Ultimate Quiz On Seizure Medications

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  • 1/32 Questions

    Another name for grand mal seizure is

    • Tonic clonic
    • Absence
    • Focal aware
    • Petit mal
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About This Quiz

Check out this ultimate quiz on seizure medications and improve your knowledge regarding anti-seizure drugs. Medicines that are used in the treatment of seizures and epilepsy are called seizure medications. Here, in this quiz, you'll be asked some basic questions related to different seizure types and the drugs used to treat them. Do you think you're good enough to answer these questions? If yes, take it up now, and the result will clear out your doubts.

Ultimate Quiz On Seizure Medications - Quiz

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  • 2. 

    What would you use for neuropathic pain?

    • Gabapentin and pregablin

    • Lamotrigine- lamictal

    • Phenobarbitol

    • Carbamazepine- tegretol

    Correct Answer
    A. Gabapentin and pregablin
    Explanation
    Gabapentin and pregabalin are both commonly used medications for the treatment of neuropathic pain. They belong to a class of drugs called anticonvulsants, which work by reducing abnormal electrical activity in the brain that can contribute to pain. These medications are thought to modulate the release of certain neurotransmitters involved in pain signaling. Lamotrigine, phenobarbital, and carbamazepine are also anticonvulsant medications but are not typically used as first-line treatments for neuropathic pain.

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  • 3. 

    Which drug is used to treat trigeminal neuralgia and or hiccups?

    • Carbamazepine- tegretol

    • Phenytoin

    • Lamotrigine- lamictal

    • Topiramate- topamax

    Correct Answer
    A. Carbamazepine- tegretol
    Explanation
    Carbamazepine, also known as Tegretol, is the drug used to treat trigeminal neuralgia and hiccups. Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, causing severe facial pain. Carbamazepine works by reducing the nerve signals that cause pain. It is also sometimes used to treat hiccups, as it can help relax the diaphragm muscle and reduce spasms. Phenytoin, lamotrigine, and topiramate are other anticonvulsant medications that may be used for different conditions, but they are not specifically indicated for trigeminal neuralgia or hiccups.

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  • 4. 

    Valium is a type of

    • Benzodiazepine

    • Barbiturates

    • Phenytoin

    • Pregablin

    Correct Answer
    A. Benzodiazepine
    Explanation
    Valium is classified as a benzodiazepine. Benzodiazepines are a class of medications that are commonly prescribed to treat anxiety, insomnia, seizures, and muscle spasms. They work by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, which helps to calm the central nervous system. Valium, also known by its generic name diazepam, is one of the most widely prescribed benzodiazepines and is known for its sedative and anxiolytic properties. It is commonly used to treat anxiety disorders, alcohol withdrawal symptoms, and muscle spasms.

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  • 5. 

    Which drug withdrawal will cause seizures

    • Benzodiazepines

    • Gabapentins

    • Lamotrigine

    • Topiramate

    Correct Answer
    A. Benzodiazepines
    Explanation
    Benzodiazepines can cause seizures during withdrawal because they work by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain. Prolonged use of benzodiazepines can lead to tolerance and dependence, and sudden discontinuation or rapid tapering of these drugs can result in withdrawal symptoms, including seizures. This is because the brain becomes dependent on the presence of benzodiazepines to maintain normal levels of GABA, and when the drug is removed, the GABA levels drop rapidly, leading to hyperexcitability and the potential for seizures.

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  • 6. 

    What was the first drug to treat fibromyalgia (c fiber)?

    • Lyrica

    • Lamotrigine- lamictal

    • Topiramate- topamax

    • Valproic acid and valproate

    Correct Answer
    A. Lyrica
    Explanation
    Lyrica is the correct answer because it was the first drug specifically approved by the FDA to treat fibromyalgia, a condition characterized by chronic pain and other symptoms. Lamotrigine (Lamictal), topiramate (Topamax), valproic acid, and valproate are not specifically indicated for fibromyalgia treatment.

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  • 7. 

