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Question

Consider the following disorders :
1. Sydenham's chorea
2. Migraine
3. Mania
4. Obsessive compulsive disorder
Valproic acid is used in which of the above disorders ?

The correct answer is
2, 3 and 4

Valproic Acid Use in Specific Disorders

Valproic acid, an anticonvulsant and mood-stabilizing medication, is used in the treatment of several conditions. Let's analyze its application in the listed disorders:

1. Sydenham's Chorea

Valproic acid is generally not considered a primary treatment for Sydenham's chorea. Management typically focuses on other medications to control involuntary movements.

2. Migraine

Valproic acid is effective as a prophylactic (preventative) medication for migraines. It helps reduce the frequency and severity of migraine attacks.

3. Mania

Valproic acid is a well-established mood stabilizer and is frequently used as a first-line treatment for acute manic episodes associated with bipolar disorder.

4. Obsessive Compulsive Disorder (OCD)

While not a primary treatment, Valproic acid may be used as an adjunctive or augmentation therapy in certain cases of OCD, especially when standard treatments are insufficient.

Conclusion on Valproic Acid Application

Based on the analysis:

  • Valproic acid is used for Migraine (2).
  • Valproic acid is used for Mania (3).
  • Valproic acid can be used for Obsessive Compulsive Disorder (4) as augmentation therapy.
  • Valproic acid is not a standard primary treatment for Sydenham's chorea (1).

Therefore, Valproic acid is used in disorders 2, 3, and 4.

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Important Questions from Epilepsy

  1. Consider the following with regard to trigger factors for seizures : 

    1. Flickering lights 

    2. Recreational drug misuse 

    3. Non-compliance to treatment with antiepileptic drugs 

    4. Sleep deprivation 

    Which of the factors given above are correct?

  2. Focal seizures may be associated with which of the following? 

    1. Jacksonian march 

    2. Todd's paralysis 

    3. Epilepsia partialis continua 

    Select the correct answer using the code given below.

  3. Typical absence seizures are characterized by
  4. In a young epileptic woman wishing to use oral contraceptive agents, which of the following drugs is not an ideal agent?
  5. Which of the following is not useful in the management of status epilepticus?
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