please help, with correct and detailed answers.

business law, case study, Mr. kobe a principal of an engineering college promised his student who was studying in the final year engineering that if he allows his professor to complete the syllabus on time principal john would as the teacher to passing out in the final exam. The student promised but did not allow professor To complete syllabus. Professor passed the student before exams subsequently still the syllabus could not be completed.

104

What anti-epileptic drug is recommended for a child with epilepsy and

co-morbid attention deficit hyperactivity disorder (ADHD)? Can Ritalin

safely be used for treatment?

105

What is the difference in efficacy and pharmacokinetics between sodium

valproate and valproic acid?

106

Is it safe to give valproic acid to infants below 12 months of age?

107

How many times must the liver transaminases (SGOT and SGPT) rise to

justify a discontinuation of valproic acid therapy in children? Which of

these enzymes is more sensitive and reliable in this situation?

108

1. Does valproic acid block the photosensitivity phenomenon in reflex

epilepsy?

2. Can a patient with this photosensitivity be safely exposed to computer

games or other photic stimuli when receiving valproic acid treatment?

3. Does the photosensitivity phenomenon occur in partial seizures?

109

1. Can an epileptic fit be induced in idiopathic and symptomatic focal

epilepsy syndromes by flickering lights?

2. Is valproate effective against the photosensitive phenomenon (seizure

induction by flickering light)?

110

How much time should one give before a loading dose of phenytoin is

judged to be ineffective in controlling seizures and an alternative should

be instituted?

111

What is the maintenance dose of phenytoin in seizures arising as a

complication of chronic renal failure?

112

I know that the loading dose of phenytoin in status epilepticus is

20 mg/kg with an upper limit of 1000 mg but if the same situation arose

as a complication of chronic renal failure (on regular dialysis), should

this dose remain the same or be reduced? If reduced, what should the

dose be?

113

1. What is the most effective antiepileptic for a patient with simple

partial motor status epilepticus who is not responding to a loading

dose of phenytoin?

2. How long does phenytoin, given in a loading dose, take to work?

114

Is valproate effective if given rectally in status epilepticus and, if so, what

dose is recommended?