Epilepsy

Question 1

chronic condition characterized by two or more unprovoked seizures

Answer 1

epilepsy

Question 2

simple preserved level of consciousness

Answer 2

partial seizure

Question 3

complex altered level of consciousness

Answer 3

complex seizure

Question 4

partial seizures motor sensory autonomic and psychiatric response

Answer 4

m - postural phonotory, forceful turning of eyes head focal muscle rigidity/jerking jacksonian march
s - unusual sensations affecting ss
a - epigastric discomfort, pallor, sweating flushing
piloerection pupillary dilatation
p - symptoms rarely occur

Question 5

tingling or twitching begins in a small area and then spreads to a larger area of the body

Answer 5

Jacksonian march

Question 6

patient may appear to be awake but with impairment of awareness

Answer 6

complex seizure

Question 7

complex seizures are characterised by

Answer 7

automatisms

Question 8

automatisms

Answer 8

an action performed unconsciously or involuntarily

Question 9

decreased level of consciousness

Answer 9

generalised seizures

Question 10

generalised seizures include

Answer 10

absence (petit mal) unresponsive for 5-10 s with arrest of activity, staring, blinking or eye-rolling, no post-ictal confusion; 3 Hz spike and slow waveactivity on EEG

Question 11

repetitive rhythmic jerking movements

Answer 11

clonic

Question 12

muscle rigidity in flexion or extension

Answer 12

tonic

Question 13

prodrome of unease or irritability hours to days before the episode

Answer 13

tonic-clonic grand mal generalized tonic-clonic [GTC])

Question 14

muscle rigidity

Answer 14

tonic ictal phase

Question 15

repetitive violent jerking of face and limbs, tongue biting, cyanosis, frothing, incontinence

Answer 15

clonic ictal phase

Question 16

flaccid limbs, extensor plantar reflexes, headache, confusion, aching muscles, sore tongue, amnesia, elevated serum CK lasting hours

Answer 16

post-ictal phase

Question 17

sporadic contractions localized to muscle groups of one

Answer 17

myoclonic

Question 18

loss of muscle tone leading to drop attack

Answer 18

atonic