Epilepsy: management
You must score at least 70% in this module to pass. Ensure you have read ‘Epilepsy: management’ before attempting to complete the module.
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- Question 1 of 15
1. Question
What proportion of patients’ epilepsy is refractory to medication?
CorrectIncorrect - Question 2 of 15
2. Question
A patient is taking sodium valproate. Their consultant decides to add lamotrigine to their regimen. Which of the following is the most suitable approach?
CorrectIncorrect - Question 3 of 15
3. Question
Which of the following is not an indication for anti-seizure medicine (ASM) therapeutic drug monitoring?
CorrectIncorrect - Question 4 of 15
4. Question
Supplementation of which vitamin should be considered in patients taking enzyme-inducing anti-seizure medicines and valproate?
CorrectIncorrect - Question 5 of 15
5. Question
Lamotrigine has a slow dosing titration regimen to minimise the risk of which syndrome?
CorrectIncorrect - Question 6 of 15
6. Question
A woman aged 50 years is to be started on sodium valproate after a recent diagnosis of tonic-clonic epilepsy following meningitis. Which of the following is the least appropriate approach to the monitoring of her condition?
CorrectIncorrect - Question 7 of 15
7. Question
A woman aged 21 years with a mild learning disability lives independently, with support from her parents who live nearby. She is stabilised on carbamazepine for her epilepsy. In the last few months, she has started a relationship and now requires contraception. Which of the following would be the most appropriate contraceptive choice in this case?
CorrectIncorrect - Question 8 of 15
8. Question
A woman aged 25 years has been stabilised on sodium valproate 800mg twice per day and perampanel 4mg daily, after trying many other anti-seizure medicines. She is willing to use contraception to fulfil the requirements of the valproate pregnancy prevention programme. Which would be the most appropriate contraceptive choice in this case?
CorrectIncorrect - Question 9 of 15
9. Question
A man, aged 65 years, with schizophrenia is newly diagnosed with epilepsy. What would be the least suitable treatment option?
CorrectIncorrect - Question 10 of 15
10. Question
A woman, aged 35 years, is hoping to start a family in the next 6 months and is having her coil removed this month. She is taking lamotrigine 75mg twice per day, on which she is seizure-free. The most appropriate next step in her management would be to:
CorrectIncorrect - Question 11 of 15
11. Question
A boy, aged 12 years, has recently been diagnosed with juvenile myoclonic epilepsy. The most effective treatment based on the evidence for him would be:
CorrectIncorrect - Question 12 of 15
12. Question
A woman, aged 57 years, has finally been stabilised on a combination of lamotrigine and levetiracetam for focal seizures after a serious road traffic accident. She experiences considerable memory issues and struggles to remember her medication. The most effective intervention by her community pharmacist would be to:
CorrectIncorrect - Question 13 of 15
13. Question
Cannabidiol must be taken with which other drug to fulfil the National Institute for Health and Care Excellence criteria for its use in patients with hard-to-treat seizures?
CorrectIncorrect - Question 14 of 15
14. Question
Valproate is often prescribed with which other drug owing to its potentiating effects?
CorrectIncorrect - Question 15 of 15
15. Question
What is likely to be prescribed to women experiencing catamenial seizures?
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