Question
A 22-year-old man is brought to the physician by his mother because of concerns about his recent behavior. Three months ago, the patient first reported hearing loud voices coming from the ceiling of his room. During this time, he has also become increasingly worried that visitors to the house were placing secret surveillance cameras. Mental status examination shows tangential speech with paranoid thoughts.Identify the dopaminergic pathway from the image given below that predominantly targets the treatment of this patient.
This patient shows several of the classic positive symptoms of schizophrenia (auditory hallucinations, disorganized speech, delusions). The first-line treatment for schizophrenia inhibits dopaminergic activity primarily within a brain pathway that is also important in mediating reward and addiction.
| A. |
A-Mesoloimbic tract |
| B. |
A-Mesocortical tract |
| C. |
B-Nigrostriatal tract |
| D. |
C-Mesolimbic tract |
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