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NUR 635 Topic 3 (2026) – 200+ Questions on Epilepsy, RA, Parkinson’s, Osteoporosis, Gout & Dementia

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This NUR 635 Topic 3 (2026) exam guide contains over 200 structured and verified questions covering epilepsy management, antiepileptic drugs (AEDs), rheumatoid arthritis pharmacotherapy, Parkinson’s disease treatment, osteoporosis therapies, gout management, and dementia medications. The material begins with seizure classification (focal, generalized, unknown onset), first-line benzodiazepine use in acute seizures, broad vs narrow spectrum AEDs, serious dermatologic reactions (SJS/TEN), drug–drug interactions (e.g., valproic acid with lamotrigine), and monitoring parameters such as CBC, LFTs, ECG, and electrolyte surveillance, as outlined on pages 1–6. The guide also provides in-depth coverage of rheumatoid arthritis treatment algorithms, including methotrexate initiation within 3 months of diagnosis, folic acid supplementation, hydroxychloroquine retinopathy risk, sulfasalazine monitoring, glucocorticoid adverse effects, TNF inhibitor boxed warnings (TB reactivation), and biologic DMARD precautions. Neurologic pharmacology sections review Parkinson’s disease pathophysiology (dopamine deficiency), carbidopa/levodopa mechanisms, COMT and MAO-B inhibitors, dopamine agonists, dyskinesia management, and Beers Criteria considerations in elderly patients. Musculoskeletal content includes osteoporosis screening (BMD, T-score ≤ -2.5), FRAX scoring, bisphosphonate administration rules, raloxifene DVT risk, teriparatide osteosarcoma warning, denosumab mechanism (RANKL inhibition), glucocorticoid-induced osteoporosis management, and vitamin D toxicity symptoms. Gout management is thoroughly reviewed, including acute therapy (NSAIDs, colchicine, steroids), urate-lowering therapy targets (6 mg/dL), HLA-B*5801 screening before allopurinol in high-risk populations, xanthine oxidase inhibitors, probenecid mechanism, pegloticase indications, and monitoring labs. The final section addresses dementia types, acetylcholinesterase inhibitors, memantine (NMDA antagonist), dosing considerations, and risks of antipsychotics in elderly patients with dementia. This document may concern: – Graduate nursing students enrolled in NUR 635 – Family Nurse Practitioner (FNP) students – Adult-Gerontology NP students – Advanced pharmacology students – APRN board preparation candidates – MSN and DNP students reviewing multisystem pharmacotherapy Keywords: NUR 635 topic 3 exam 2026, epilepsy seizure classification, antiepileptic drugs AEDs, SJS TEN lamotrigine carbamazepine, valproic acid monitoring CBC LFT, rheumatoid arthritis methotrexate first line, TNF inhibitor boxed warning TB, Parkinson disease carbidopa levodopa, COMT inhibitor entacapone, MAO B inhibitor selegiline rasagiline, Beers Criteria elderly medications, osteoporosis T score minus 2.5, bisphosphonate administration upright 30 minutes, teriparatide osteosarcoma warning, denosumab RANKL inhibitor, acute gout NSAID colchicine steroid, allopurinol HLA B 5801 screening, uric acid target 6 mg dL, acetylcholinesterase inhibitors donepezil, memantine NMDA receptor antagonist, antipsychotics dementia mortality risk

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NUR 635 TOPIC 3 2026 Exam
Questions and Verified Answers
| Already Graded A+



What is epilepsy? - 🧠 ANSWER ✔✔A chronic seizure disorder

characterized by different types of seizures and medications used to treat

them.


What are antiepileptic drugs (AEDs)? - 🧠 ANSWER ✔✔Medications used to

treat seizures.

,What are the three main types of seizures based on where they start in the

brain? - 🧠 ANSWER ✔✔Focal seizures, generalized seizures, and unknown

onset seizures.


What is a focal aware seizure? - 🧠 ANSWER ✔✔A focal seizure that results

in no loss of consciousness.


What is a focal seizure with impaired awareness? - 🧠 ANSWER ✔✔A focal

seizure that results in loss of consciousness.

What are motor symptoms in generalized seizures? - 🧠 ANSWER

✔✔Sustained rhythmical jerking movements (clonic), limp or weak muscles

(atonic), muscle twitching (myoclonus), and rigid or tense muscles (tonic).


What happens at 2 minutes during a seizure? - 🧠 ANSWER ✔✔Most

seizures last less than two minutes and do not require medical intervention.


What is the initial treatment for seizures? - 🧠 ANSWER ✔✔A

benzodiazepine injection.


What is the first-line treatment for epilepsy? - 🧠 ANSWER ✔✔Antiepileptic

drugs (AEDs) are the first-line treatment for epilepsy.

, Why should AEDs not be stopped abruptly? - 🧠 ANSWER ✔✔Stopping

AEDs abruptly can lead to seizures.


Name some broad-spectrum AEDs. - 🧠 ANSWER ✔✔Lamotrigine,

levetiracetam, topiramate, and valproic acid.


Name some narrow-spectrum AEDs. - 🧠 ANSWER ✔✔Carbamazepine,

lacosamide, oxcarbazepine, phenobarbital, phenytoin, and fosphenytoin.

What are some common side effects of carbamazepine, oxcarbazepine,

and eslicarbazepine? - 🧠 ANSWER ✔✔Hyponatremia, rash, and enzyme

induction.

What are the side effects associated with phenobarbital and primidone? - 🧠

ANSWER ✔✔Sedation, dependence/tolerance/overdose risk, and enzyme

induction.

What are the side effects of gabapentin and pregabalin? - 🧠 ANSWER

✔✔Weight gain, peripheral edema, and mild euphoria.


What are the side effects of topiramate and zonisamide? - 🧠 ANSWER

✔✔Weight loss, metabolic acidosis, nephrolithiasis, and

oligohidrosis/hyperthermia in children.


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