A 27-year-old man with schizophrenia is stable on an atypical antipsychotic and lives in a supervised group home. He smokes cigarettes daily and has B...

Question

A 27-year-old man with schizophrenia is stable on an atypical antipsychotic and lives in a supervised group home. He smokes cigarettes daily and has BMI 32 kg/m² and fasting glucose 6.4 mmol/L. According to preventive care guidance, what is the most appropriate next step?

Accepted Answer

Arrange regular metabolic monitoring including lipids and glucose and offer smoking cessation support

Answer

No further screening is required as he is young

Answer

Focus solely on relapse prevention with antipsychotics

Answer

Stop antipsychotics because of metabolic risk

Answer

Recommend unstructured exercise advice only

ca-mccqe1 MCQ (SBA): Metabolic risk in severe mental illness

A 27-year-old man with schizophrenia is stable on an atypical antipsychotic and lives in a supervised group home. He smokes cigarettes daily and has BMI 32 kg/m² and fasting glucose 6.4 mmol/L. According to preventive care guidance, what is the most appropriate next step?