    Which drug risks fetal spina bifida (neural tube fails to close)?

    • Valproic acid and valproate

    • Ethosuximide- zarontin

    • Phenobarbitol

    • Carbamazepine- tegretol

    Correct Answer
    A. Valproic acid and valproate
    Explanation
    Valproic acid and valproate are known to increase the risk of fetal spina bifida. Spina bifida is a condition where the neural tube, which eventually forms the baby's brain and spinal cord, fails to close properly during early development. These drugs are commonly used to treat epilepsy and bipolar disorder, but they have been found to have teratogenic effects, meaning they can cause birth defects. Pregnant women taking valproic acid or valproate should be closely monitored and alternative medications should be considered to minimize the risk to the fetus.

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  • 8. 

    What drug is best choice for peripheral neuropathy?

    • Gabapentin

    • Lamotrigine

    • Phenytion

    • Carbamazepine

    Correct Answer
    A. Gabapentin
    Explanation
    This is a relatively SAFE drug for neuropthaic pain

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  • 9. 

    Neurontin and lyrica fall under the drugs of

    • Gabapentin and pregablin

    • Lamotrigine- lamictal

    • Carbamazepine- tegretol

    • Phenytoin

    Correct Answer
    A. Gabapentin and pregablin
    Explanation
    The correct answer is gabapentin and pregablin. Neurontin and Lyrica are both brand names for these drugs. Gabapentin and pregabalin are both anticonvulsant medications that are commonly used to treat epilepsy, neuropathic pain, and other neurological conditions. They work by reducing the abnormal electrical activity in the brain. Lamotrigine (Lamictal), carbamazepine (Tegretol), and phenytoin are also anticonvulsant medications, but they do not fall under the same drug class as gabapentin and pregabalin.

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  • 10. 

    Which drug do you use for absence seizures only?

    • Ethosuximide- zarontin

    • Valproic acid and valproate

    • Topiramate- topamax

    • Lamotrigine- lamictal

    Correct Answer
    A. Ethosuximide- zarontin
    Explanation
    Ethosuximide, also known as Zarontin, is the drug used specifically for absence seizures. It is a medication that helps control and prevent these types of seizures by reducing abnormal electrical activity in the brain. Valproic acid and valproate, topiramate, and lamotrigine are also antiepileptic drugs, but they are used for a wider range of seizure types and may not be as effective for absence seizures. Therefore, Ethosuximide is the correct answer for the question.

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  • 11. 

    What drug is a sub type of phenytoin that can be used IM for emergency situations

    • Fosphenytoin

    • Topiramate

    • Clonopin

    • Benzodiazepines

    Correct Answer
    A. Fosphenytoin
    Explanation
    Fosphenytoin is a subtype of phenytoin that can be administered intramuscularly (IM) in emergency situations. It is commonly used as an anticonvulsant medication to treat seizures. Fosphenytoin is converted into phenytoin in the body and has a faster rate of absorption, making it suitable for emergency situations where rapid action is required. Topiramate, clonopin, and benzodiazepines are not subtypes of phenytoin and are not typically administered IM for emergency situations.

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  • 12. 

    What drug do you use for tonic clonic seizures

    • Phenytoin

    • Topiramate

    • Carbamazepine

    • Lamotrigine

    Correct Answer
    A. Phenytoin
    Explanation
    Phenytoin is the correct answer for treating tonic-clonic seizures. It is an anticonvulsant medication that works by stabilizing the electrical activity in the brain, preventing seizures. Phenytoin is commonly used to control tonic-clonic seizures, also known as grand mal seizures, which involve loss of consciousness and convulsions. It helps to reduce the frequency and severity of these seizures, allowing individuals to better manage their condition and improve their quality of life.

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  • 13. 

    Which can cause thrombocytopenia in elders AND if using aspirin displaces the drug and increases the effect of drug?

