Neurological Question #49


A client is taking felbamate (Felbatol) for seizures and displays symptoms of pancytopenia based on which assessment findings? (Select all that apply)


  1. Sore throat
    • Rationale:
  2. Epistaxis
    • Rationale:
  3. Skin rash
    • Rationale:
  4. Gingival hyperplasia
    • Rationale:



Pancytopenia symptoms while taking felbamate include fever, sore throat, flu-like feeling, and may exhibit increased bleeding with reduced platelet count (epitaxis). Skin rash may not indicate pancytopenia. Gingival hyperplasia is an adverse affect of anticonvulsants like phenytoin, but is not a symptom of pancytopenia. Pancytopenia affects red cells, white cells, and platelets and represents bone marrow’s response to on-hematologic conditions such as drugs.

Learning Outcomes

Test Taking Tip

Video Rationale