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MARYVILLE UNIVERSITY
PHARMACOLOGY NURS - 615
EXAM 2 PRACTICE QUES TIONS
AND ANSWERS (100% PA SS)
Question 1: Carbamazepine (Tegretol) can sometimes
show subtherapeutic range due to what?
CORRECT ANSWER: Carbamazepine auto-induces
metabolism, leading to lower levels despite good compliance
Question 2: What are the black box warnings for
Carbamazepine?
CORRECT ANSWER: Dermatologic reactions 1.
Steven's Johnson 2. Toxic epidermal necrolysis
Question 3: What lab test should be ordered for patients
on Carbamazepine?
CORRECT ANSWER: CBC every 3-4 months because
it can cause decreased WBC, decreased platelets, and trouble with RBC
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Question 4: What kind of teaching needs to be done with
families of patients who have seizure disorders?
CORRECT ANSWER: Prevention is important, patient
safety is important, Do NOT abruptly stop taking medication.
Question 5: Ethosuximide (Zarontin), an anti-seizure
medication can cause what?
CORRECT ANSWER: Blood dyscrasias
Question 6: Patients taking Topiramate need to be
monitored for what electrolyte imbalance?
CORRECT ANSWER: Decreased sodium bicarb
leading to hyperchloremic metabolic acidosis
Question 7: Topiramate treats seizures and what is one
common side effect?
CORRECT ANSWER: Normal side effect is weight
loss, especially in higher dose patients
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Question 8: A child on Topiramate that wants to play
sports should monitor what?
CORRECT ANSWER: Don't get overheated.
Topiramate may affect his ability to sweat in the heat.
Question 9: What should a pregnant patient be told about
taking Valproate (Depakote)?
CORRECT ANSWER: It is a known teratogen and
category X medication. It should not be used in the first trimester, it may be restarted in second trimester.
Question 10: What patient population should tricyclic
antidepressants be used cautiously in?
CORRECT ANSWER: Heart Disease patients
Question 11: Phenelzine (Nardil) is a MAOI. What
teaching needs to be done with this medication?
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CORRECT ANSWER: He should not use serotonergic
drugs like Imitrex. Also, this class of medication interacts with yogurt, sour cream, soy sauce, etc.
Question 12: Phenelzine (Nardil) may cause what if there
is an interaction with known contraindicated foods?
CORRECT ANSWER: Hypertensive crisis
Question 13: What are the side effects of tricyclic
antidepressants?
CORRECT ANSWER: Anticholinergic type effects like
dry mouth, sedation, constipation, increased appetite, blurred vision, tinnitus, euphoria, mania
Question 14: How long does it take for SSRIs to take
effect?
CORRECT ANSWER: 2-6 weeks
Question 15: SSRIs may cause what onset of action
symptoms?