neuro

Question 1

Between what ages do febrile seizures occur

Answer 1

6mo-5yrs

Question 2

First line tx for congenital long QT syndrome?

(QT >440, causes syncope, dysrrhythmias, Torsades, sudden death)

Answer 2

Beta blockers (metoprolol), cardiology consult, possible cardiac defibrillator (if no response to BB)

Question 3

What is seen on EEG in infantile spasms

Answer 3

hypsarrhythmia

(i.e., diffuse giant waves with a chaotic background of irregular, multifocal spikes and sharp waves)

Question 4

Management for infantile spasms

Answer 4

corticotropin (ACTH)

Steroids

Benzos

Question 5

EEG findings for Absence seizures (petit mal)

Answer 5

symmetric 3-Hz spike and wave activity

Question 6

Tx for absence seizures (petit mal)

Answer 6

Ethosuximide

(or valproic acid)