Epilepsy

Question 1

Partial seizures =

Answer 1

focal onset w/ feature referable to part of one hemisphere

Question 2

Simple partial seizure =

Answer 2

awareness unimpaired
focal symptoms
no post ictal symptoms

Question 3

Complex partial seizure =

Answer 3

awareness impaired
focal symptoms
post ictal symptoms

Question 4

First line treatments for partial seizures

Answer 4

Carbamezipine / lamotrgrine

Question 5

Second line for partial seizures

Answer 5

Sodium valproate

Question 6

Primary generalised seizures =

Answer 6

Simultaneous inappropriate electrical discharge across the whole cortex. no localising features.

Question 7

Tonic-clonic seizures present as -

Answer 7

Loss of consciousness, limbs stiffen then jerk. Post ical confusion and drowsiness.

Question 8

First line treatment for generalised seizures

Answer 8

Sodium valproate

Question 9

Myoclonic seizure presents as -

Answer 9

Sudden jerking of a part of the body

Question 10

Status epilepticus =

Answer 10

seizure lasting longer than 30min

Question 11

Slow IV bolus of what in SE?

Answer 11

Lorazepam (2-4mg)

Question 12

Blood tests in SE

Answer 12

FBC, U&Es, LFTs, Glucose, Ca2+ and toxicology screen

Question 13

If seizures not stopped by first infusion give?

Answer 13

phenytoin / kepra / sodium valproate

Question 14

What should be given with AED in pregnancy?

Answer 14

5mg folate a day