0

Psychopharmacology of Epilepsy and Seizure Disorders

Description: This quiz covers the psychopharmacology of epilepsy and seizure disorders, including the mechanisms of action, adverse effects, and clinical uses of various antiepileptic drugs.
Number of Questions: 15
Created by:
Tags: psychopharmacology epilepsy seizure disorders
Attempted 0/15 Correct 0 Score 0

Which of the following is the primary mechanism of action of phenytoin in the treatment of epilepsy?

  1. Inhibition of voltage-gated sodium channels

  2. Enhancement of GABAergic neurotransmission

  3. Blockade of NMDA receptors

  4. Stimulation of dopamine release


Correct Option: A
Explanation:

Phenytoin primarily exerts its anticonvulsant effects by inhibiting voltage-gated sodium channels in neurons, thereby stabilizing neuronal membranes and reducing the likelihood of seizure generation.

Which of the following antiepileptic drugs is commonly used as an adjunctive therapy in the treatment of refractory epilepsy?

  1. Lamotrigine

  2. Valproate

  3. Levetiracetam

  4. Carbamazepine


Correct Option: A
Explanation:

Lamotrigine is often used as an adjunctive therapy in refractory epilepsy due to its broad-spectrum anticonvulsant activity and relatively favorable tolerability profile.

What is the primary metabolite of valproate?

  1. Glucuronide conjugate

  2. Sulfate conjugate

  3. Hydroxylated metabolite

  4. Demethylated metabolite


Correct Option: A
Explanation:

Valproate is primarily metabolized in the liver to form a glucuronide conjugate, which is then excreted in the urine.

Which of the following antiepileptic drugs is associated with the highest risk of hepatotoxicity?

  1. Phenytoin

  2. Valproate

  3. Carbamazepine

  4. Levetiracetam


Correct Option: B
Explanation:

Valproate is associated with the highest risk of hepatotoxicity among the commonly used antiepileptic drugs, particularly in children under the age of 2 years.

Which of the following antiepileptic drugs is commonly used in the treatment of absence seizures?

  1. Phenytoin

  2. Ethosuximide

  3. Carbamazepine

  4. Lamotrigine


Correct Option: B
Explanation:

Ethosuximide is the drug of choice for the treatment of absence seizures due to its high efficacy and relatively low risk of adverse effects.

Which of the following antiepileptic drugs is associated with the highest risk of teratogenicity?

  1. Phenytoin

  2. Valproate

  3. Carbamazepine

  4. Levetiracetam


Correct Option: B
Explanation:

Valproate is associated with the highest risk of teratogenicity among the commonly used antiepileptic drugs, particularly in the first trimester of pregnancy.

Which of the following antiepileptic drugs is commonly used in the treatment of tonic-clonic seizures?

  1. Phenytoin

  2. Ethosuximide

  3. Carbamazepine

  4. Lamotrigine


Correct Option: A
Explanation:

Phenytoin is a broad-spectrum antiepileptic drug that is commonly used in the treatment of tonic-clonic seizures, as well as other types of generalized and partial seizures.

Which of the following antiepileptic drugs is associated with the highest risk of neurotoxicity?

  1. Phenytoin

  2. Valproate

  3. Carbamazepine

  4. Levetiracetam


Correct Option: A
Explanation:

Phenytoin is associated with the highest risk of neurotoxicity among the commonly used antiepileptic drugs, particularly at high doses.

Which of the following antiepileptic drugs is commonly used in the treatment of myoclonic seizures?

  1. Phenytoin

  2. Ethosuximide

  3. Carbamazepine

  4. Valproate


Correct Option: D
Explanation:

Valproate is commonly used in the treatment of myoclonic seizures due to its broad-spectrum anticonvulsant activity and relatively favorable tolerability profile.

Which of the following antiepileptic drugs is associated with the highest risk of skin rash?

  1. Phenytoin

  2. Valproate

  3. Carbamazepine

  4. Lamotrigine


Correct Option: C
Explanation:

Carbamazepine is associated with the highest risk of skin rash among the commonly used antiepileptic drugs, particularly in children.

Which of the following antiepileptic drugs is commonly used in the treatment of infantile spasms?

  1. Phenytoin

  2. Ethosuximide

  3. Vigabatrin

  4. Lamotrigine


Correct Option: C
Explanation:

Vigabatrin is commonly used in the treatment of infantile spasms due to its high efficacy and relatively low risk of adverse effects.

Which of the following antiepileptic drugs is associated with the highest risk of pancreatitis?

  1. Phenytoin

  2. Valproate

  3. Carbamazepine

  4. Levetiracetam


Correct Option: B
Explanation:

Valproate is associated with the highest risk of pancreatitis among the commonly used antiepileptic drugs, particularly in children under the age of 2 years.

Which of the following antiepileptic drugs is commonly used in the treatment of Lennox-Gastaut syndrome?

  1. Phenytoin

  2. Ethosuximide

  3. Valproate

  4. Lamotrigine


Correct Option: C
Explanation:

Valproate is commonly used in the treatment of Lennox-Gastaut syndrome due to its broad-spectrum anticonvulsant activity and relatively favorable tolerability profile.

Which of the following antiepileptic drugs is associated with the highest risk of blood dyscrasias?

  1. Phenytoin

  2. Valproate

  3. Carbamazepine

  4. Levetiracetam


Correct Option: C
Explanation:

Carbamazepine is associated with the highest risk of blood dyscrasias among the commonly used antiepileptic drugs, particularly in children.

Which of the following antiepileptic drugs is commonly used in the treatment of Dravet syndrome?

  1. Phenytoin

  2. Ethosuximide

  3. Valproate

  4. Stiripentol


Correct Option: D
Explanation:

Stiripentol is commonly used in the treatment of Dravet syndrome due to its high efficacy in reducing seizure frequency and severity.

- Hide questions