Epilepsy

Question 1

1st line tx for focal seizure epilepsy

Answer 1

Lamotrigine or carbamazepine

Question 2

1st line tx of Generalised epilepsy

Answer 2

Valproate

Question 3

Which antiepileptic drug has the highest risk for teratogenicity in pregnancy

Answer 3

Valproate

Question 4

Management of status epilepticus

Answer 4

. If IV access established: Lorazepam, (Diazepam if unavailable)
. If IV not available: buccal midazolam

2nd line: IV phenytoin or phenobarbital

Question 5

Most common type of epilepsy to cause focal seizures

Answer 5

Temporal lobe epilepsy

Question 6

What is the difference between epilepsy and psychogenic non epileptic seizures (dissociative seizures)

Answer 6

Dissociative seizures do not have abnormal brain electrical activity on EEG.

Question 7

1st line tx of epilepsy

Answer 7

Buccal midazolam

Question 8

Tx of absence seizures

Answer 8

Ethosuximide or valproate

Question 9

1st line tx in myoclonic seizures

Answer 9

Valproate

Question 10

When should we stop antiepileptic drugs

Answer 10

After seizure freedom for > 2-3 years

Question 11

a pregnant girl takes antiepileptic for seizures, what will you do about her treatment.?

Answer 11

Antiepileptic drugs should be continued in pregnancy except valproate which should be changed because of his teratogenicity and change should be done by a specialist but not stopped.