    • Valproic acid and valproate

    • Ethosuximide- zarontin

    • Lamotrigine- lamictal

    • Phenobarbitol

    Correct Answer
    A. Valproic acid and valproate
    Explanation
    Valproic acid and valproate are antiepileptic drugs that can cause thrombocytopenia in elders. Thrombocytopenia is a condition characterized by a low platelet count, which can lead to an increased risk of bleeding. Additionally, if valproic acid or valproate is used in combination with aspirin, it can displace the drug and increase its effect. This can potentially lead to an overdose or increased side effects.

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  • 14. 

    What would happen if you were stable on phenytoin and were prescribed bactrim (sulfonamide) for a urinary tract infection?

    • Increase in phenytoin levels 

    • Increased albumin binding of phenytoin

    • Blood dyscrasia

    • Decrease effect of phenytoin levels

    Correct Answer
    A. Increase in phenytoin levels 
    Explanation
    When phenytoin and bactrim are taken together, bactrim can inhibit the metabolism of phenytoin in the liver, leading to increased levels of phenytoin in the bloodstream. This can result in phenytoin toxicity, as higher levels of the drug can cause adverse effects such as dizziness, confusion, and even seizures. Therefore, the correct answer is an increase in phenytoin levels.

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  • 15. 

    Another name for a generalized seizure that is absence is called

    • Petit mal

    • Grand mal

    • Simple partial

    • Focal aware

    Correct Answer
    A. Petit mal
    Explanation
    A generalized seizure characterized by brief lapses of consciousness is commonly known as an absence seizure. This type of seizure is also referred to as petit mal. It is different from grand mal seizures, which involve convulsions and loss of consciousness. Simple partial and focal aware seizures are not the same as absence seizures and do not involve generalized loss of consciousness.

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  • 16. 

    What would you use for status epilecpticus

    • IV benzodiazepine

    • IV phenytoin

    • Lamictal

    • Valproic acid

    Correct Answer
    A. IV benzodiazepine
    Explanation
    For the treatment of status epilepticus, IV benzodiazepine is the preferred option. Status epilepticus is a medical emergency characterized by prolonged or repeated seizures that can lead to significant brain damage or even death. Benzodiazepines, such as diazepam or lorazepam, act as central nervous system depressants and help to quickly terminate seizures. They work by enhancing the effects of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter that reduces neuronal activity. IV administration ensures rapid onset of action, making benzodiazepines the first-line treatment for status epilepticus.

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  • 17. 

    Which drug causes blood dyscrasia (inability to make certain blood cells)?

    • Carbamazepine- tegretol

    • Phenytoin

    • Lamotrigine- lamictal

    • Topiramate- topamax

    Correct Answer
    A. Carbamazepine- tegretol
    Explanation
    Carbamazepine, also known as Tegretol, is a drug that can cause blood dyscrasia, which refers to the inability to produce certain blood cells. This condition can lead to various complications, such as anemia, leukopenia, and thrombocytopenia. It is important for patients taking carbamazepine to be monitored regularly for any signs of blood dyscrasia, such as easy bruising, bleeding, or infections. If detected early, the dosage of the drug may be adjusted or an alternative medication may be considered to prevent further complications.

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  • 18. 

    Which drug interferes with CYP hepatic enzymes

    • Carbamazepine

    • Gabapentin

    • Lamotrigine

    • Phenytoin

    Correct Answer
    A. Carbamazepine
    Explanation
    Carbamazepine is the correct answer because it is known to interfere with CYP hepatic enzymes. These enzymes are responsible for metabolizing many drugs in the liver, and when carbamazepine interacts with them, it can affect the metabolism and clearance of other drugs. This can lead to potential drug interactions and changes in the effectiveness and safety of other medications.

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  • 19. 

    If at risk for absence seizures AND generalized seizures use

    • Valproic acid

    • Ethosuximide- zarontin

    • Benzodiazepines

    • Topamax

    Correct Answer
    A. Valproic acid
    Explanation
    see slide 30 

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  • 20. 

    Which drug should you check the CBC before the beginning and during treatment?

