MARYVILLE UNIVERSITY
PHAMACOLOGY NURS-615 EXAM 2
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
i. How does carbamazepine work? - CORRECT-ANSWERSWorks by decreasing nerve
impulses that cause seizures and pain
ii. How often should carbamazepine lab values be monitored? What labs? - CORRECT-
ANSWERSCBC q 3-4 months
iii. What anti-seizure med auto induces metabolism? - CORRECT-
ANSWERSCarbamazepine
iv. What medication decreases the production of RBCs, WBCs, and platelets? - CORRECT-
ANSWERSCarbamazepine
v. What is carbamazepine half-life? - CORRECT-ANSWERSSingle dose: 30 hours
vi. Multiple dose: 15 hours
vii. What is a great risk of seizure potential while taking anti-seizure medications? -
CORRECT-ANSWERSStopping the medication abruptly.
viii. What type of medication is topiramate (Topamax)? - CORRECT-ANSWERSAnti-seizure
med
ix. What does topiramate cause? - CORRECT-ANSWERSElectrolyte imbalance --
hyperchloremic metabolic acidosis
x. What are adverse effects of topiramate? - CORRECT-ANSWERSWeight loss, high
temperature, and inability to sweat
, xi. What medication affects Lamictal? - CORRECT-ANSWERSOCPs decrease the effects
of this drug, so the dose must be doubled
xii. Can valproate (Depakote) be used during pregnancy? - CORRECT-ANSWERSIt is a
known teratogen. If needed, must be used after 1st trimester.
xiii. What must be ruled out in patients before starting an anti-depressant? - CORRECT-
ANSWERShypothyroidism
xiv. Anti-depressant that is to be used with caution in cardiac patients due to behaving like
class 1 anti-arrythmics? - CORRECT-ANSWERSTCAs
xv. TCA side effects are mainly of what type? - CORRECT-ANSWERSAnti-cholinergic
xvi. What is a first-line antidepressant in children? - CORRECT-ANSWERSfluoxetine
(Prozac)
xvii. How do you discontinue an SSRI? - CORRECT-ANSWERSTaper by reducing the dose
by 50% for 3-4 days
xviii. When are MAOIs effective? - CORRECT-ANSWERSIn atypical depression or
Parkinson's
xix. Why are MAOIs reserved for last line of treatment? - CORRECT-ANSWERSLethal drug
interactions and food interactions
xx. How long before starting a new antidepressant after MAOIs? - CORRECT-ANSWERSAt
least 2 weeks to clear it from system
xxi. What are high tyramine foods and when are they contraindicated? - CORRECT-
ANSWERSFermented foods; aged cheese, wine alcohol
xxii. Contraindicated with MAOI use
PHAMACOLOGY NURS-615 EXAM 2
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
i. How does carbamazepine work? - CORRECT-ANSWERSWorks by decreasing nerve
impulses that cause seizures and pain
ii. How often should carbamazepine lab values be monitored? What labs? - CORRECT-
ANSWERSCBC q 3-4 months
iii. What anti-seizure med auto induces metabolism? - CORRECT-
ANSWERSCarbamazepine
iv. What medication decreases the production of RBCs, WBCs, and platelets? - CORRECT-
ANSWERSCarbamazepine
v. What is carbamazepine half-life? - CORRECT-ANSWERSSingle dose: 30 hours
vi. Multiple dose: 15 hours
vii. What is a great risk of seizure potential while taking anti-seizure medications? -
CORRECT-ANSWERSStopping the medication abruptly.
viii. What type of medication is topiramate (Topamax)? - CORRECT-ANSWERSAnti-seizure
med
ix. What does topiramate cause? - CORRECT-ANSWERSElectrolyte imbalance --
hyperchloremic metabolic acidosis
x. What are adverse effects of topiramate? - CORRECT-ANSWERSWeight loss, high
temperature, and inability to sweat
, xi. What medication affects Lamictal? - CORRECT-ANSWERSOCPs decrease the effects
of this drug, so the dose must be doubled
xii. Can valproate (Depakote) be used during pregnancy? - CORRECT-ANSWERSIt is a
known teratogen. If needed, must be used after 1st trimester.
xiii. What must be ruled out in patients before starting an anti-depressant? - CORRECT-
ANSWERShypothyroidism
xiv. Anti-depressant that is to be used with caution in cardiac patients due to behaving like
class 1 anti-arrythmics? - CORRECT-ANSWERSTCAs
xv. TCA side effects are mainly of what type? - CORRECT-ANSWERSAnti-cholinergic
xvi. What is a first-line antidepressant in children? - CORRECT-ANSWERSfluoxetine
(Prozac)
xvii. How do you discontinue an SSRI? - CORRECT-ANSWERSTaper by reducing the dose
by 50% for 3-4 days
xviii. When are MAOIs effective? - CORRECT-ANSWERSIn atypical depression or
Parkinson's
xix. Why are MAOIs reserved for last line of treatment? - CORRECT-ANSWERSLethal drug
interactions and food interactions
xx. How long before starting a new antidepressant after MAOIs? - CORRECT-ANSWERSAt
least 2 weeks to clear it from system
xxi. What are high tyramine foods and when are they contraindicated? - CORRECT-
ANSWERSFermented foods; aged cheese, wine alcohol
xxii. Contraindicated with MAOI use
