system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 21-year-old college student comes to the physician because of left knee pain. The pain started when he fell off his bike one year ago; since then he has had intermittent stabbing pain and tingling in his knee. The patient says that the pain is caused by a device that was implanted by the US government to control his thoughts and actions. Every time he does something they do not want him to do, the device will send an electromagnetic impulse to his knee. He maintains the device was also responsible for the bicycle accident. Over the past 6 months, it has caused him to hear voices telling him to harm himself or others; he does not listen to these commands because he does not want to “play by their rules.” He has avoided meeting his family and friends since the voices started. He drinks 2 beers a day but does not use illicit drugs. Vital signs are within normal limits. The left knee is nontender and nonerythematous with no swelling. Range of motion is normal. Neurologic examination shows no abnormalities. On mental status examination, the patient appears expressionless. Which of the following is the most appropriate long-term treatment?
assistant
Quetiapine