Selma, Who Is Overweight, Recently Started Taking Topiramate for Seizures

question 30

Multiple Choice

Selma, who is overweight, recently started taking topiramate for seizures and at her follow-up visit you note she has lost 3 kg. The appropriate action would be:

• A) Tell her to increase her caloric intake to counter the effects of the topiramate.
• B) Consult with a neurologist, as this is not a common adverse effect of topiramate.
• C) Decrease her dose of topiramate.
• D) Reassure her that this is a normal side effect of topiramate and continue to monitor her weight.

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Definitions:

Inhibit Impulse

The psychological mechanism through which an individual restrains or controls their instincts or desires.

Goal-directed Behaviors

Represents actions that are performed with a specific outcome or goal in mind.

Immediate Reward

A benefit received directly following a certain action or behavior, which can reinforce the behavior and encourage its repetition.

Intrinsic Motivation

Intrinsic motivation is the drive to act for the enjoyment or satisfaction derived from the activity itself, rather than external rewards.