Chapter 39 Seizure Disorders

Pharmacotherapeutics for Advanced Practice 3rd Edition by Virginia Poole Arcangelo, Andrew M. Peterson

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Chapter 39 Seizure Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Antonia is a 3 year old who has a history of status epilepticus. Along with her routine antiseizure medication, she should also have a home prescription for____ to be used for an episode of status epilepticus.
A. IV phenobarbital
B. Rectal diazepam (Diastat)
C. IV phenytoin (Dilantin)
D. Oral carbamazepine (Tegretol)

 

 

ANS:   B                     PTS:    1

 

  1. Rabi is being prescribed phenytoin for seizures. Monitoring includes:
A. Assessing for phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
B. Assessing for pedal edema throughout therapy
C. Assessing heart rate at each visit and consider altering therapy if heart rate is less than 60 bpm
D. Assessing for vision changes, such as red-green blindness, at least annually

 

 

ANS:   A                     PTS:    1

 

  1. Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low carbamazepine levels include:
A. Dwayne hasn’t been taking his carbamazepine because it causes insomnia
B. Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance
C. Dwayne was not originally prescribed the correct amount of carbamazepine
D. Carbamazepine is probably not the right antiseizure medication for Dwayne

 

 

ANS:   B                     PTS:    1

 

  1. Carbamazepine has a Black Box warning due to life-threatening:
A. Renal toxicity, leading to renal failure
B. Hepatotoxicity, leading to liver failure
C. Dermatologic reaction, including Steven’s Johnson and toxic epidermal necrolysis
D. Cardiac effects, including supraventricular tachycardia

 

 

ANS:   C                     PTS:    1

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