Neurology — Flashcards

Flashcard 261: If patient is withdrawing from epileptic medication they cannot drive for _____ after last dose

Answer: 6 months

Flashcard 262: 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 263: _____ cannot be given to women because of teratogenicity

Answer: Sodium valproate

Flashcard 264: Focal seizures can be categorised into focal _____ & focal impaired awareness

Answer: aware

Flashcard 265: Generalised seizures may be differentiated from syncopal episodes by the presence of a(n) _____ state and lateral tongue biting

Answer: post-ictal

Flashcard 266: Localised symptoms / aura to generalised tonic-clonic = _____ seizure

Answer: focal to bilateral tonic clonic

Flashcard 267: Sudden, muscle stiffening lasting <1min occuring when the patient is drowsy, asleep, or after waking with rapid recovery = _____ seizures

Answer: tonic

Flashcard 268: 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 269: "drop seizures" with sudden loss of muscle tone < 15 seconds = _____ seizure

Answer: atonic

Flashcard 270: Following an epileptic seizure, the patient is generally restricted from driving for _____.

Answer: 12 months