Question 1

Barbiturates _________.&#10;A)reduce the action of the excitatory glutamate neurotransmitter&#10;B)cause bradycardia and hypotension&#10;C)enhance the action of other drugs&#10;D)are now used only as a third-line anti-epileptic drug

Accepted Answer

They augment the action of the inhibitory GABA neurotransmitter,cause mostly sedation and ataxia and induce P450 enzymes so that some other drugs are more quickly metabolized and their action is reduced.

Question 2

Which of the following may be given with an opioid for the treatment of neuropathic pain syndromes?&#10;A)Antihistamines&#10;B)Anticholinergics&#10;C)Anticonvulsants&#10;D)NSAIDs

Accepted Answer

AEDs have been shown to decrease neuropathic pain.

Question 3

The neurotransmitter which is inhibitory in the brain is _________.&#10;A)glutamate&#10;B)gamma amino butyric acid or GABA&#10;C)acetylcholine&#10;D)norepinephrine

Accepted Answer

The other neurotransmitters can be both with glutamate being mostly excitatory.

Question 4

Seizure(s)_________.&#10;A)manifest themselves as convulsions&#10;B)result usually from diminished brain activity&#10;C)type is determined by which brain area is affected&#10;D)are acute events and do not produce after effects

Accepted Answer

Some do but not all and some can just be a brief loss of consciousness (absence seizure).They result usually from over-excitation of certain brain areas which then spread to other areas.Some do not but most cause after effects including confusion,fatigue,headache and physical injury from falls.

Question 5

The therapist should be aware that _________.&#10;A)epileptic patients are more sedated by flickering lights&#10;B)only about 50% of epileptic patients respond favorably to drugs&#10;C)minor skin rashes can be warning signs of more serious conditions&#10;D)these drugs can actually have a beneficial effect on bone strength in postmenopausal women

Accepted Answer

Flickering light can cause a seizure.These drugs can be effective up to 80% in suppressing convulsions and can affect the health of bones.

Question 6

A patient receiving anti-epileptic medications might mostly experience _________.&#10;A)sedation and ataxia&#10;B)tachycardia and hypertension&#10;C)weight loss and kidney stone formation&#10;D)All of the above

Accepted Answer

The others do not generally occur.

Question 7

The main action of anti-epileptic drugs include all except _________.&#10;A)enhancement of GABA action&#10;B)blockade of Na&#8314; channels&#10;C)blockade of Ca&#8314;&#8314; channels&#10;D)reduction of acetylcholine synthesis

Accepted Answer

There are no drugs which block acetylcholine synthesis.

Question 8

Which of the following drugs is not used to treat epilepsy?&#10;A)Gabapentin&#10;B)Valproic acid&#10;C)Haloperidol&#10;D)Ethosuccimide

Accepted Answer

Haloperidol is an anti-psychotic drug.

Question 9

Phenytoin _________.&#10;A)blocks GABA action&#10;B)can cause gingival hyperplasia&#10;C)can lower blood glucose&#10;D)shows mostly renal toxicity

Accepted Answer

Good oral hygiene can reduce this problem.The drug blocks preferentially Na⁺ channels,can cause hyperglycemia and arrhythmias and hypotension.

Question 10

If a person convulses,the therapist should _________.&#10;A)try to restrain the individual&#10;B)force a slurry of the epileptic drug into the mouth of the individual&#10;C)place the individual gently on his/her side&#10;D)place something including a finger between the teeth

Accepted Answer

Do not constrain but loosen cloths,do not give anything by mouth since it can be inhaled and do not place anything between the teeth.Convulsions are usually self limiting but if they are consistent call 911.

Question 11

A patient with partial seizures needs a drug which is less sedating.The physician might prescribe _________.&#10;A)Phenytoin&#10;B)Zonisamide&#10;C)Carbamazepine&#10;D)Lamotrigine

Accepted Answer

The answer of A patient with partial seizures needs a...

Question 12

Concerning ADHD,the therapist should _________.&#10;A)treat these patients very firm and unyieldingly&#10;B)assess worsening or improvement of behavior&#10;C)avoid biofeedback and relaxation techniques&#10;D)handle the patient according to his/her best opinion

Accepted Answer

The answer of Concerning ADHD,the therapist should _________.&#10;A)treat these patients...

Question 13

Which drug would be contraindicated in children with ADHD?&#10;A)d-Amphetamine&#10;B)Clonidine&#10;C)Tricyclic antidepressants&#10;D)Atypical antipsychotics

Accepted Answer

The answer of Which drug would be contraindicated in children...

Deck 15: Drugs for Epilepsy and Attention Deficit/Hyperactivity Disorder