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NEUROLOGY REVIEW > 15 Epilepsy and Other Seizure Disorders > Flashcards

15 Epilepsy and Other Seizure Disorders Flashcards

1
Q

During the tonic phase of seizures, the following may occur except:
A. piercing cry
B. dilated pupils and unreactive to light
C. constricted pupils and unreactive to light
D. breathing is suspended
E. cyanosis of lips
F. None of the above

A

C. Constricted pupils…

page 335

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2
Q

The following may occur during the clonic phase of seizures except
A. elevated blood pressure, rapid pulse rate
B. dilated pupils
C. Salivation and sweating are prominent
D. increased bladder pressure
E. apnea
F. none of the above

A

F. none of the above

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3
Q

Triad of West syndrome? (3)

A
  1. infantile spams
  2. hypsarrhythmia
  3. mental retardation
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4
Q

EEG findings of Typical Absence

A

3 hz spike and wave pattern

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5
Q

Drug of choice for Juvenile Myoclonic Epilepsy (JME)

A

Valproic acid

p 337

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6
Q

Second choice drug for JME for women with child bearing age

A

Levetiracetam

p. 337

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7
Q 
Localization of Jacksonian seizures (focal motor)
A. Superior temporal
B. Prerolandic
C. Contralateral post rolandic
D. Frontal
A

B. Prerolandic

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8
Q 
Localization: auditory auras
A. Heschl gyri
B. Superior temporal
C. Mesial temporal
D. Insula
A

A. Heschl gyri

p 338

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9
Q 
Localization: olfactory auras
A. Heschl gyri
B. Superior temporal
C. Mesial temporal
D. Insula
A

C. Mesial Temporal

p 338

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10
Q 
Localization: gustatory auras
A. Heschl gyri
B. Superior temporal
C. Mesial temporal
D. Insula
A

D. Insula

p 338

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11
Q 
Localization: automatism (ictal and post ictal)
A. Frontal
B. Temporal
C. Insula
D. A and B
E. B and C
A

C. A and B
frontal and temporal
p 338

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12
Q 
Localization: masticatory, salivation and speech arrest in seizure
A. supplementary motor cortex
B. amygdaloid nuclei
C. Prerolandic gyrus
D. Heshcl gyri
A

B. Amygdaloid nuclei

p 338

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13
Q 
Localization: formed hallucinations
A. Temporal neocortex, or amygdaloid-hippocampal complex
B. Frontal 
C. Mesial temporal
D. Supplementary motor
A

A. Temporal neocortex, or amygdaloid-hippocampal complex

p. 338

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14
Q 
Localization: visceral: autonomic
A. Mesial Temporal
B. amygdaloid-hippocampal complex
C. Insula
D. Insular-orbito-frontal cortex
A

D. Insular-orbito-frontal cortex

p 338

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15
Q

Localization: head and eye turning associated with arm movement or athetoid dystonic postures
A. Temporal neocortex, or amygdaloid-hippocampal complex
B. Frontal
C. Mesial temporal
D. Supplementary motor cortex

A

D. Supplementary motor cortex

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16
Q 
Localization: vertiginous aura
A. Superior temporal
B. Mesial temporal
C. Insula
D. Insular-orbito-frontal cortex
A

A. Superior temporal

p 338

17
Q 
Most frequent reported color in visual seizures
A. Blue
B. Red
C. Green
D. Yellow
A

B. Red

18
Q

Main treatment for children with GLUT1 deficiency syndrome

A

Ketogenic diet

19
Q

The following medications can cause seizures, except:

a. bupropion
b. linezolid
c. lidocaine
d. lithium
e. none of the above

A

e. none of the above

20
Q

Most common histologic finding in Mesial temporal sclerosis

A

loss of neurons in CA1 segment (Sommer Sector) of the pyramidal cell layer of the hippocampus

21
Q

This antiepileptic medication acts through enhancement of slow inactivation of voltage gated sodium channels

A

lacosamide

22
Q

Purple glove syndrome is associated with this AED?

A

phenytoin

23
Q

Which of the following is the main mechanism of action of ethosuxamide?

a. Sodium channel inhibition
b. NMDA inhibition
c. T-type calcium channel inhibition
d. GABA potentiation
e. AMPA inhibition

A

c. T- Type calcium channel inhibition

24
Q

According to the EURAP study, about _____ of epileptic women who become pregnant have no change in seizure frequency or severity.

a. 2/3
b. 1/3
c. 1/2
d. 1/4

A

a. 2/3

25
Q

Dravet syndrome is associated with a loss of function mutation in this gene

A

SCN1A (sodium channel gene)

26
Q

Protein involved in dentatorubropallidoluysian atrophy with PME

A

atrophin-1

27
Q

A common focal motor epilepsy of childhood that is self limiting despite a very abnormal EEG pattern

A

Benign Epilepsy of Childhood with centrotemporal spikes

28
Q

Post ictal nose wiping occurs in half of patients with seizures involving the

A. Frontal lobe
B. Temporal lobe
C. Occipital lobe
D. All of the above

A

B. Temporal lobe

NEUROLOGY REVIEW (24 decks)

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