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Ans;4
Ans; 1
Ans;4
5. Which drug requires a strict monitoring of serum levels every 3 months and is
likely to cause sodium imbalances
1. Valproic acid
2. Clomipramine
3. Lithium
4. Lamotrigine
Ans; 3
Ans;4
1.Carbamezipine,pregablin
2.Gabapentin,topiramate
3.Lamotrigine,clonazepam
Ans;2
1.Less GI symptoms
2.Less bleeding disorders
3.Less potential SE and better tolerated
4.Better response in severely ill
Ans;3
10. Drug used in children under 18 years of age for management of depressive
illness is
1.Fluoxetine
2.Mitrazapine
3.Paroxetine
4.Venlafaxine
Ans;1
Ans;2
12. Which of the following is used as adjuvant in partial seizures not controlled
with any other
1. Gabapentin
2. Pregablin
3. Lamotrigine
3. Topiramate
Ans; 1
Ans; 1
Ans: 3
16. If the seizures are to be effectively controlled without excessive sedation, the
most appropriate drug is
1. Acctazolamide
2. Carbamazepine
3. Clonazepam
4. Valproic acid
5. Vigabatrin
Ans: 4
17. In the management of this patient with the most appropriate drug, which one of
the following considerations is LEAST important?
Ans: 3
18. A young male patient suffers from a seizure disorder characterized 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 a minute or two, leaving the
patient in a stuporouts state. The anti-seizure drug of choice for chronic
management of this patient is
1. Clonazepam
2. Ethosuximide
3. Fosphenytoin
4. Lamotrigine
5. Valproic acid
Ans: 5
19. A- year-old women presents with symptoms of major depression that are
unrelated to ageneral medical condition, bereavement, or substance abuse. She is
not currently taking any prescription or over-the counter medications. Drug
treatment is to be initiated with a selective serotonin reuptake inhibitor. In your
information to the patient, you would NOT tell her that
Ans: 4
20.Regarding the clinical use of antidepressant drugs, which one of the following
statements is false?
Ans: 3
Item 21-22. A patient under treatment for a major depressive disorder is brought to the
emergency room after ingesting 30 times the normal daily therapcutic dose of
amitriptyline.
21. Of the possible signs and symptoms in this patient, which one of the following is
not likely to be observed?
1. Acidosis
2. Coma and shock
3. Hot dry skin
4. Hypotension
5. Pinpoint pupils
Ans: 5
Ans: 2
23. A recently bereaved 74- year old female patient was treated with a
benzodiazepine for several weeks after the death of her husband, but she did not like
the daytime sedation it causes. She has no major medical problems but appears
rather infirm for her age and has poor eyesight. Because her depressive symptoms
are not abating, you decide on a trial of an antidepressant medication. When one of
the following drugs would be the most appropriate choice for this patient?
1. Amitriptyline
2. Mirtazapine
3. Paroxetine
4. Phenelzine
5. Trazodone
Ans: 3
24. Which one of the following drugs is most likely to be f value in obsessive-
compulsive disorders (OCD)?
1. Amitriptyline
2. Bupropion
3. Clomipramine
4. Desipramine
5. Mirtazapine
Ans: 3
25. Established clinical uses of this drug include enuresis and chronic pain.
1. Bupropion
2. Fluvoxamine
3. Impipramine
4. Phenelzine
5. Selegiline
Ans: 3
26. A 56- year- old man, very overweight, complains of not sleeping well and feeling
tired during the day. He tells his wife is the cause of the problem because she wakes
him up several times during the night due to his loud snores. This appears to be a
breathing-related sleep disorder, so you will probably write a prescription for
1. Clorazepate
2. Flurazepam
3. Secobarbital
4. Triazolam
5. None of the above
Ans: 5
27. Regarding the characteristic properties of SSRIs prescribed in a young man, the
physician should inform the patient to anticipate
Ans: 3
28. A 28-year-old woman has sporadic attacks of intense anxiety, with marked
physical symptoms including hyperventilation, tachyeardia, and sweating. If she is
diagnosed as suffering form a panic disorder, the most appropriate drug to use is
1. Alprazolam
2. Chloral hydrate
3. Flurazepam
4. Meprobamate
5. Propranolol
Ans: 1
Ans: 2
30. A 9-year-old child is having learning difficulties at school. He has brief
lapses of awareness with eyelid fluttering that occur every 5-.0 minutes. EEC
studies reveal brief 3-Hz spike and wave discharges appearing synchronously
in all leads. Which one of the following drugs would be effective in this child but
has the disadvantages of causing sedation and tolerance
1. Clonazcpam
2. Diazcpam
3. Ethosuximide
4. Phcnobarbital
5. Valproicacid
Ans: 1