Neurology

Question 1

Most common cause of status epilepticus

Answer 1

stroke

*acute reasons more likely

Question 2

What is stat epilepticus

Answer 2

sz over 5 minutes practically (but also sorta 30 minutes)

causes permanent damage

Question 3

Antibiotics that cause sz

Answer 3

aminoglycosides and fluoroquinolones

Question 4

Non-Epileptic but Organic Seizure

Answer 4

Metabolic
Drugs
EtOH withdrawal
Febrile seizure

Question 5

How do you treat status epilepticus

Answer 5

IM Midazolam 10 mg

IV lorazepam 4 mg (aka ativan)
IV diazepam 10 mg

Question 6

If benzos fail at stopping status epilepticus, what med now?

Answer 6

Fosphenytoin 20 mg/ kilo

Question 7

what two ways do pretty much all antiepileptics work by

Answer 7

Na channel block

modulate GABA

Question 8

Lamotrigine titrated for ___ time b/c of ______

Answer 8

6 week titration

most likely to cause steven johnson/ten

Question 9

What two drugs treat only focal sz

Answer 9

lacosimide- na block (SI*, arrhythmia)

Gabapentin- Ca block (Sedation*, ataxia)

Question 10

Who do you screen/ how to screen to be on carbamazepine

Answer 10

asians with HLA screening to avoid skin rxns

1st line for trigeminal neuralgia

s/e: hyponatremia (realistically) moa is na block

Question 11

Lamotrigine use

Answer 11

bi polar or sz drugs
na block

BEST IN CHILDBEARING WOMEN!!!

Question 12

Sz drugs that are also mood stabilizer

Answer 12

valproate
gabapentin
lamotrigine

Question 13

what sz drug is:

BEST IN CHILDBEARING WOMEN!!!

Answer 13

Lamotrigine

Question 14

what sz drug is most teratogenic

Answer 14

valproic acid- neural tube defects

Question 15

what is primidone

Answer 15

breaks down into phenobarbital

rx for essential tremor

Question 16

what sz drug is the most cognitive dulling

Answer 16

topomax (aka dopamax)

Question 17

valporic acid side effects

Answer 17

neural tube defects, fat, bald, and shaky

Question 18

what is the worse meningitis

Answer 18

bacterial

ceftriaxone and acyclovir prophylaxis

Question 19

what exactly does phenytoin and carbazapine do to babies

Answer 19

Fetal hydanation syndrome

mid face hypoplasia
microcephaly 
cleft lip
digital hypoplasia
hirsutism 
development delay