Q:

A lady with depression has a bag full of medicine. She now presents with coarse tremors. Which drug caused her symptoms?

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A lady with depression has a bag full of medicine. She now presents with coarse tremors. Which drug caused her symptoms?


  1. Lithium
  2. Thyroxine
  3. Amitriptyline
  4. Sodium valproate
  5. Tetrabenazine

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The key is D. Sodium valproate. [As bag is not empty but full of medicine this is not a case of over- dose. Side effect of lithium in therapeutic range is fine tremor. Sodium valproate (a well known mood stabilizer) can cause coarse tremor in therapeutic range].

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