2017 PHARM-615 Pharmacology Practice Exam With Answers (88 Solved Questions)

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615-PHARM EXAM 2 SUPER-DUPER Q&A 20171.Henry has recently started on carbamazepine to treat seizures. He comes to see you andyou note that while his carbamazepine levels had been in the therapeutic range, theyare now low. The possible cause for the low carbamazepine levels include:Carbamazepine auto-induces metabolism, leading to lower levels despite goodcompliance.2.Carbamazepine has a Black Box Warning due to life-threatening:Dermatologic reaction, including Steven’s Johnson and toxic epidermal necrolysis3.Long-term monitoring of patients who are taking carbamazepine includes:Complete blood count every 3 to 4 months (can be a decrease in WBC & platelets)4.Six-year-old Felisha has recently been started on ethosuximide (Zarontin) for seizures.She should be monitored for:Blood dyscrasias, which are uncommon but possible5.What should families be taught regarding seizure activity monitoring?Prevention of seizures, patient safety, quality of life issues, reach acceptable goals fortreatment, & do not abruptly stop taking seizure meds6.What electrolyte imbalance is associated with topiramate?Decreased sodium bicarb leading to hyperchloremic metabolic acidosis7.Lisa, who is overweight, recently started taking topiramate for seizures and at her follow-up visit you note she has lost 4 kg. The appropriate action would be:Reassure her that this is a normal side effect of topiramate and continue to monitor herweight.8.Travis’s seizures are well controlled on topiramate and he wants to start playing baseball.Education for Travis regarding his topiramate includes:He should monitor his temperature and ability to sweat in the heat while playing9.Brandy is taking valproate (Depakote) for seizures and would like to get pregnant. Whatadvice would you give her?

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