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the mechanisms of AED action

Topic: Pathology

Created on Saturday, September 2 2006 by

Last modified on Sunday, September 17 2006.

Which of the following statements regarding the mechanisms of AED action is FALSE?

 
        A) Clonazepam reduces sodium currents.
 
        B) Primidone has a mechanism of action which is as yet not known.
 
        C) Clonazepam has a mechanism of action which is as yet not known.
 
        D) Lamotrigine causes an increase of GABA-mediated currents.
 
        E) Phenytoin causes an increase of GABA-mediated currents.
 

 


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This question was created on September 02, 2006 by .
This question was last modified on September 17, 2006.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS




A) Clonazepam reduces sodium currents.

This answer is incorrect.


The statement, "Clonazepam reduces sodium currents." is true.
Clonazepam reduces sodium currents, and causes an increase of GABA-mediated currents.  (See References)

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B) Primidone has a mechanism of action which is as yet not known.

This answer is incorrect.


The statement, "Primidone has a mechanism of action which is as yet not known." is true.
Primidone reduces sodium currents, causes an increase of GABA-mediated currents, acts as a glutamate receptor antagonist, and has a mechanism of action which is as yet not known.  (See References)

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C) Clonazepam has a mechanism of action which is as yet not known.

This answer is correct.


The statement, "Clonazepam has a mechanism of action which is as yet not known." is false.
Clonazepam reduces sodium currents, and causes an increase of GABA-mediated currents.  (See References)

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D) Lamotrigine causes an increase of GABA-mediated currents.

This answer is incorrect.


The statement, "Lamotrigine causes an increase of GABA-mediated currents." is true.
Lamotrigine reduces sodium currents, causes an increase of GABA-mediated currents, and acts as a glutamate receptor antagonist.  (See References)

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E) Phenytoin causes an increase of GABA-mediated currents.

This answer is incorrect.


The statement, "Phenytoin causes an increase of GABA-mediated currents." is true.
Phenytoin reduces sodium currents, causes an increase of GABA-mediated currents, acts as a glutamate receptor antagonist, and has a mechanism of action which is as yet not known.  (See References)

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References:

1. Browne, T.R., & Holmes, G.L. (2004). Handbook of Epilepsy, 3rd Edition. Lippincott Williams & Wilkins, Philadelphia., Leppik, I.E. (2001). Contemporary Diagnosis and Management of the Patient with Epilepsy, 5th Edition. Handbooks in Health Care, Newtown, Pennsylvania.
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pathology
the mechanisms of AED action
Question ID: 299569689
Question written by . (C) FrontalCortex.com 2006-2009, all rights reserved. Created: 09/02/2006
Modified: 09/17/2006
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