Which of the following is not a known effect of the drug Clozapine?

Correct Answer: D

Rationale: The correct answer is D: Hyperactivity. Clozapine is an antipsychotic drug used for schizophrenia treatment. Agranulocytosis is a known severe side effect of Clozapine. Hyperactivity is not a known effect of Clozapine, as it actually has a sedative effect due to its mechanism of action in the brain. Therefore, option D is the correct answer. Options A, B, and C are incorrect as agranulocytosis is a known side effect, Clozapine is an antipsychotic drug, and it is commonly used for schizophrenia treatment.

Correct Answer: D

Rationale: The correct answer is D: Fluoroquinolones. Fluoroquinolones are known to be associated with tendon dysfunction due to their potential to cause tendinitis and tendon rupture. This adverse effect is thought to be related to the drug's ability to disrupt collagen synthesis and structure in tendons. Digitalis (A) is used to treat heart conditions, niacin (B) for cholesterol, and tetracycline (C) for bacterial infections, none of which are linked to tendon dysfunction.

Correct Answer: B

Rationale: The correct answer is B: Tachycardia. Atenolol is a beta-blocker that works by slowing down the heart rate, so tachycardia is not related to its toxicity. A: CHF can be exacerbated by Atenolol due to its negative inotropic effects. C: AV block can occur as Atenolol can further slow down the heart's conduction system. D: Sedative appearance can be a side effect of Atenolol due to its action on the central nervous system. In summary, tachycardia is not related to Atenolol toxicity because it decreases heart rate.

Correct Answer: B

Rationale: The correct answer is B: Nausea. Loop diuretics like furosemide work by inhibiting the reabsorption of sodium and water in the loop of Henle in the kidneys. This mechanism can lead to electrolyte imbalances, such as potassium deficits (choice D), and volume depletion, resulting in hypotension (choice C). Loop diuretics can also cause metabolic alkalosis (choice A) due to loss of hydrogen ions. Nausea, however, is not a common side effect of loop diuretics. Therefore, choice B is not a side effect of loop diuretics, making it the correct answer.

Correct Answer: B

Rationale: The correct answer is B: Liver. Warfarin is primarily metabolized in the liver by the cytochrome P450 enzyme system. The liver is responsible for breaking down and activating many drugs, including Warfarin. It is where the drug's metabolism and effects are most significant. The other choices are incorrect because Warfarin's main site of activity is in the liver, not the kidney, blood, or heart. The kidney mainly excretes the drug, while the blood carries it throughout the body, and the heart is not directly involved in Warfarin's metabolism.

Correct Answer: D

Rationale: The correct answer is D: Rheumatic fever. Methotrexate is not typically used to treat rheumatic fever as it is an autoimmune inflammatory condition, not typically responsive to Methotrexate. Methotrexate is commonly used to treat sarcomas, leukemias, and ectopic pregnancies due to its ability to inhibit cell proliferation. Sarcomas and leukemias are types of cancers, while ectopic pregnancy is a condition where a fertilized egg implants outside the uterus.

Correct Answer: D

Rationale: Rationale: Lansoprazole is a proton pump inhibitor used to treat conditions related to excess stomach acid. Thalamus hypertrophy is not a condition affecting stomach acid production, making it unrelated to Lansoprazole use. A: Gastritis, B: Peptic Ulcers, and C: Zollinger-Ellison syndrome all involve excessive stomach acid secretion, hence Lansoprazole is used in these cases. Thalamus hypertrophy does not involve stomach acid issues, making it the correct answer.

Correct Answer: C

Rationale: The correct answer is C: Tetracycline. Tetracycline is associated with extreme photosensitivity due to its mechanism of action causing phototoxic reactions when exposed to sunlight. Digitalis (A) is a cardiac medication, niacin (B) is a B vitamin, and fluoroquinolones (D) are antibiotics, none of which are known to cause extreme photosensitivity reactions.

Correct Answer: D

Rationale: Step 1: Ethosuximide is the correct answer as it is a known trigger for Stevens-Johnson syndrome due to its association with hypersensitivity reactions. Step 2: Valproic acid can cause liver toxicity but is not typically linked to Stevens-Johnson syndrome. Step 3: Quinidine is associated with drug-induced lupus but not commonly known to cause Stevens-Johnson syndrome. Step 4: Isoniazid is linked to drug-induced hepatitis but not typically associated with Stevens-Johnson syndrome. In summary, Ethosuximide is the correct choice due to its well-documented association with Stevens-Johnson syndrome, while the other options are linked to different adverse effects.