epilepsy

Question 1

seizure originates in one hemisphere localized

Answer 1

focal seizure

Question 2

Focal seizure with no impairment of consciousness

Answer 2

Simple partial

Question 3

Focal dyscognitive seizures have

Answer 3

impairment of consciousness

and are complex partial

Question 4

BRIEF -
instantaneous impairment of consciousness and recovery
fumbling, manual automatism

Answer 4

absence

generalized

Question 5

Prolonged confusion during seizure and post-ictally
language dysfunction
more focal - lateralizing findings

Answer 5

complex partial

Question 6

3Hz spike and a slow wave indicative of

Answer 6

Absence epilepsy

Question 7

mesial temporal sclerosis associated with

Answer 7

temporal lobe epilepsy

Question 8

positive symptoms associated with seizure

Answer 8

• shaking, jerking
• flashing lights aura
• head deviation
• post-ictal confusion, tongue-biting, urination, todd’s paralysis

Question 9

patient presents with a seizure no acute precipitant

Answer 9

• lab work - tox screen,
• EKG - r/o cardiac cause
• EEG

Question 10

a negative EEG does not rule out

Answer 10

epilepsy

Question 11

+ EEG ==>

Answer 11

50% risk of seizure recurrence in next 5 years

Question 12

multiple seizures in the first 24 hours are

Answer 12

not predictive of recurrence

Question 13

juvenile myoclonic epilepsy can be made worse with (COG)

Answer 13

• carbamazepine
• oxcarbazepine
• gabapentin

Question 14

Myoclonus can be exacerbated by use of

Answer 14

lamotrigine

Question 15

Only seizure type that you can use ethosuximide with is

Answer 15

Absence seizures

Question 16

myoclonic and absence seizures cannot use - cop

Answer 16

CBZ
phenytoin
oxcarbazepine

Question 17

only drug with oral/IV load, dont load too quickly to avoid cardiac arrythmias

Answer 17

phenytoin

Question 18

gingival hyperplasia and hisrsutism is seen with

Answer 18

phenytoin

Question 19

drug with neurotoxic side effects

Answer 19

carbamazepine

Question 20

Drug of choice for JME

Answer 20

Valproate or lamotrigine

Question 21

durg safe to use with OCP

Answer 21

valproate

Question 22

anticonvulsant to give if someone is in SE

Answer 22

• benzo

- phenytoin bolus

Question 23

If ICU is needed what meds do you give someone in SE?

Answer 23

• IV medazolam
• IV propofol
• IV phenobarb
• IV VPA

Question 24

when do you refer for epilepsy TLE surgery

Answer 24

if appropriate seizure control not achieved in 9 months

Question 25

if you load phenytoin too quickly can cause

Answer 25

HTn cardiac arythmias

Question 26

partial onset seizures use

generalized epilepsy

Answer 26

carbamaz, pheny

valproate

Question 27

early morning awakening with absence seizure generalized convulsion and myoclonic seizure

Answer 27

JME

Question 28

which epilepsy drugs will reduce efficacy of an OCP

Answer 28

COPT 
carb
oxcarb
pheny
topiramate

Question 29

once you arrive on the scene of a status epilepticus

Answer 29

• give benzo - ativan! - first line

- pHENYtoin - second line

Question 30

epilepsy control

Answer 30

1st drug - 50%
2nd drug addition 14 %
3rd drug 14%