An 8-year-old child is being seen in the clinic. The mother ...

[yoroshambo]

An 8-year-old child is being seen in the clinic. The mother states he suffers from bed-wetting at least four times per week. What medication is effective in treating enuresis in children?
 
  A) Amitriptyline (Elavil)
  B) Duloxetine (Cymbalta)
  C) Imipramine (Tofranil)
  D) Venlafaxine (Effexor)

Question 2

A 77-year-old male patient with Parkinson's disease will soon begin treatment with levodopa, carbidopa, and entacapone (Stalevo). Prior to starting this course of treatment, the nurse must ensure that
 
  A) the patient has committed to having weekly blood work drawn for the next 2 months.
  B) the patient has completed an anticholinergic challenge in a clinical setting.
  C) the patient's existing dose of levodopa has been reduced.
  D) the patient has a prognosis for complete recovery from Parkinson's disease.

[momo1250]

Answer to Question 1

C
Feedback:
Imipramine (Tofranil) is approved for treating childhood enuresis in children older than 6 years. Amitriptyline (Elavil) is a tricyclic antidepressant but is not used for childhood enuresis. Duloxetine (Cymbalta) is a serotoninnorepineph rine reuptake inhibitor that is used for depression. Venlafaxine (Effexor) is a serotoninnorepineph rine reuptake inhibitor that is used for depression.

Answer to Question 2

B
Feedback:
Patients whose medication regime is being changed to Stalevo should be administered levodopa and the adjunctive entacapone. The levodopa dose should be adjusted prior to the conversion to Stalevo therapy. Weekly blood work and the completion of an anticholinergic challenge are not necessary. Complete recovery from Parkinson's disease is not a realistic goal.