Dwayne Has Recently Started on Carbamazepine to Treat Seizures

question 8

Multiple Choice

Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low carbamazepine levels include:

• A) Dwayne hasn't been taking his carbamazepine because it causes insomnia.
• B) Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance.
• C) Dwayne was not originally prescribed the correct amount of carbamazepine.
• D) Carbamazepine is probably not the right antiseizure medication for Dwayne.

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Definitions:

Crude Mortality Rate

The total number of deaths in a given population and time period divided by the total population, typically expressed per 1000 individuals.

Disease Occurrence

The frequency at which a disease appears in a population or area.

Digital Rectal Exam

A physical examination method where a healthcare provider inserts a gloved, lubricated finger into the rectum to check for abnormalities.

Biopsy-Proven

Confirmation of a disease or condition by examining a tissue sample removed from a patient's body.