Neurology Pharmacology Quiz
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Questions and Answers

Which medication is suitable for a patient with Parkinson's disease experiencing nausea?

  • Metoclopramide
  • Ondansetron
  • Promethazine
  • Domperidone (correct)
  • What is the maximum duration for which Domperidone can be administered?

  • Indefinitely
  • 7 days (correct)
  • 14 days
  • 5 days
  • What is the minimum weight a patient must be to safely use Domperidone?

  • 35 kg (correct)
  • 30 kg
  • 25 kg
  • 40 kg
  • Which of the following medications should not be used in patients with Parkinson's disease due to the risk of extrapyramidal side effects?

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

    What is the maximum age limit for using Metoclopramide in patients?

    <p>18 years (B)</p> Signup and view all the answers

    What is the duration of seizures classified as status epilepticus?

    <p>Longer than 5 minutes (A)</p> Signup and view all the answers

    What is the first step in managing a patient experiencing status epilepticus?

    <p>Provide resuscitation and immediate emergency treatment (B)</p> Signup and view all the answers

    What should be readily available for a patient at risk of status epilepticus?

    <p>An individualized emergency management plan (C)</p> Signup and view all the answers

    Which of the following is NOT part of the immediate treatment for status epilepticus?

    <p>Transporting the patient to the hospital (D)</p> Signup and view all the answers

    In the context of status epilepticus, what is meant by 'resuscitation'?

    <p>Initiating chest compressions if needed (C)</p> Signup and view all the answers

    What is the recommendation for patients regarding contraception during treatment?

    <p>Patients should use effective contraception during treatment. (D)</p> Signup and view all the answers

    What should patients avoid during treatment unless clearly necessary?

    <p>Use in pregnancy (A)</p> Signup and view all the answers

    Why is effective contraception recommended during treatment?

    <p>To reduce the risk of unintended pregnancy during treatment. (A)</p> Signup and view all the answers

    Which of the following statements about pregnancy and treatment is true?

    <p>Use of treatment in pregnancy is only advised if absolutely necessary. (C)</p> Signup and view all the answers

    What is a crucial precaution for patients undergoing treatment?

    <p>Use effective contraception. (A)</p> Signup and view all the answers

    What is the primary purpose of acetylcholinesterase inhibitors in treating dementia?

    <p>To inhibit the breakdown of acetylcholine (B)</p> Signup and view all the answers

    Which medication is associated with causing gastrointestinal side effects, which are reduced in its transdermal formulation?

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

    What is a potential complication of using antipsychotics in dementia treatment?

    <p>Exacerbation of Parkinson's disease symptoms (C)</p> Signup and view all the answers

    Which condition is linked to an increased risk of toxicity when using diuretics?

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

    What is typically the initial treatment approach for mild to moderate dementia?

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

    Which antibiotic type should doctors prioritize using, according to the text?

    <p>Narrow-spectrum antibiotics (B)</p> Signup and view all the answers

    What is the primary reason for avoiding broad-spectrum antibiotics when narrow-spectrum options are available?

    <p>Broad-spectrum antibiotics can lead to the development of antibiotic resistance. (C)</p> Signup and view all the answers

    Which of these conditions is NOT specifically mentioned as being increased in risk by the use of broad-spectrum antibiotics?

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

    What type of antibiotic is 'co-amoxiclav' classified as, according to the text?

    <p>Broad-spectrum (A)</p> Signup and view all the answers

    Which of the following is NOT a potential consequence of using broad-spectrum antibiotics when narrow-spectrum options are available?

    <p>Increased risk of viral infections (C)</p> Signup and view all the answers

    Which antiepileptic drug is known to cause hyponatraemia and oedema?

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

    What is a common sign of toxicity associated with Phenytoin?

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

    When should a driver with established epilepsy stop driving?

    <p>For 1 year once seizures have been established for 1 year (A)</p> Signup and view all the answers

    Which antiepileptic medication is associated with an increased risk of pancreatitis and teratogenicity during pregnancy?

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

    Which of the following drugs should be avoided in breastfeeding due to its high presence in milk?

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

    What immediate treatment option is recommended for acute phases of bipolar disorder?

    <p>Antipsychotic drugs (A)</p> Signup and view all the answers

    Which side effect is specifically associated with Lamotrigine?

