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MARYVILLE NURS 615 EXAM 2
QUESTIONS AND ANSWER S
Question 1: How does carbamazepine work?
CORRECT ANSWER : Works by decreasing nerve
impulses that cause seizures and pain
Question 2: How often should carbamazepine lab values
be monitored? What labs?
CORRECT ANSWER : CBC q 3-4 months
Question 3: What anti-seizure med auto induces
metabolism?
CORRECT ANSWER : Carbamazepine
Question 4: What medication decreases the production of
RBCs, WBCs, and platelets?
CORRECT ANSWER : Carbamazepine
Question 5: What is carbamazepine half-life?
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CORRECT ANSWER : Single dose: 30 hours
Multiple dose: 15 hours
Question 6: What is a great risk of seizure potential while
taking anti-seizure medications?
CORRECT ANSWER : Stopping the medication
abruptly.
Question 7: What type of medication is topiramate
(Topamax)?
CORRECT ANSWER : Anti-seizure med
Question 8: What does topiramate cause?
CORRECT ANSWER: Electrolyte imbalance --
hyperchloremic metabolic acidosis
Question 9: What are adverse effects of topiramate?
CORRECT ANSWER : Weight loss, high temperature,
and inability to sweat
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Question 10: What medication affects Lamictal?
CORRECT ANSWER : OCPs decrease the effects of this
drug, so the dose must be doubled
Question 11: Can valproate (Depakote) be used during
pregnancy?
CORRECT ANSWER : It is a known teratogen. If
needed, must be used after 1st trimester.
Question 12: What must be ruled out in patients before
starting an anti-depressant?
CORRECT ANSWER : hypothyroidism
Question 13: Anti-depressant that is to be used with
caution in cardiac patients due to behaving like class 1 anti-arrythmics?
CORRECT ANSWER : TCAs
Question 14: TCA side effects are mainly of what type?
CORRECT ANSWER : Anti-cholinergic
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Question 15: What is a first-line antidepressant in
children?
CORRECT ANSWER : fluoxetine (Prozac)
Question 16: How do you discontinue an SSRI?
CORRECT ANSWER : Taper by reducing the dose by
50% for 3-4 days
Question 17: When are MAOIs effective?
CORRECT ANSWER : In atypical depression or
Parkinson's
Question 18: Why are MAOIs reserved for last line of
treatment?
CORRECT ANSWER : Lethal drug interactions and
food interactions
Question 19: How long before starting a new
antidepressant after MAOIs?