APEA- NEURO PHARM EXAM 2025
ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE
Patients who are taking divalproex sodium (Depakote) and
lamotrigine (Lamictal) are at higher risk for developing:
central nervous system depression.
false-positive drug screens for tetrahydrocannabinol.
hormone-related side effects.
rash, including Stevens-Johnson syndrome. Correct
Answer rash, including Stevens-Johnson syndrome.
A patient who is receiving divalproex sodium (Depakote)
reports acute abdominal pain accompanied by nausea and
vomiting. This patient should be evaluated for:
gastroesophageal reflux disease.
peptic ulcer disease.
pancreatitis.
renal calculi. Correct Answer pancreatitis.
Exercise caution before initiating pregabalin (Lyrica) in
combination with:
amitriptyline (Elavil).
enalapril (Vasotec).
fluconazole (Diflucan).
warfarin (Coumadin). Correct Answer enalapril (Vasotec).
,Which of the following medications is an N-methyl-D-
aspartate receptor antagonist for the treatment of
dementia of the Alzheimer's type?
Donepezil (Aricept)
Galantamine (Razadyne)
Memantine (Namenda)
Rivastigmine (Exelon) Correct Answer Memantine
(Namenda)
A pediatric patient who is taking valproic acid (Depakene)
may exhibit toxicity symptoms which would include:
anasarca, abdominal pain, anuria.
ataxia, irritability and somnolence.
bradycardia, edema and hallucinations.
confusion, mydriasis and shortness of breath. Correct
Answer Ataxia, irritability and somnolence.
The generic name for Depakote is:
divalproex sodium.
lamotrigine.
levetiracetam.
pregabalin. Correct Answer divalproex sodium.
The mechanism of action of pramipexole (Mirapex) is to:
decarboxylate dopamine in extracerebral tissues.
inhibit the breakdown of dopamine in the brain.
prolong and enhance the effect of levodopa.
stimulate dopamine receptors in the striatum. Correct
Answer stimulate dopamine receptors in the striatum.
, A patient receiving lamotrigine (Lamictal) for the treatment
of epilepsy would NOT need routine monitoring of:
complete blood count.
lamotrigine levels.
liver function tests.
renal function. Correct Answer lamotrigine levels.
Due to increased cholinergic activity in patients treated
with donepezil (Aricept), patients should be monitored for:
ataxia.
gastrointestinal bleeding.
tachycardia.
weight gain. Correct Answer gastrointestinal bleeding.
Carbidopa/levodopa (Sinemet) for the treatment of
Parkinson's disease is a(n):
anticholinergic.
dopaminergic agent.
dopamine agonist.
MAO-B inhibitor. Correct Answer dopaminergic agent.
Propranolol hydrochloride (Inderal) for the treatment of
migraines:
does not interact with epinephrine.
is contraindicated in patients with diabetes.
should be tapered if discontinued.
should be administered at migraine onset. Correct Answer
should be tapered if discontinued.
After initiation of 300 mg serum phenytoin (Dilantin), daily
levels should be checked at approximately:
ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE
Patients who are taking divalproex sodium (Depakote) and
lamotrigine (Lamictal) are at higher risk for developing:
central nervous system depression.
false-positive drug screens for tetrahydrocannabinol.
hormone-related side effects.
rash, including Stevens-Johnson syndrome. Correct
Answer rash, including Stevens-Johnson syndrome.
A patient who is receiving divalproex sodium (Depakote)
reports acute abdominal pain accompanied by nausea and
vomiting. This patient should be evaluated for:
gastroesophageal reflux disease.
peptic ulcer disease.
pancreatitis.
renal calculi. Correct Answer pancreatitis.
Exercise caution before initiating pregabalin (Lyrica) in
combination with:
amitriptyline (Elavil).
enalapril (Vasotec).
fluconazole (Diflucan).
warfarin (Coumadin). Correct Answer enalapril (Vasotec).
,Which of the following medications is an N-methyl-D-
aspartate receptor antagonist for the treatment of
dementia of the Alzheimer's type?
Donepezil (Aricept)
Galantamine (Razadyne)
Memantine (Namenda)
Rivastigmine (Exelon) Correct Answer Memantine
(Namenda)
A pediatric patient who is taking valproic acid (Depakene)
may exhibit toxicity symptoms which would include:
anasarca, abdominal pain, anuria.
ataxia, irritability and somnolence.
bradycardia, edema and hallucinations.
confusion, mydriasis and shortness of breath. Correct
Answer Ataxia, irritability and somnolence.
The generic name for Depakote is:
divalproex sodium.
lamotrigine.
levetiracetam.
pregabalin. Correct Answer divalproex sodium.
The mechanism of action of pramipexole (Mirapex) is to:
decarboxylate dopamine in extracerebral tissues.
inhibit the breakdown of dopamine in the brain.
prolong and enhance the effect of levodopa.
stimulate dopamine receptors in the striatum. Correct
Answer stimulate dopamine receptors in the striatum.
, A patient receiving lamotrigine (Lamictal) for the treatment
of epilepsy would NOT need routine monitoring of:
complete blood count.
lamotrigine levels.
liver function tests.
renal function. Correct Answer lamotrigine levels.
Due to increased cholinergic activity in patients treated
with donepezil (Aricept), patients should be monitored for:
ataxia.
gastrointestinal bleeding.
tachycardia.
weight gain. Correct Answer gastrointestinal bleeding.
Carbidopa/levodopa (Sinemet) for the treatment of
Parkinson's disease is a(n):
anticholinergic.
dopaminergic agent.
dopamine agonist.
MAO-B inhibitor. Correct Answer dopaminergic agent.
Propranolol hydrochloride (Inderal) for the treatment of
migraines:
does not interact with epinephrine.
is contraindicated in patients with diabetes.
should be tapered if discontinued.
should be administered at migraine onset. Correct Answer
should be tapered if discontinued.
After initiation of 300 mg serum phenytoin (Dilantin), daily
levels should be checked at approximately:
