W5_03 Epilepsy

Question 1

seizures can be broken down into these two types:

Answer 1

generalized and partial

Question 2

partial seizures can be broken down into these two types:

Answer 2

simple and complex

Question 3

what differentiates the simple and complex partial seizures?

Answer 3

patients are FULLY AWARE in the simple seizures, and have altered LoC in complex seizures

Question 4

generalized seizures can be broken down into these 4 types:

Answer 4

tonic-clonic;
atonic;
myoclonic;
absence

Question 5

where are absence seizures thought to originate?

Answer 5

thalamus

Question 6

ethosuximide treats which type of seizure?

Answer 6

absence

Question 7

differences between seizure and syncope?

Answer 7

look at the lecture, slide 19

Question 8

which kinds of strokes do not cause seizures?

Answer 8

subcortical

Question 9

definition of a seizure?

Answer 9

abnormal synchronous firing of neurons in the cortex

Question 10

what tests to order for seizures?

Answer 10

CBC, lytes, glucose, albumin, creatinine, toxicology screen, AED level, imaging, EEG

Question 11

how long should a patient with a seizure not drive for?

Answer 11

minimum of 6 months after first seizure

Question 12

general pharma management of seizures?

Answer 12

give one drug, titrate up;
give second drug, titrate down first drug;
try dual drug therapy;

Question 13

what is status epilepticus?

Answer 13

ongoing seizure over 5 minutes, or

repeated seizures without return to baseline

Question 14

management of status epilepticus?

Answer 14

check blood glucose;
give oxygen;
roll patient onto side;
if glucose 2, give ativan + phenytoin IV