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[OS 211] 2nd Lecture Exam > [1] Diagnosis and Treatment of Epilepsy > Flashcards

[1] Diagnosis and Treatment of Epilepsy Flashcards

1
Q

Define: Status Epilepticus

A

Continuous seizures lasting by beyond 7 minutes with/without recovery

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2
Q

[Identify the Seizure]

Bilateral symmetric tonic contraction and then bilateral clonic contraction of somatic muscles, associated with autonomic phenomena

A

Generalized Tonic-Clonic Seizure / Grand Mal Seizure

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3
Q

[Identify the Seizure]

Sudden, brief (

A

Myoclonic

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4
Q

[Identify the Seizure]

Sustained increase in muscle contraction lasting a few seconds to minutes

A

Tonic

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5
Q

[Identify the Seizure]

Myoclonus that is regularly repetitive, involves the same muscle groups at a frequency of 2-3 contractions per second and is prolonged

A

Clonic (Rhythmic Clonus)

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6
Q

[Identify the Seizure]

Sudden loss or dimunition of muscle tone without apparent preceding myoclonic or tonic event lasting >1 to 2 seconds involving head, trunk, jaw, or limb musculature

A

Atonic

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7
Q

How many seconds of syncope is will result to tonic manifestations?

A

> 10 seconds

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8
Q

Most common cause of syncope

A

Vasodepression

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9
Q

What differentiates a simple from a complex seizure?

A

Impairment of consciousness

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10
Q

Define: Aura

A

Subjective ictal phenomenon; warning sign of a seizure

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11
Q

Treatment: Childhood Absence Epilepsy

A

Valproate

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12
Q

What drug can you not give to patients with Juvenile Myoclonic Epilepsy

A

Carbamazepine

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13
Q

Most common idiopathic localization-related epilepsy in children

A

Benign Rolandic Epilepsy

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14
Q

Drug to avoid giving children and adolescents

A

Phenobarbital

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15
Q

Drug to avoid for women of child bearing age

Good alternative would be?

A

Valproic Acid (teratogen)

Alternative: Lamotrigine

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16
Q

[First Line Drugs]

Childhood Absence

A

Ethosuximide
Lamotrigine
Valproate

17
Q

[First Line Drugs]

Juvenile Absence

A

Lamotrigine

Valproate

18
Q

[First Line Drugs]

Focal Epilepsies

A 
Lamotrigine
Carbamazepine
Oxacarbazepine
Valproate
Topiramate
19
Q

[First Line Drugs]

Generalized Tonic Clonic

A

Carbamazepine
Lamotrigine
Valproate
Topiramate

20
Q

[First Line Drugs]

Infantile Spasms

A

Steroids

Vigabatrin

21
Q

Common ADR of Carbamazepine for Chinese descent

A

Stevens Johnson Disease

22
Q

ADR of longtime use of Phenytoin

A

Hirsutism

23
Q

This AED causes weight gain

A

Valproate

24
Q

This AED causes weight loss

A

Topiramate

25
Q

This AED causes facial acne

A

Phenytoin

26
Q

Only drug evaluated for post stroke epilepsy patients achieving good seizure freedom

A

Levetiracetam

[OS 211] 2nd Lecture Exam (11 decks)

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