Neurology — Flashcards

Flashcard 251: "drop seizures" with sudden loss of muscle tone < 15 seconds = _____ seizure

Answer: atonic

Flashcard 252: Rhythmic jerking of a hand, tingling & visual distortions while fully conscious = _____ seizure

Answer: focal aware

Flashcard 253: What is the abortive management for status epilepticus? _____

Answer: Benzodiazepine

Flashcard 254: What is the most useful investigation for classifying and localizing seizure activity in epilepsy? _____

Answer: EEG

Flashcard 255: LOC, rhythmic, bilateral jerking without preceding tonic phase = _____ seizures

Answer: clonic

Flashcard 256: If patient is withdrawing from epileptic medication they cannot drive for _____ after last dose

Answer: 6 months

Flashcard 257: Bus, coach, or lorry drivers with a single seizure cannot drive for _____, with epilepsy it is 10 years

Answer: 5 years

Flashcard 258: What is the most appropriate step in the management of an active seizure in a patient with epilepsy? _____

Answer: Manage ABCs THEN abort the seizure if > 5 minutes THEN assess therapeutic drug levels THEN assess VITAMINS and get EEG

Flashcard 259: Myoclonic seizures anti-epileptic drugs\n1st-line (Drug of Choice): _____\nAlternative/1st-line in females: Levetiracetam

Answer: Sodium Valproate

Extra: Note: Lamotrigine should be avoided or used with caution in myoclonic seizures as it may exacerbate myoclonic jerks. Voluntary choice of Valproate is first-line except in women of childbearing age where Levetiracetam is preferred.

Flashcard 260: Sudden, muscle stiffening lasting <1min occuring when the patient is drowsy, asleep, or after waking with rapid recovery = _____ seizures

Answer: tonic