea: Important to contrast with neuroleptic malignant syndrome, which would lead to constellation of symptoms remembered with Malignant FEVER (Myoglobinuria, Fever, Encephalopathy, Vitals unstable, increased CK Enzymes and Rigidity)
Key idea: 4 main extrapyramidal effects of antipsychotic use, especially with high potency antipsychotics such as haloperidol, are (1) Acute dystonia (2) Akathisia (3) Parkinsonism (4) Tardive dyskinesia

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