The patient is a 15-year-old who has a history of a poorly controlled seizure disorder. His primary care provider tells his parents that he is not a candidate for treatment with phenytoin
The decision is made based on the need to reduce the patient's risk of developing:
a. Gingival hyperplasia
b. Altered mental status
c. Cardiac arrhythmias
d. Craniofacial abnormalities
ANS: A
Patients under 23 years of age and those taking phenytoin in dosages exceeding 500 mg/day are at increased risk for gingival hyperplasia.
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