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A 58-year-old woman presents to your office with refractory bipolar I disorder.

A 58-year-old woman presents to your office with refractory bipolar I disorder. She is on the following medications: lithium carbonate, valproic acid, and olanzapine. She also takes acetaminophen for osteoarthritis and pantoprazole for gastroesophageal reflux. Lately, she has noticed she bruises very easily. Laboratory work displays a platelet count of 70 × 10⁹/L (normal 130–400). Which one of the following is most likely to induce this side effect?

A.

Olanzapine

B.

Lithium carbonate

C.

Pantoprazole

D.

Acetaminophen

E.

Valproic acid

Medical Council of Canada MCCQE Summary

  • Vendor: Medical Council of Canada
  • Product: MCCQE
  • Update on: Jul 22, 2025
  • Questions: 230
Price: $52.5  $149.99
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