Neuro Pharm

Question 1

Preferred meds for FOCAL seizures either simple (no loss of consciousness +motor , sensory symptoms) OR
Complex (Loss of concioius + postictial = lip smacking)

Answer 1

Carbamazepine
Gabapentine
Phenobarbital
Phenytoin

Question 2

Seizure with loss of consciousness + postictal state (lip smaking) and diffuse muscles contraction of limbs followed by rhythmic jerking

Answer 2

Generalize Tonic Clonic seizure: use Lamotragine, Levetiracetam, Topiramate or Valproic Acid

Question 3

Seizure with no loss of consciousness nor postiictal state but brief and jerky motions

Answer 3

Myoclonic

tx: Lamotrigine, Levetiracetam, Topiramate, Valproic acid

Question 4

Seizure with blank stare, no post ictal state and may have automatixms

Answer 4

Absence seizure: use Ethosuximide

Question 5

Dopamine antagonist that can tx Tourettes syndrome

Answer 5

Fluphenazine

Question 6

What Benzo can be used to acutely tx prolongued seizure such as status eplepticus

Answer 6

Diazepam

Question 7

Non selective B-Blocker used to tx essential tremor (tremor of both hands) that worsens during fine motor activity.

Answer 7

Propranolol

Question 8

A GABA-B agonist used to tx muscle spasticity with increaes tone and spasms

Answer 8

Baclofen