Diagnosis and Treatment

Question 1

_______ is the determination of which of two or more diseases with similar symptoms is the one form which the patient is suffering, by a systematic comparison and contrasting of the clinical findings.

Answer 1

Differential diagnosis

Question 2

Which of the follow is considered to me the most important tool in diagnosis?

Answer 2

Medical History

Question 3

Which of the following test can prove that someone has epilepsy?

Answer 3

EEG during a seizure

Question 4

A _________ is an individual who has completed their medical degree, plus a one year internship in either internal medicine/surgery, and have at least 3 years of specialty training in an accredited residence program.

Answer 4

Neurologist

Question 5

After a diagnosis of epilepsy is established and seizure type confirmed, physicians will consider which of the following questions?

Answer 5

What is the change of recurrence?
What are the potential negative consequences on the patient’s life if seizures recur?
What are the potential adverse effects of treatment?

Question 6

Which of the following is the most frequent treatment approach for patients with epilepsy?

Ketogenic diet
Vagus nerve stimulation
Surgery
None of the above

Answer 6

None of the above.

Question 7

True or False. Brand and generic formulations of the same chemical are always bioequivalent?

Answer 7

False

Question 8

AEDs make the brain less likely to have seizures by balancing the out-of-balance ______ forces with the ______ forces.

Increasing/decreasing
Inhibitory/excitatory
Inhibitory/increasing
Positive/Negative

Answer 8

Inhibitory/excitatory

Question 9

The mechanism of action for most AEDs is _____.

Sodium Ion Channel
Ion Channel
Calcium Ion Channel
Unkown

Answer 9

Unkown

Question 10

For AEDs, there is a relationship between seizure control, dosage, and ______.

Efficacy
Age
Side effects
None of the above

Answer 10

Side effects

Question 11

What percentage of patients have refractory epilepsy?

1/5
1/4
1/3
1/2

Answer 11

1/3

Question 12

When do physicians typically try polytherapy for epilepsy?

At initial diagnosis
After 1 monotherapy has failed
After 2 attempts at monotherapy have failed
After 3 attempts at monotherapy have failed

Answer 12

After 2 attempts at monotherapy have failed

Question 13

_____% of patients are estimated to not take their AEDs as directed.

10%
20%
33%
50%

Answer 13

50%

Question 14

Which of the following is not a typical non-pharmacologic treatment for epilepsy?

Hormone Therapy
Vagus nerve stimulation
Special diet
Surgery

Answer 14

Hormone Therapy

Question 15

Surgery is likely to be considered for patients who have seizures:

that start in both sides of the brain
that start in one side of the brain
have not tried AED therapy
None of the above

Answer 15

that start in one side of the brain

Question 16

Ketogenic diets have shown to be effective in preventing seizures in _____% of children.

10%
25%
33%
40%

Answer 16

33%