    <p>Skin rash leading to Stevens-Johnson syndrome (D)</p> Signup and view all the answers

    What is the therapeutic range for Carbamazepine?

    <p>4-12 mg/L (A)</p> Signup and view all the answers

    Flashcards

    Status Epilepticus

    Seizures that last longer than 5 minutes.

    Emergency Treatment

    Immediate action taken to manage a medical emergency like Status Epilepticus.

    Individualised Emergency Management Plan

    A tailored plan for each patient detailing seizure response.

    Resuscitation in Seizures

    Life-saving measures implemented during prolonged seizures.

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    Seizure Duration Importance

    Duration of seizures indicates urgency for treatment.

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    Acetylcholinesterase Inhibitors

    Medications that prevent the breakdown of acetylcholine, enhancing its levels.

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    Donepezil

    An acetylcholinesterase inhibitor used for dementia; can cause Neuroleptic Malignant Syndrome.

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    Serotonin Syndrome

    A potentially life-threatening condition caused by excess serotonin in the brain, often due to drug interactions.

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    Memantine

    A medication used in moderate dementia that works differently than acetylcholinesterase inhibitors.

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    QT Prolongation

    A heart rhythm disorder that can lead to serious arrhythmias, often caused by certain medications.

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    Carbamazepine Toxicity

    Signs include hyponatraemia, ataxia, drowsiness, and blurred vision.

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    Phenytoin Toxicity

    Symptoms include slurred speech, confusion, and double vision.

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    General Side-effects of AEDs

    Includes hypersensitivity, skin rash, eye disorders, and respiratory depression.

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    Epilepsy Driving Rules

    Unprovoked seizure: stop driving for 6 months. Established epilepsy: stop for 1 year.

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    Epilepsy and Pregnancy

    Treatments minimize seizure risks; high risk with Sodium Valproate and Topiramate.

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    Bipolar Disorder Phases

    Characterized by extreme fluctuations between manic and depressive phases.

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    Acute Treatment for Bipolar Disorder

    Includes benzodiazepines, antipsychotics, and possibly lithium.

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    Folic Acid in Pregnancy

    Given to reduce the risk of neural tube defects during the first trimester.

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    Domperidone

    An antiemetic suitable for patients with Parkinson's as it does not cross the blood-brain barrier.

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    Metoclopramide

    An antiemetic that causes extrapyramidal side effects and should not be used in Parkinson's Disease.

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    Extrapyramidal Side Effects

    Movement disorders that can occur with certain medications affecting the nervous system.

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    Antiemetic regimens for surgery?

    Consider using Domperidone for patients with reduced risk of movement effects.

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    Broad-spectrum antibiotics

    Antibiotics effective against a wide range of bacteria.

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    Narrow-spectrum antibiotics

    Antibiotics effective against specific types of bacteria.

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    Clostridium difficile

    A bacterium that can cause severe diarrhea and intestinal issues.

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    MRSA

    Methicillin-resistant Staphylococcus aureus, a resistant bacterial infection.

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    Antibiotic resistance

    When bacteria evolve to resist the effects of medications.

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    Effective contraception

    Methods to prevent pregnancy during treatment.

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    Avoiding pregnancy

    Pregnancy should be avoided unless absolutely necessary during treatment.

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    Contraceptive continuation

    Patients should continue using contraception throughout their treatment.

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    Use in pregnancy

    Avoid the use of certain treatments during pregnancy when possible.

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    Treatment precautions

    Patients must take care when managing treatment and pregnancy risk.

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    Study Notes

    High-Weighted BNF Chapters

    • Cardiovascular
    • Nervous System
    • Endocrine System
    • Infection

    Medium-Weighted BNF Chapters

    • Genito-Urinary System
    • Gastro-Intestinal System
    • Respiratory System
    • Immune System and Malignant Disease
    • Blood and Nutrition

    Low-Weighted BNF Chapters

    • Musculoskeletal System
    • Eye
    • Ear, Nose and Oropharynx
    • Skin
    • Vaccines

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    Related Documents

    Revise Pharma Notes PDF

    Description

    Test your knowledge on pharmaceuticals relevant to neurology, specifically focusing on Parkinson's disease and status epilepticus. This quiz includes questions on medication suitability, administration limits, and treatment management protocols. It's designed for healthcare professionals looking to assess their expertise in this field.

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