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MARYVILLE NURS 615 PHARM EXAM 2
2025 UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
Carbamazepine (Tegretol) can sometimes show subtherapeutic
range due to what? - correct answer- Carbamazepine auto-
induces metabolism, leading to lower levels despite good
compliance
What are the black box warnings for Carbamazepine? - correct
answer- Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on
Carbamazepine? - correct answer- CBC every 3-4 months
because it can cause decreased WBC, decreased platelets,
and trouble with RBC
What kind of teaching needs to be done with families of
patients who have seizure disorders? - correct answer-
Prevention is important, patient safety is important, Do NOT
abruptly stop taking medication.
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Ethosuximide (Zarontin), an anti-seizure medication can cause
what? - correct answer- Blood dyscrasias
Patients taking Topiramate need to be monitored for what
electrolyte imbalance? - correct answer- Decreased sodium
bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side
effect? - correct answer- Normal side effect is weight loss,
especially in higher dose patients
A child on Topiramate that wants to play sports should monitor
what? - correct answer- Don't get overheated. Topiramate may
affect his ability to sweat in the heat.
What should a pregnant patient be told about taking Valproate
(Depakote)? - correct answer- It is a known teratogen and
category X medication. It should not be used in the first
trimester, it may be restarted in second trimester.
What patient population should tricyclic antidepressants be
used cautiously in? - correct answer- Heart Disease patients
MARYVILLE NURS 615 PHARM EXAM 2
2025 UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
Carbamazepine (Tegretol) can sometimes show subtherapeutic
range due to what? - correct answer- Carbamazepine auto-
induces metabolism, leading to lower levels despite good
compliance
What are the black box warnings for Carbamazepine? - correct
answer- Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on
Carbamazepine? - correct answer- CBC every 3-4 months
because it can cause decreased WBC, decreased platelets,
and trouble with RBC
What kind of teaching needs to be done with families of
patients who have seizure disorders? - correct answer-
Prevention is important, patient safety is important, Do NOT
abruptly stop taking medication.
, 2 | Page
Ethosuximide (Zarontin), an anti-seizure medication can cause
what? - correct answer- Blood dyscrasias
Patients taking Topiramate need to be monitored for what
electrolyte imbalance? - correct answer- Decreased sodium
bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side
effect? - correct answer- Normal side effect is weight loss,
especially in higher dose patients
A child on Topiramate that wants to play sports should monitor
what? - correct answer- Don't get overheated. Topiramate may
affect his ability to sweat in the heat.
What should a pregnant patient be told about taking Valproate
(Depakote)? - correct answer- It is a known teratogen and
category X medication. It should not be used in the first
trimester, it may be restarted in second trimester.
What patient population should tricyclic antidepressants be
used cautiously in? - correct answer- Heart Disease patients
