Q: A patient with seizures characterized as a short episode of muscle contraction to the right side was given a medication that caused him to lose his hair and bruise easily. What monitoring is needed?

Liver Enzymes - *gabapentin is an adjunct, not first-line for focal seizure!*

Question 1

A patient in the ED with three episodes of focal seizure without return of conciousness should recieve what slow-acting medication for treatment once a benzodiazepine has controlled thier symptoms?

Accepted Answer

Fosphenytoin

Question 2

A patient presenting with absence seizure was given a medication that later contributed to the development of a blood disorder and weight gain. What medication is a likely culprit?

Accepted Answer

Ethosuximide

Question 3

A patient with a PMH of focal seizures and headaches uses this medication to simultaneously help both conditions:

Accepted Answer

Topiramate

Question 4

This medication is contraindicated for a 5 y/o patient presenting with a seizure that causes them to flutter thier eyes for about 15 seconds without any awareness of thier surroundings:

Accepted Answer

Carbamazepine

Question 5

What age should you avoid giving valproate, valproic acid or divalproex?

Accepted Answer

<2 years old

Question 6

Which of the following medications have the potential to cause Steven Johnson's Syndrome ?

Accepted Answer

Phenytoin, Lamotrigine

Question 7

A 52 year old patient with a PMH of AUD and status epilepticus is complaining of abd pain that radiates to the back and increases in severity after meals. What medication likely led to his symtptoms?

Accepted Answer

Divalproex

Question 8

What are two common adverse reactions to gabapentin?

Accepted Answer

Ataxia & Diarrhea

Question 9

What medication is the best option for a 85 year old patient presenting with a convulsant focal epilepsy with LOC?

Accepted Answer

Lamotrigene

Question 10

A patient in the midst of having a focal seizure begins having a tonic-clonic seizure. What medication is indicated for both types of seizure?

Accepted Answer

Topiramate

Question 11

A patient recently treated with a medication for status epilepticus c/o dizziness. On PE you notice they have nystagmus and slurred speech. What medication caused thier symptoms?

Accepted Answer

Phenytoin

Question 12

What medication would be the best option for someone with fibromyalgia and a PMH of focal seizures?

Accepted Answer

Pregabalin

Question 13

A patient with seizures characterized as a short episode of muscle contraction to the right side was given a medication that caused him to lose his hair and bruise easily. What monitoring is needed?

Accepted Answer

Liver Enzymes - *gabapentin is an adjunct, not first-line for focal seizure!*

Question 14

Which of the following is an adverse reaction to topiramate?

Accepted Answer

Paraesthesias

Question 15

Which medication causes weight gain and is considered teratogenic?

Accepted Answer

Valproic Acid

Question 16

When treating absence seizure with Ethosuximide, what lab values should be monitored?

Accepted Answer

CBC

Question 17

This medication in addition to focal seizure can also be used for trigeminal neuralgia or bipolar disorder:

Accepted Answer

Carbamazepine

Question 18

Which of the following is a common adverse reaction to phenytoin?

Accepted Answer

Gingival Hyperplasia

Question 19

This medication requires a dose adjustment in patients with chronic kidney disease:

Accepted Answer

Pregabalin

PM Final - Epilepsy

2) A patient presenting with absence seizure was given a medication that later contributed to the development of a blood disorder and weight gain. What medication is a likely culprit?

3) A patient with a PMH of focal seizures and headaches uses this medication to simultaneously help both conditions:

4) This medication is contraindicated for a 5 y/o patient presenting with a seizure that causes them to flutter thier eyes for about 15 seconds without any awareness of thier surroundings:

5) What age should you avoid giving valproate, valproic acid or divalproex?

6) Which of the following medications have the potential to cause Steven Johnson's Syndrome ?

7) A 52 year old patient with a PMH of AUD and status epilepticus is complaining of abd pain that radiates to the back and increases in severity after meals. What medication likely led to his symtptoms?

8) What are two common adverse reactions to gabapentin?

9) What medication is the best option for a 85 year old patient presenting with a convulsant focal epilepsy with LOC?

10) A patient in the midst of having a focal seizure begins having a tonic-clonic seizure. What medication is indicated for both types of seizure?

11) A patient recently treated with a medication for status epilepticus c/o dizziness. On PE you notice they have nystagmus and slurred speech. What medication caused thier symptoms?

12) What medication would be the best option for someone with fibromyalgia and a PMH of focal seizures?

13) A patient with seizures characterized as a short episode of muscle contraction to the right side was given a medication that caused him to lose his hair and bruise easily. What monitoring is needed?

14) Which of the following is an adverse reaction to topiramate?

15) Which medication causes weight gain and is considered teratogenic?

16) When treating absence seizure with Ethosuximide, what lab values should be monitored?

17) This medication in addition to focal seizure can also be used for trigeminal neuralgia or bipolar disorder:

18) Which of the following is a common adverse reaction to phenytoin?

19) This medication requires a dose adjustment in patients with chronic kidney disease: