Quiz
Epilepsy
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Perguntas do quiz (29)
1A seizure whereby there is rapid contraction and relaxation of muscles causing an uncontrollable shaking of the body is called a [blank_start]convulsive[blank_end] seizure.
- Aconvulsive
2[blank_start]Generalised seizures[blank_end] affect both brain hemispheres
[blank_start]Focal seizures[blank_end] affect only one brain hemisphere- AGeneralised seizures
- BFocal seizures
3Types of Generalised Seizure:
[blank_start]Tonic-clonic[blank_end] - Contraction of limbs followed by their extension & arching of back lasting 10-30s, followed by a shaking of the limbs.
[blank_start]Tonic[blank_end] - Constant contraction of the muscles. Person often turns blue as breathing is stopped.
[blank_start]Clonic[blank_end] - Shaking of the limbs in unison.
[blank_start]Myoclonic[blank_end] - Brief, shock-like jerks of a muscle or a group of muscles.- AMyoclonic
- BClonic
- CTonic
- DTonic-clonic
4During tonic-clonic seizures, bites to which part of the tongue are more common?
- ABites to tip of tongue
- BBites to side of tongue
5If a patient presents after a fall/seizure, it is mandatory to rule out a cardiovascular cause via which investigation?
- AECG
- BEchocardiogram
- CUltrasound
- DBlood Pressure Measurement
6DVLA Rules Regarding Seizures - car:
You’ve had a one-off seizure while awake and lost consciousness:- ALicence suspended, can reapply after 6 months seizure free
- BLicence suspended, can reapply after 12 months seizure free
- CLicence only suspended after 2nd seizure
7DVLA Rules Regarding Seizures - HGV:
You’ve had a one-off seizure while awake and lost consciousness:- ALicence suspended, can reapply after 12 months
- BLicence suspended, can reapply after 3 years
- CLicence suspended, can reapply after 5 years
8DVLA Rules Regarding Seizures - car:
Diagnosed with epilepsy:- ALicence suspended, can reapply after 5 years seizure free
- BLicence suspended, can reapply after 1 year seizure free
- CLicence suspended, can reapply after 3 years seizure free
9DVLA Rules Regarding Seizures - HGV:
Diagnosed with epilepsy:- ALicence suspended, can reapply after 5 years off medication & seizure free
- BLicence suspended, can reapply after 7 years off medication & seizure free
- CLicence suspended, can reapply after 10 years off medication & seizure free
10Primary Generalised Epilepsy often presents ...
- AIn childhood/teenage years
- BIn late 20s/early 30s
- CIn those over 50
11The treatment of choice for primary generalised epilepsy is [blank_start]Sodium Valproate[blank_end]
- ASodium Valproate
12If a primary generalised epilepsy patient is unresponsive to Sodium Valproate, which of the following second line treatments is most common?
- ALamotrigine
- BClobazam
- CGabapentin
- DPregabalin
13Due to the adverse side effects, sodium valproate is not recommended for focal onset epilepsy. Instead, what is the first line treatment for this condition?
- ACarbamazepine
- BClobazam
- CLevetiracetam
- DOxcarbazepine
14Sodium Valproate is teratogenic and should not be prescribed to pregnant women
- AVerdadeiro
- BFalso
15A 17 year old girl is taken to A&E after having had a generalized seizure.
She had been out partying the night before. No past Hx of note, although her mother reported that she had been a bit clumsy and jerky in the mornings recently, e.g. dropping her hairbrush or coffee cup. Which of the following statements is correct?- AThe history is suggestive of a secondary generalized fit. The patient
needs urgent brain scanning. - BThe history suggests a primary generalized epilepsy, and either Sodium
Valproate or Lamotrigine would be treatment of choice. - CTreatment of choice for this type of epilepsy is Carbamazepine
- DJuvenile myoclonic epilepsy is associated with hippocampal sclerosis
- EThis is probably just an alcohol induced seizure. No further
investigations or treatment required
- AThe history is suggestive of a secondary generalized fit. The patient
16What is status epilepticus?
- ARecurrent epileptic seizures without full recovery of consciousness. Continuous seizures lasting >30 minutes
- BRecurrent epileptic seizures without full recovery of consciousness. Continuous seizures lasting >60 minutes
- CA seizure that can only be halted by high loading with an acute anti-convulsant
17Status Epilepticus is a clinical emergency. Whilst they tend to stop by themselves, to prevent further damage anticonvulsants should be given. Which of the following anticonvulsants should be given in an acute situation such as this?
- APhenytoin
- BLamotrigine
- CSodium Valproate
- DCarbamazepine
18A patient in status epilepticus is considered an emergency case. Therefore, urgent blood tests and CT to identify the cause are required.
- AVerdadeiro
- BFalso
19What means of investigation is used to differentiate generalised from focal epilepsy?
- AElectroencephalogram (EEG)
- BElectrocardiogram (ECG)
- CElectroneurogram (ENG)
- DElectrical Seizure Test (EST)
20Women on anti-convulsants seeking the contraceptive pill should not use the [blank_start]progesterone only pill[blank_end] and should instead be switched to the [blank_start]combined pill (estrogen + progesterone)[blank_end]
- Acombined pill (estrogen + progesterone)
- Bprogesterone only pill
21The morning after pill is more effective in women taking anti-convulsants and the dose should be titred down accordingly.
- AVerdadeiro
- BFalso
22Which anti-convulsant can be given to patients who are obese/have sleep problems due to its weight reducing and sedative effects?
[blank_start]Topiramate[blank_end]- ATopiramate
23Carbamazepine typically makes Primary Generalised Epilepsy worse
- AVerdadeiro
- BFalso
24In the case of Status Epilepticus, patients are generally given benzodiazepines first line to attempt to halt the seizures. Such medications include IV [blank_start]Lorazepam[blank_end], Buccal [blank_start]Midazolam[blank_end] and Rectal [blank_start]Diazepam[blank_end].
If benzodiazepines fail to halt the seizures, then the anti-convulsant called [blank_start]Phenytoin[blank_end] should be given IV.- APhenytoin
- BMidazolam
- CLorazepam
- DDiazepam
25Which type of seizure typically causes the patient to experience odd smells?
e.g. every time they drive they experience a "metallic smell"- AFocal Seizure
- BGeneralised Seizure
26Is an absence feature focal or generalised?
- AFocal Seizure
- BGeneralised Seizure
27Following a seizure patients typically enter what is known as a [blank_start]postictal[blank_end] state where they feel drowsy and tired for around 15 minutes before they are back to feeling normal again.
- Apostictal
28Which of the following anticonvulsants is known to induce alopecia?
- ASodium Valproate
- BLamotrigine
- CCarbamazepine
- DPhenytoin
29Which anticonvulsant medication is known to cause Stevens-Johnson Syndrome in some rare cases?
[blank_start]Lamotrigine[blank_end]- ALamotrigine
Informações
- Descrição
- Epilepsy given on 14th September 2018
- Autor
- Matthew Coulson
- Idioma
- English
- Visualizações
- 77
- Etiquetas
- Avaliação
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