    • Carbamazepine- Tegretol

    • Phenobarbitol

    • Gabapentin and pregablin

    • Lamotrigine- lamictal

    Correct Answer
    A. Carbamazepine- Tegretol
    Explanation
    Carbamazepine, also known as Tegretol, is a medication used to treat epilepsy and certain types of nerve pain. It is known to have potential side effects on the blood, such as causing a decrease in white blood cell count. Therefore, it is important to check a complete blood count (CBC) before starting treatment with Carbamazepine and regularly monitor it during the course of treatment to ensure that the blood cell counts remain within normal range. This helps to identify any potential adverse effects on the blood and allows for appropriate management if needed.

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  • 21. 

    A 70 year old male comes to your office complaining of nose bleeds that keep occurring. The pt has a hx of absence seizures and says they take valproate for treatment. What should you test?

    • Check anti platelet antibodies

    • Ask the pt if they use aspirin

    • Do a CBC with differential

    • Do a blood SMEAR 

    Correct Answer
    A. Check anti platelet antibodies
    Explanation
    This drug induces thrombocytopenia. Aspirin does increase the free drug in serum and would also be a cause however checking anti-platelet antibodies would give answer as to why nose bleeds

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  • 22. 

    Which drug is narrow spectrum for treating seizures?

    • Ethosuximide

    • Topiramate- topamax

    • Lamotrigine- lamictal

    • Gabapentin and pregablin

    Correct Answer
    A. Ethosuximide
    Explanation
    Ethosuximide is a narrow-spectrum drug for treating seizures. This means that it specifically targets and treats certain types of seizures, such as absence seizures, without affecting other types of seizures. Unlike broad-spectrum drugs, which are effective against a wide range of seizure types, ethosuximide is more selective in its action, making it a suitable choice for patients with specific seizure disorders.

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  • 23. 

    Which narrow spectrum drug suggests you should you check CBC at start and regularly?

    • Ethosuximide- zarontin

    • Topiramate- topamax

    • Lamotrigine- lamictal

    • Gabapentin and pregablin

    Correct Answer
    A. Ethosuximide- zarontin
    Explanation
    Ethosuximide (Zarontin) is a narrow spectrum drug used to treat absence seizures. It is important to check complete blood count (CBC) at the start of treatment and regularly thereafter because ethosuximide can cause rare but serious blood disorders, such as leukopenia (low white blood cell count) and agranulocytosis (severe decrease in white blood cells). Regular monitoring of CBC helps to detect any abnormalities early and ensure the safety and effectiveness of the treatment.

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  • 24. 

    The time to achieve steady state for higher level of the drug is 4-6 weeks, which drug is it?

    • Phenytoin

    • Phenobarb

    • Gabapentin

    • Lyrica

    Correct Answer
    A. Phenytoin
    Explanation
    Phenytoin is the correct answer because it takes 4-6 weeks to achieve steady state for higher levels of the drug. This means that it takes a significant amount of time for the drug to reach a consistent level in the body, which is a characteristic of phenytoin.

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  • 25. 

    Which drug causes a hypersensitivity skin rash in kids which can be fatal in 1-2%?

    • Lamotrigine- lamictal

    • Topiramate- topamax

    • Valproic acid and valproate

    • Ethosuximide- zarontin

    Correct Answer
    A. Lamotrigine- lamictal
    Explanation
    Lamotrigine, also known as Lamictal, is the drug that can cause a hypersensitivity skin rash in children, which can be fatal in 1-2% of cases.

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  • 26. 

    Which drug do you use in bipolar disease?

    • Lamotrigine- lamictal

    • Topiramate- Topamax

    • Valproic acid and valproate

    • Ethosuximide- zarontin

    Correct Answer
    A. Lamotrigine- lamictal
    Explanation
    Lamotrigine, also known as Lamictal, is used in the treatment of bipolar disorder. It is an anticonvulsant medication that helps stabilize mood and prevent episodes of mania and depression. Lamotrigine is considered a first-line treatment for bipolar disorder, as it has shown effectiveness in reducing symptoms and preventing relapses. It works by regulating the levels of certain neurotransmitters in the brain, which helps to balance mood and prevent mood swings. Therefore, Lamotrigine is the drug of choice for bipolar disease.

