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 Best of Five 2.51

 

   

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BOF: 2.51

A 26-year-old female has been brought to the clinic by her parents as her behaviour is causing concern.

She has run up enormous debts, as she has been spending money lavishly. She says that this is not a problem as she is going to earn large sums of money by selling her paintings (she is an artist) and soon she will be world famous.

She has been having many boyfriends and has problems with relationships as she has

become very promiscuous.

On examination she seems excitable talks very fast and rapidly moves from one subject to another. She admits to difficulty sleeping and she has lost some weight.

In this patient which of the following tests would be useful in predicting an increased risk of complications with first line treatment.

a)      Thyroid autoantibodies

b)      Serum osmolality

c)      Urine osmolality

d)      ECG

e)      Serum calcium

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