Antiepileptic Medications Quiz

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Questions and Answers

What is a common way to put the brakes on excitation of neurons?

  • Block GABA transporters
  • Block GABA-transaminase
  • Promote GABA-A activation
  • Block excitatory glutamate receptor signaling (correct)

What is a rare but serious adverse effect associated with voltage-gated Na+ channel blockers?

  • Muscle cramps
  • Delayed hypersensitivity (correct)
  • Headache
  • Constipation

What is the mechanism of action of lamotrigine?

  • Promote GABA-A activation
  • Reduce synaptic vesicle machinery
  • Facilitate transition to inactivated state of VGSC (correct)
  • Block voltage-gated Ca+ channels

Which enzyme is responsible for the metabolism of phenytoin?

<p>2C9 and 2C19 (D)</p> Signup and view all the answers

What is a characteristic feature of phenytoin (Dilantin) due to the benzene rings?

<p>Acidic pH (D)</p> Signup and view all the answers

What is the main mechanism of action of fosphenytoin?

<p>Blockade of voltage-gated sodium channels (D)</p> Signup and view all the answers

Which enzyme metabolizes fosphenytoin?

<p>3A and 2C19 (B)</p> Signup and view all the answers

What is the Black Box Warning associated with phenytoin (Dilantin) and fosphenytoin?

<p>CV risk with rapid infusion (B)</p> Signup and view all the answers

Which of the following is NOT a use of carbamazepine (Tegretol)?

<p>Anxiety disorder (A)</p> Signup and view all the answers

What enzyme metabolizes carbamazepine (Tegretol)?

<p>3A4 (A)</p> Signup and view all the answers

What is the active metabolite of oxcarbazepine (Trileptal)?

<p>Lizcarbazepine (B)</p> Signup and view all the answers

What is the mechanism of action of gabapentin enacarbil?

<p>Binds to alpha-2 delta voltage-gated Ca+2 calcium channel (B)</p> Signup and view all the answers

Which condition is NOT among the uses of pregabalin (Lyrica)?

<p>Hypertension (B)</p> Signup and view all the answers

What is the primary mechanism of action of levetiracetam (Keppra) and brivaracetam?

<p>SV2A binding and disruption of exocytosis (C)</p> Signup and view all the answers

What is the enantiomer configuration of Pregabalin (Lyrica)?

<p>S (C)</p> Signup and view all the answers

Which neurotransmitter receptor is antagonized by topiramate (Topamax)?

<p>Glutamate receptors (AMPA, KA-R) (B)</p> Signup and view all the answers

What is the prodrug of eslicarbazepine?

<p>Eslicarbazepine acetate (A)</p> Signup and view all the answers

What is the MOA of cenobamate (Xcopri)?

<p>Blocks voltage-gated Na+ channels and GABA-A PAM (B)</p> Signup and view all the answers

What are the 2 active metabolites of primidone?

<p>Phenobarbital, PEMA (D)</p> Signup and view all the answers

How is cenobamate (Xcopri) metabolized?

<p>Glucoronidation and multiple CYPs (C)</p> Signup and view all the answers

What is the main concern associated with the use of perampanel (Fycompa)?

<p>Psychiatric and behavioral reactions (C)</p> Signup and view all the answers

Which enzyme is responsible for metabolizing felbamate (Felbatol)?

<p>3A4 (C)</p> Signup and view all the answers

What is the mechanism of action of tiagabine (Gabitril) in treating seizures?

<p>Inhibiting GABA transporter GAT-1 (C)</p> Signup and view all the answers

Which adverse effect is specifically associated with vigabatrin (Sabril) use?

<p>Permanent vision loss (A)</p> Signup and view all the answers

What is the primary mechanism of action of barbiturates in managing seizures?

<p>Potentiation of GABA-A receptors (D)</p> Signup and view all the answers

Which of the following is NOT a benzodiazepine used for seizures?

<p>Epidiolex (D)</p> Signup and view all the answers

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