Question 17 (part 2) · LEK · Obsessive-compulsive disorder

A 55-year-old female presents to the doctor as she has been feeling a compulsion to repeat various activities and has become tired of wasting time. The patient reports that during the day she repeatedly checks if she has locked the door to her house, washes her hands a few times an hour and every morning she checks three times if all the appliances have been turned off. The patient has a history of second-degree atrioventricular block. Which of the following drugs will be the best therapeutic option for the patient?

  1. A. sertraline.
  2. B. clomipramine.
  3. C. clonazepam.
  4. D. methylphenidate.
  5. E. quetiapine.
Hint

Pick the first-line drug class for OCD and remember which alternative tricyclic is unsafe with cardiac conduction disease.

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