Shadow Knowledge

Question 1

Keppra

Answer 1

Antiepileptic
used for myoclonic seizures
antiepileptic mechanism unknown: may inhibit voltage dependent N type calcium channels, bind to synaptic proteins that modulate neurotransmitter release, displacement of negative modulators may facilitate GABA-ergic inhibitory transmission

Question 2

Dilantin

Answer 2

Anticonvulsant

promotes Na efflux or decreases Na influx from membranes in motor cortex neurons, stabilizes neuronal membrane

Question 3

Superficial Venous Thrombosis

Answer 3

less likely to migrate, will be reabsorbed

Tx - aspirin and warm compress

Question 4

Tx for acute exacerbation of asthma

Answer 4

systemic glucocorticoids
especially when the exacerbations are refractory to intensive bronchodilator therapy because the persistent airflow obstruction is likely due to airway inflammation and intraluminal mucus plugging