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  • 27. 

    Phenytoin side effects include

    • Nystagmus

    • Diplopia

    • Gingival hyperplasia

    • Hirsutism

    • Folic acid

    • Folic acid

    • Folic acid

    • Vitamin d metabolism interference--> osteomalacia

    • Vitamin d metabolism interference--> osteomalacia

    • Vitamin d metabolism interference--> osteomalacia

    Correct Answer(s)
    A. Nystagmus
    A. Diplopia
    A. Gingival hyperplasia
    A. Hirsutism
    A. Folic acid
    A. Folic acid
    A. Folic acid
    A. Vitamin d metabolism interference--> osteomalacia
    A. Vitamin d metabolism interference--> osteomalacia
    A. Vitamin d metabolism interference--> osteomalacia
    Explanation
    The given answer lists the side effects of phenytoin, which include nystagmus (involuntary eye movement), diplopia (double vision), gingival hyperplasia (overgrowth of the gums), hirsutism (excessive hair growth), folic acid deficiency, and interference with vitamin D metabolism leading to osteomalacia (softening of the bones).

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  • 28. 

    Which drug has a narrow therapeutic window?

    • Phenytoin

    • Carbamazepine- tegretol

    • Phenobarbitol

    • Lamotrigine- lamictal

    Correct Answer
    A. Phenytoin
    Explanation
    Phenytoin is the correct answer because it has a narrow therapeutic window. This means that the dosage range between the minimum effective dose and the toxic dose is relatively small. It is important to closely monitor the blood levels of phenytoin to ensure that it remains within the therapeutic range and to avoid toxicity.

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  • 29. 

    Which causes birth defects?

    • Topiramate- topamax

    • Ethosuximide- zarontin

    • Phenobarbitol

    • Gabapentin and pregablin

    Correct Answer
    A. Topiramate- topamax
    Explanation
    Topiramate, also known as Topamax, is known to have teratogenic effects, meaning it can cause birth defects. This medication is commonly used to treat epilepsy and migraines, but it has been associated with an increased risk of cleft lip and/or palate in infants when taken during pregnancy. It is important for women of childbearing age to discuss alternative treatment options with their healthcare provider if they are planning to become pregnant or are already pregnant.

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  • 30. 

    Which drug does aspirin increase the effects of?

    • Depakote + depakene

    • Topiramate 

    • Gabapentin + pregablin

    • Phenobarbitol

    Correct Answer
    A. Depakote + depakene
    Explanation
    This is valproic acid + valproate

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  • 31. 

    Generalized seizures are

    • Tonic clonic

    • Grand mal

    • Petit mal

    • Absence

    • Focal aware

    • Focal impaired awareness

    • Simple partial

    • Complex partial

    Correct Answer(s)
    A. Tonic clonic
    A. Grand mal
    A. Petit mal
    A. Absence
    Explanation
    The given answer includes different types of generalized seizures. Tonic-clonic seizures, also known as grand mal seizures, are characterized by a loss of consciousness, muscle stiffness, and convulsions. Petit mal seizures, also known as absence seizures, are brief episodes of staring or absence of awareness. Therefore, the answer accurately lists tonic-clonic, grand mal, petit mal, and absence seizures as types of generalized seizures.

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  • 32. 

    Which drugs are used for partial and general seizures?

    • Phenytoin

    • Carbamazepine- tegretol

    • Gabapentin and pregablin

    • Topiramate- topamax

    • Lamotrigine- lamictal

    Correct Answer(s)
    A. Phenytoin
    A. Carbamazepine- tegretol
    A. Gabapentin and pregablin
    A. Topiramate- topamax
    Explanation
    lamotrigine is used as a MONOTHERAPY for partial seizures

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  • Mar 30, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Mar 15, 2022
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