Question 1

A three-year-old child 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.

Accepted Answer

A)  IV phenobarbital
B)  Rectal diazepam (Diastat) 
C)  IV phenytoin (Dilantin) 
D)  Oral carbamazepine (Tegretol)

Question 2

Tricyclic antidepressants should be prescribed cautiously in patients with:

Accepted Answer

A)  Eczema
B)  Asthma
C)  Diabetes
D)  Heart disease

Question 3

A patient with anxiety and depression may respond to:

Accepted Answer

A)  Duloxetine (Cymbalta) 
B)  Fluoxetine (Prozac) 
C)  Oxazepam (Serax) 
D)  Buspirone (Buspar)  and an SSRI combined

Question 4

When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3) , instructions to the patient should include:

Accepted Answer

A)  The medication may cause sedation and they should not drive.
B)  Constipation is a common side effect and they should increase fluids and fiber.
C)  Patients should not take any other acetaminophen-containing medications at the same time.
D)  All of the above

Question 5

A six-year-old has recently started taking ethosuximide (Zarontin)  for seizures. The patient should be monitored for:

Accepted Answer

A)  Increased seizure activity, as this drug may autoinduce seizures
B)  Altered renal function, including renal failure
C)  Blood dyscrasias, which is uncommon but possible
D)  Central nervous system (CNS)  excitement, leading to insomnia

Question 6

A patient is taking lamotrigine (Lamictal)  for their seizures and requests a prescription for combined oral contraceptives (COCs) , which interact with lamotrigine and may cause:

Accepted Answer

A)  Contraceptive failure
B)  Excessive weight gain
C)  Reduced lamotrigine levels, requiring doubling the dose of lamotrigine
D)  Induction of estrogen metabolism, requiring higher estrogen content OCs to be prescribed

Question 7

In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of the possibility of dependence. The benzodiazepam with the greatest likelihood of causing rapidly developing dependence is:

Accepted Answer

A)  Chlordiazepoxide (Librium) 
B)  Clonazepam (Klonopin) 
C)  Alprazolam (Xanax) 
D)  Oxazepam (Serax)

Question 8

A 10-year-old child is diagnosed with major depression. The appropriate first-line antidepressant for children is:

Accepted Answer

A)  Fluoxetine
B)  Fluvoxamine
C)  Sertraline
D)  Escitalopram

Question 9

A 42-year-old female requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include:

Accepted Answer

A)  Understanding that obesity is a contraindication to prescribing phentermine
B)  Anorexiants may cause tolerance and should only be prescribed for six months
C)  Patients should be monitored for postural hypotension
D)  Renal function should be monitored closely while on anorexiants

Question 10

An overweight patient recently started taking topiramate for seizures and at her follow-up visit you note she has lost 3 kg. The appropriate action would be:

Accepted Answer

A)  Tell her to increase her caloric intake to counter the effects of the topiramate.
B)  Consult with a neurologist, as this is not a common adverse effect of topiramate.
C)  Decrease her dose of topiramate.
D)  Reassure her that this is a normal side effect of topiramate and continue to monitor her weight.

Question 11

An adult female is taking valproate (Depakote)  for seizures and would like to get pregnant. What advice would you give her?

Accepted Answer

A)  Valproate is safe during all trimesters of pregnancy.
B)  She can get pregnant while taking valproate, but she should take adequate folic acid.
C)  Valproate is not safe at any time during pregnancy.
D)  Valproate is a known teratogen, but may be taken after the first trimester if necessary.

Question 12

Levetiracetam has known drug interactions with:

Accepted Answer

A)  Combined oral contraceptives
B)  Carbamazepine
C)  Warfarin
D)  Few, if any, drugs

Question 13

A child is prescribed phenytoin for seizures. Monitoring includes assessing:

Accepted Answer

A)  For phenytoin hypersensitivity syndrome three to eight weeks after starting treatment
B)  For pedal edema throughout therapy
C)  Heart rate at each visit, as therapy may have to be altered if heart rate is less than 60 beats per minute (bpm) 
D)  For vision changes, such as red-green blindness, at least annually

Question 14

A patient is started on paroxetine (Paxil) , an SSRI, for depression. Education regarding antidepressants includes:

Accepted Answer

A)  SSRIs may take two to six weeks before she will have maximum drug effects.
B)  Red-green color blindness may occur and should be reported.
C)  If she experiences dry mouth or a heart rate greater than 80, she should stop taking the drug immediately.
D)  She should eat lots of food high in fiber to prevent constipation.

Question 15

Scott's seizures are well controlled on topiramate and he wants to start playing baseball. Education for Scott regarding his topiramate includes:

Accepted Answer

A)  He should not play sports due to the risk of increased seizures
B)  He should monitor his temperature and ability to sweat in the heat while playing
C)  Reminding him that he may need higher doses of topiramate when exercising
D)  Encouraging him to use sunscreen due to photosensitivity from topiramate

Question 16

An 8-year-old male has attention deficit disorder (ADD)  and is prescribed methylphenidate (Ritalin) . He and his parents should be educated about the side effects of methylphenidate, which are:

Accepted Answer

A)  Slurred speech and insomnia
B)  Bradycardia and confusion
C)  Dizziness and orthostatic hypotension
D)  Insomnia and decreased appetite

Question 17

When prescribing temazepam (Restoril)  for insomnia, patient education includes:

Accepted Answer

A)  Take temazepam nightly approximately 15 minutes before bedtime.
B)  Temazepam should not be used more than three times a week for less than three months.
C)  Drinking one ounce of alcohol will cause additive effects and the patient will sleep better.
D)  Exercise for at least 30 minutes within two hours of bedtime to enhance the effects of temazepam.

