A Patient with Partial Seizures Was on Phenytoin and Having

question 3

Multiple Choice

A patient with partial seizures was on phenytoin and having frequent breakthrough seizures. You switch her to valproic acid and she becomes lethargic with ataxia. The most likely cause:

• A) The phenytoin and valproic acid had a synergistic effect
• B) Valproic acid adverse effects were taking effect
• C) The phenytoin was displaced from plasma proteins and reached toxic levels
• D) Valproic acid catalyzed conversion of phenytoin to fosphenytoin
• E) None of the above

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Definitions:

Consolidated Financial Statements

Financial statements that present the assets, liabilities, equity, income, expenses, and cash flows of a parent company and its subsidiaries as those of a single economic entity.

Entity Concept

An accounting principle that treats a business as a separate entity from its owners for financial reporting purposes.

NCI

Non-Controlling Interest, which refers to the ownership in a subsidiary not held by the parent company, represented in the equity section of the consolidated financial statements.

Liability

A financial obligation or debt owed by an individual or entity to another party that has to be paid back in the future.