Pharmacology Quiz: Anaemia, Seizures, and Indications of Carbamazepine

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Questions and Answers

What is a potential effect on the fetus when Carbamazepine is taken during pregnancy?

  • Perinatal mortality
  • Intractable hiccups
  • Cleft palate (correct)
  • Neurohypophyseal Diabetes Insipidus

Which of the following is a common adverse effect associated with Carbamazepine when plasma levels exceed 8.5mg/L?

  • Anaphylaxis
  • Ataxia (correct)
  • Cholestasis
  • Rickets

Why is Phenobarbitone typically used as a second-line treatment for seizures in both adults and children?

  • It has no interactions with other medications
  • Due to its minimal side effects
  • Because it is highly effective in partial seizures
  • Adults find it too sedative, while children experience behavioral disturbances (correct)

What is a notable pharmacokinetic characteristic of Sodium Valproate mentioned in the text?

<p>High brain:plasma ratio (A)</p> Signup and view all the answers

Which of the following conditions is Carbamazepine NOT contraindicated in?

<p>Atrial Ventricular abnormalities (C)</p> Signup and view all the answers

Which statement accurately describes Carbamazepine's pharmacokinetics as outlined in the text?

<p>Controlled release preparations increase peak plasma concentration (A)</p> Signup and view all the answers

What is a common indication for Phenytoin usage?

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

Which factor can lead to a decrease in Phenytoin protein binding?

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

What effect does concurrent carbamazepine use have on Phenytoin metabolism?

<p>It accelerates Phenytoin metabolism (A)</p> Signup and view all the answers

Which of the following is a potential adverse effect of Phenytoin related to the skin and collagen?

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

Why is therapeutic drug monitoring crucial for patients on Phenytoin?

<p>To prevent toxicity due to its narrow therapeutic index (C)</p> Signup and view all the answers

What type of seizures is Ethosuximide primarily used to treat?

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

What is the primary route of excretion for vigabatrin?

<p>Unchanged excretion via kidneys (B)</p> Signup and view all the answers

Why does the action of vigabatrin remain prolonged?

<p>Irreversible binding to transaminase (D)</p> Signup and view all the answers

Which of the following is NOT listed as an adverse effect of vigabatrin?

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

What effect does oxcarbazepine have on sodium levels?

<p>Leads to sodium loss (D)</p> Signup and view all the answers

In which type of seizures is clonazepam indicated for long-term use?

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

What is the recommended first-line agent for status epilepticus?

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

Which drug is known for prolonging the inactivated state of Na channels and inhibiting glutamate release?

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

Which anticonvulsant can induce the metabolism of carbamazepine and phenytoin?

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

Which anticonvulsant is contraindicated in hepatic or renal impairment?

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

Which anticonvulsant has a pharmacokinetic profile with 55% oral absorption and is metabolized in the liver by glucuronidation?

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

Which anticonvulsant is known for being reserved for resistant epilepsy due to significant irreversible visual defects?

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

Which anticonvulsant can attenuate neuronal excitation by blocking Na channels and enhancing GABA mediated inhibition?

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

Which medication prolongs the inactivated state of voltage-dependent Na⁺ and Ca⁺⁺ channels?

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

Which drug enhances the effects of the inhibitory neurotransmitter GABA?

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

Which medication inhibits the effects of the excitatory neurotransmitter Glutamate by modulating NMDA receptors?

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

What is the mechanism of action of Benzodiazepines like Clonazepam and Diazepam on GABA receptors?

<p>GABA-A receptor complex activation (A)</p> Signup and view all the answers

Which drug blocks GABA-A receptor complex activity and is used to prevent seizure spread?

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

What is the main effect of GABA binding to receptor-operated chloride channels in the GABA receptor-channel complex?

<p>Hyperpolarization and suppression of discharges (C)</p> Signup and view all the answers

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