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Antiepileptic Drug Quiz

Total questions: 20

Worksheet time: 8mins

Name
Class
Date
1.

Which of the following best describes the difference between a seizure and epilepsy?




a)

A. A seizure is always accompanied by convulsions, while epilepsy is not

b)

B. A seizure is a single event; epilepsy is a condition with repeated seizures

c)

C. Epilepsy is a single event; seizures is a condition with repeated epilepsy

d)

D. Epilepsy is a type of convulsion

2.

Which one of the following statements best describes the molecular mechanism underlying the antiepileptic effects of carbamazepine and phenytoin?

a)

inhibiting low-threshold Ca2+ ion channels

b)

prolonging the inactivation of the Na+ ion channel

c)

potentiating the release of GABA by inhibiting GABA reuptake

d)

increasing the release of GABA by vesicular fusion

3.

Which antiepileptic agent gained wider therapeutic use also to treat trigeminal neuralgia and the manic phase of bipolar disorder?

a)

ethosuximide

b)

levetiracetam

c)

carbamazepine

d)

phenytoin

4.

Which one of the following agents is considered the drug of choice for initial treatment of generalized absence seizure (petit mal) in children?

a)

ethosuximide

b)

Valproic acid

c)

levetiracetam

d)

phenytoin

5.

Topiramate has which set of three mechanisms of action?

a)

increases Na+ channel inactivation, increases GABA, blocks glutamate

b)

decreases Na+ channel inactivation, decreases GABA, blocks glutamate

c)

increases Ca2+ channel inactivation, increases GABA, blocks glutamate

d)

decreases Ca2+ channel inactivation, increases GABA, blocks glutamate

6.

A 9-year-old child is having learning difficulties at school. He has brief lapses of awareness with eyelid fluttering that occur every 5-10 min. Electroencephalogram (EEG) studies reveal brief 3-Hz spike and wave discharges appearing synchronously in all leads. Which drug would be effective in this child without the disadvantages of excessive sedation or tolerance development?

a)

Clonazepam

b)

Ethosuximide

c)

Gabapentin

d)

Phenobarbital

7.

Which drug used in management of seizure disorders is most likely to elevate the plasma concentration of other drugs administered concomitantly?

a)

Carbamazepine

b)

Clonazepam

c)

Gabapentin

d)

Valproic acid

8.

With chronic use in seizure states, the adverse effects of this drug include coarsening of facial features, hirsutism, and gingival hyperplasia.

a)

Carbamazepine

b)

Phenytoin

c)

Phenobarbital

d)

Valproic acid

9.

A pregnant woman with primary generalized tonicclonic seizures, well controlled on Phenobarbital, stops taking her antiepileptic medication 4 months into her pregnancy. Which of the following best describes her decision?

a)

Her decision is wrong but her medication needs to be changed and a newer antiepileptic drug added

b)

Her decision is correct as the risk of seizures is reduced in pregnancy

c)

Her decision is wrong because antiepileptic drugs do not increase the risk of fetal malformations

d)

Her decision is wrong, as the risk of teratogenicity was the highest in the first trimester

10.

A young male patient suffers from a seizure disorder characterised by tonic rigidity of the extremities, followed in 15–30 seconds by tremor progressing to massive jerking of the body. This clonic phase lasts for 1 or 2 minutes, leaving the patient in a stuporous state. Of the following drugs, which is most suitable for long-term management of this patient?

a)

(A) Carbamazepine

b)

(B) Clonazepam

c)

(C) Ethosuximide

d)

(D) Felbamate

11.

Which is the drug of choice for the treatment of juvenile myoclonic epilepsy in pregnancy?

a)

Phenytoin

b)

Vigabatrin

c)

Carbamazepine

d)

Levetiracetam

12.

Fetal hydantoin syndrome is seen if one of the following drugs is used in pregnancy.

a)

Alcohol

b)

Ethosuximide

c)

Phenytoin

d)

Phenobarbitone

13.

The drug of choice for prevention of seizures in a patient with severe preeclampsia is:

a)

(a) Phenytoin

b)

(b) Magnesium sulphate

c)

(c) Diazepam

d)

(d) Nifedipine

14.

First-line drug that has the best efficacy to be used in absence seizures is:

a)

(a) Phenytoin

b)

(b) ethosuxide

c)

(c) Valproate

d)

(d) Carbamazepine

15.

Prolonged use of one of the following anticonvulsant drugs can produce weight loss:

a)

(a) Gabapentin

b)

(b) Oxcarbazepine

c)

(c) Topiramate

d)

(d) Valproic acid

16.

Status epilepticus is managed best with the use of which of the following drugs?

a)

(a) Intravenous diazepam

b)

(b) Intravenous phenytoin sodium

c)

(c) Intramuscular phenobarbitone

d)

(d) Rectal diazepam

17.

Raju, a 10-year-old boy, is having difficulty learning at school. He has short lapses of awareness with eyelid fluttering that occur every 5-10 minutes. EEG studies reveal brief 3 Hz spike and wave discharges appearing synchronously in all the leads. Which of the following drugs would be effective but has the disadvantage that it causes sedation and tolerance?

a)

(a) Diazepam

b)

(b) Ethosuximide

c)

(c) Clonazepam

d)

(d) Valproic acid

18.

 An antiepileptic drug ‘A’ can also be used for the treatment of post-herpetic neuralgia and pain due to diabetic neuropathy. Which of the following can be the agent ‘A’?

a)

(a) Carbamazepine

b)

(b) Gabapentin

c)

(c) Lamotrigine

d)

(d) Primidone

19.

Which of the following would you like to give to a pregnant patient to decrease the risk of neural tube defects in the offspring, if your patient is receiving antiepileptic drugs?

a)

(a) Folic acid

b)

(b) Vitamin A

c)

(c) Vitamin E

d)

(d) Pyridoxine

20.

The antiepileptic drug which does not produce enzyme induction is:

a)

(a) Phenobarbitone

b)

(b) Divalproex sodium

c)

(c) Phenytoin sodium

d)

(d) Carbamazepine