2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ Syphilis Answer: benzathine penicillin 2.4mil units IM
◉ Mild symptoms PD tx Answer: MAO-B inhibitor like rasagiline or
selegiline
◉ Severe symptoms PD tx Answer: levodopa + carbodopa or
dopamine agonist
◉ PD tx for improving motor function Answer: levodopa
◉ PD tx for drug induced dyskinesias Answer: dopamine agonist
◉ COMT inhibitor Answer: Entacapone (Comtan). added to
levo/carbidopa to increase levo concentrations & extend half life &
decrease wearing off time
◉ Pramipexole side effects Answer: impulse control disorders,
combined with levodopa causes orthostatic hypotension and
dyskinesias
, ◉ Pregabalin Answer: Safest medication for seizure patients on OC
◉ Phenytoin Answer: can decrease effects of OCs, warfarin and
glucocorticoids
◉ Migraine tx 1st line Answer: serotonin 1b/1d receptor agonists
(triptans)
◉ First line migraine prevention Answer: propanolol
◉ Divalproex Answer: antiepileptic med reduce migraine attacks.
Contraindicated in pregnancy
◉ Amitriptyline Answer: tricyclic antidepressant. Can prevent
migraine/tension type headache. Orthostatic hypotension
◉ Preventative migraine meds Answer: propanolol, divalproex and
amitriptyline
◉ Abortive migraine meds Answer: non specific NSAIDs, migraine
specific analgesics, ergot alkaloids, dihydroergotamine