A 23-year-old woman is seen in A&E with fever, confusion and muscle rigidity. | Medibuddy
Login Sign up
Close
Undergraduate Year 1 Undergraduate Year 2 Exams MLA ST1 / CT / ACCS Interviews ST3 Interviews ST4 Interviews Crash Courses Professional Development
27th February 2024

A 23-year-old woman is seen in A&E with fever, confusion and muscle rigidity.

DATE DRUG NAME DOSE ROUTE FREQUENCY Prescriber’s Signature
10/1/21 Gabapentin 300MG ORAL TWICE DAILY DR
10/1/21 DIAZEPAM 10MG PR PRN DR
10/1/21 HALOPERIDOL 5MG ORAL TWICE DAILY DR
10/1/21 LITHIUM 50MG ORAL ONCE DAILY DR
10/1/21 MOCLOBEMIDE 150MG ORAL TWICE DAILY DR

A 23-year-old woman is seen in A&E with fever, confusion and muscle rigidity. She has bipolar disorder and reports having last taken her medication 3 hours ago. On examination she is noted to have hyperreflexia and clonus.  

Her medications are above. 

Which is the most likely cause of her presentation?

Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)

Written by Medibuddy. Last updated: October 2026. Clinical Genetics is

Clinical Genetics ST3

Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)

Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru

Clinical Radiology ST3

Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)

Written by Medibuddy. Last updated: October 2026. If you’re planning

Paediatric Surgery ST3
Mobile app screenshots

Take your subscriptions with you

Our mobile app allows you to access your interview and exam question banks wherever you are.