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Question : 1 / 258

A 31-year-old G0P0 woman with bipolar I disorder presents with irritability and anxiety. She also reports irregular menses and has not been able to conceive a child with her current partner as she has had a difficult time timing her ovulation. Her BMI is 33.0. She has severe acne and is on spironolactone with benefit. Which medication is the most likely cause of her symptoms?