Maryville Pharm 615 Exam 2 Elle's
Review Questions And Answers
1. Henry 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: -
correct answer ✅Carbamazepine auto-induces metabolism,
leading to lower levels despite good compliance.
2. Carbamazepine has a Black Box Warning due to life-threatening: -
correct answer ✅Dermatologic reaction, including Steven's
Johnson and toxic epidermal necrolysis
3. Long-term monitoring of patients who are taking carbamazepine
includes: -
correct answer ✅Complete blood count every 3 to 4 months (can
be a decrease in WBC & platelets)
Six-year-old Felisha has recently been started on ethosuximide
(Zarontin) for seizures. She should be monitored for: -
correct answer ✅Blood dyscrasias, which are uncommon but
possible
What should families be taught regarding seizure activity
monitoring? -
correct answer ✅Prevention of seizures, patient safety, quality of
,Maryville Pharm 615 Exam 2 Elle's
Review Questions And Answers
life issues, reach acceptable goals for treatment, & do not abruptly
stop taking seizure meds
What electrolyte imbalance is associated with topiramate? -
correct answer ✅Decreased sodium bicarb leading to
hyperchloremic metabolic acidosis
Lisa who is overweight recently started taking topiramate for
seizures and at her follow-up visit you note she has lost 4 kg. The
appropriate action would be: -
correct answer ✅Reassure her that this is a normal side effect of
topiramate and continue to monitor her weight.
Travis's seizures are well controlled on topiramate and he wants to
start playing baseball. Education for Travis regarding his topiramate
includes: -
correct answer ✅He should monitor his temperature and ability to
sweat in the heat while playing
9. Brandy is taking valproate (Depakote) for seizures and would like
to get pregnant. What advice would you give her? -
correct answer ✅Valproate is a known teratogen, but may be
taken after the first trimester if necessary. Keppra is a better drug to
be on until the second trimester, then she can go back to valproate.
, Maryville Pharm 615 Exam 2 Elle's
Review Questions And Answers
10. What category is valproate? -
correct answer ✅Category X
11. The tricyclic antidepressants should be prescribed cautiously in
patients with: -
correct answer ✅Heart disease
12. A 64-year-old male was prescribed phenelzine (Nardil) while in
an acute psychiatric unit for recalcitrant depression. The NP
managing his primary health care needs to understand the
following regarding phenelzine and other monoamine oxidase
inhibitors (MAOIs): -
correct answer ✅He should not be prescribed any serotonergic
drug such as sumatriptan (Imitrex), MAOIs interact with many
common foods, including yogurt, sour cream, and soy sauce, and
symptoms of hypertensive crisis (headache, tachycardia, sweating)
require immediate treatment
13. What are the precautions and contraindications for tricyclic
antidepressants? -
correct answer ✅Side effects are similar to anticholinergic activity
such as dry mouth, sedation, constipation, increased appetite,
blurred vision, tinnitus, euphoria, and mania. Caution in patients
with cardiac disease (terminate ventricular fibrillation, decrease
Review Questions And Answers
1. Henry 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: -
correct answer ✅Carbamazepine auto-induces metabolism,
leading to lower levels despite good compliance.
2. Carbamazepine has a Black Box Warning due to life-threatening: -
correct answer ✅Dermatologic reaction, including Steven's
Johnson and toxic epidermal necrolysis
3. Long-term monitoring of patients who are taking carbamazepine
includes: -
correct answer ✅Complete blood count every 3 to 4 months (can
be a decrease in WBC & platelets)
Six-year-old Felisha has recently been started on ethosuximide
(Zarontin) for seizures. She should be monitored for: -
correct answer ✅Blood dyscrasias, which are uncommon but
possible
What should families be taught regarding seizure activity
monitoring? -
correct answer ✅Prevention of seizures, patient safety, quality of
,Maryville Pharm 615 Exam 2 Elle's
Review Questions And Answers
life issues, reach acceptable goals for treatment, & do not abruptly
stop taking seizure meds
What electrolyte imbalance is associated with topiramate? -
correct answer ✅Decreased sodium bicarb leading to
hyperchloremic metabolic acidosis
Lisa who is overweight recently started taking topiramate for
seizures and at her follow-up visit you note she has lost 4 kg. The
appropriate action would be: -
correct answer ✅Reassure her that this is a normal side effect of
topiramate and continue to monitor her weight.
Travis's seizures are well controlled on topiramate and he wants to
start playing baseball. Education for Travis regarding his topiramate
includes: -
correct answer ✅He should monitor his temperature and ability to
sweat in the heat while playing
9. Brandy is taking valproate (Depakote) for seizures and would like
to get pregnant. What advice would you give her? -
correct answer ✅Valproate is a known teratogen, but may be
taken after the first trimester if necessary. Keppra is a better drug to
be on until the second trimester, then she can go back to valproate.
, Maryville Pharm 615 Exam 2 Elle's
Review Questions And Answers
10. What category is valproate? -
correct answer ✅Category X
11. The tricyclic antidepressants should be prescribed cautiously in
patients with: -
correct answer ✅Heart disease
12. A 64-year-old male was prescribed phenelzine (Nardil) while in
an acute psychiatric unit for recalcitrant depression. The NP
managing his primary health care needs to understand the
following regarding phenelzine and other monoamine oxidase
inhibitors (MAOIs): -
correct answer ✅He should not be prescribed any serotonergic
drug such as sumatriptan (Imitrex), MAOIs interact with many
common foods, including yogurt, sour cream, and soy sauce, and
symptoms of hypertensive crisis (headache, tachycardia, sweating)
require immediate treatment
13. What are the precautions and contraindications for tricyclic
antidepressants? -
correct answer ✅Side effects are similar to anticholinergic activity
such as dry mouth, sedation, constipation, increased appetite,
blurred vision, tinnitus, euphoria, and mania. Caution in patients
with cardiac disease (terminate ventricular fibrillation, decrease
