Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which of the following drugs is NOT preferred for simple and complex partial seizures?

1. Clonazepam

2. Carbamazepine

3. Phenytoin

4. Valproic acid

The correct answer is: Clonazepam

Clonazepam is not preferred for the management of simple and complex partial seizures because it is primarily used for generalized seizures and has a higher potential for tolerance and dependence when used long-term. In contrast, carbamazepine, phenytoin, and valproic acid are all well-established first-line medications for the treatment of partial seizures. Carbamazepine is particularly effective for both simple and complex partial seizures and is often the drug of choice for these conditions due to its favorable therapeutic profile and efficacy. Phenytoin, albeit more commonly used for generalized tonic-clonic seizures, is also effective for complex partial seizures. Valproic acid is a broad-spectrum anticonvulsant that can effectively treat multiple seizure types, including simple and complex partial seizures. Clonazepam's sedative effects and the risk of developing tolerance limit its use as a first-line agent for partial seizures, making it less favorable in this context. Thus, while clonazepam may be used in specific situations, it does not serve as a preferred option for patients presenting with simple or complex partial seizures.