Question 18

Monitoring of a patient on gabapentin to treat seizures includes:

Accepted Answer

A)  Routine testing of therapeutic drug levels every three to four months
B)  Assessing for dermatologic reactions, including Steven's Johnson
C)  Routine testing of serum electrolytes, especially in hot weather
D)  Recording seizure frequency, duration, and severity

Exam 12: Drugs Affecting the Central Nervous System

A 10-year-old child is diagnosed with major depression. The appropriate first-line antidepressant for children is:

Correct Answer
verified

An overweight patient recently started taking topiramate for seizures and at her follow-up visit you note she has lost 3 kg. The appropriate action would be:

Correct Answer
verified

An adult female is taking valproate (Depakote) for seizures and would like to get pregnant. What advice would you give her?

Correct Answer
verified

In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of the possibility of dependence. The benzodiazepam with the greatest likelihood of causing rapidly developing dependence is:

Correct Answer
verified

A patient is taking lamotrigine (Lamictal) for their seizures and requests a prescription for combined oral contraceptives (COCs) , which interact with lamotrigine and may cause:

Correct Answer
verified

A three-year-old child 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.

Correct Answer
verified

A patient with anxiety and depression may respond to:

Correct Answer
verified

A 42-year-old female requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include:

Correct Answer
verified

A patient is started on paroxetine (Paxil) , an SSRI, for depression. Education regarding antidepressants includes:

Correct Answer
verified

Monitoring of a patient on gabapentin to treat seizures includes:

Correct Answer
verified

Tricyclic antidepressants should be prescribed cautiously in patients with:

Correct Answer
verified

Scott's seizures are well controlled on topiramate and he wants to start playing baseball. Education for Scott regarding his topiramate includes:

Correct Answer
verified

A six-year-old has recently started taking ethosuximide (Zarontin) for seizures. The patient should be monitored for:

Correct Answer
verified

A child is prescribed phenytoin for seizures. Monitoring includes assessing:

Correct Answer
verified

When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3) , instructions to the patient should include:

Correct Answer
verified

Levetiracetam has known drug interactions with:

Correct Answer
verified

An 8-year-old male has attention deficit disorder (ADD) and is prescribed methylphenidate (Ritalin) . He and his parents should be educated about the side effects of methylphenidate, which are:

Correct Answer
verified

When prescribing temazepam (Restoril) for insomnia, patient education includes:

Correct Answer
verified

Exam 12: Drugs Affecting the Central Nervous System

A 10-year-old child is diagnosed with major depression. The appropriate first-line antidepressant for children is:

Correct AnswerverifiedShow Answer

An overweight patient recently started taking topiramate for seizures and at her follow-up visit you note she has lost 3 kg. The appropriate action would be:

Correct AnswerverifiedShow Answer

An adult female is taking valproate (Depakote) for seizures and would like to get pregnant. What advice would you give her?

Correct AnswerverifiedShow Answer

In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of the possibility of dependence. The benzodiazepam with the greatest likelihood of causing rapidly developing dependence is:

Correct AnswerverifiedShow Answer

A patient is taking lamotrigine (Lamictal) for their seizures and requests a prescription for combined oral contraceptives (COCs) , which interact with lamotrigine and may cause:

Correct AnswerverifiedShow Answer

A three-year-old child 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.

Correct AnswerverifiedShow Answer

A patient with anxiety and depression may respond to:

Correct AnswerverifiedShow Answer

A 42-year-old female requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include:

Correct AnswerverifiedShow Answer

A patient is started on paroxetine (Paxil) , an SSRI, for depression. Education regarding antidepressants includes:

Correct AnswerverifiedShow Answer

Monitoring of a patient on gabapentin to treat seizures includes:

Correct AnswerverifiedShow Answer

Tricyclic antidepressants should be prescribed cautiously in patients with:

Correct AnswerverifiedShow Answer

Scott's seizures are well controlled on topiramate and he wants to start playing baseball. Education for Scott regarding his topiramate includes:

Correct AnswerverifiedShow Answer

A six-year-old has recently started taking ethosuximide (Zarontin) for seizures. The patient should be monitored for:

Correct AnswerverifiedShow Answer

A child is prescribed phenytoin for seizures. Monitoring includes assessing:

Correct AnswerverifiedShow Answer

When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3) , instructions to the patient should include:

Correct AnswerverifiedShow Answer

Levetiracetam has known drug interactions with:

Correct AnswerverifiedShow Answer

An 8-year-old male has attention deficit disorder (ADD) and is prescribed methylphenidate (Ritalin) . He and his parents should be educated about the side effects of methylphenidate, which are:

Correct AnswerverifiedShow Answer

When prescribing temazepam (Restoril) for insomnia, patient education includes:

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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