Deck 32: Epilepsy

Question 1

What is the preferred drug for the management of infantile spasms?

A) adrenocorticotropic hormone (ACTH)
B) vigabatrin
C) phenytoin
D) phenobarbital

Answer 1

adrenocorticotropic hormone (ACTH)

Question 2

Most complex partial seizures arise from what area of the brain?

A) frontal lobe
B) parietal lobe
C) temporal lobe
D) occipital lobe

Answer 2

temporal lobe

Question 3

Which of the following is not considered a cause of seizures in an infant?

A) hypoglycemia
B) breech delivery
C) hypoxic-ischemic brain insult
D) cerebral contusion

Answer 3

breech delivery

Question 4

Which of the following is considered an idiopathic epilepsy syndrome?

A) temporal lobe epilepsy
B) benign neonatal convulsions
C) frontal lobe epilepsy
D) posttraumatic epilepsy

Question 5

Which of the following head injuries is most likely to increase the risk of seizures in an individual?

A) injury with no skull fracture
B) uncomplicated brief loss of consciousness
C) penetrating wounds
D) grade I concussions

Question 6

Which of the following is considered a medical emergency?

A) tonic-clonic seizures
B) status epilepticus
C) myoclonic seizures
D) atonic seizures

Question 7

Which of the following is not a characteristic of a simple partial seizure?

A) jerking of muscles
B) paresthesias or tingling
C) illusions/hallucinations
D) loss of consciousness

Question 8

What central nervous system (CNS)neurotransmitter plays a vital role in seizure termination?

A) epinephrine
B) norepinephrine
C) acetylcholine
D) gamma-amino butyric acid (GABA)

Question 9

What phase of a seizure ends with relaxation of all body muscles?

A) tonic phase
B) clonic phase
C) acute phase
D) chronic phase

Question 10

Which type of epileptic syndrome is characterized by aphasia in the absence of other neurologic abnormalities?

A) Lennox-Gastaut syndrome
B) benign childhood epilepsy
C) juvenile myoclonic epilepsy
D) Landau-Kleffner syndrome

Question 11

In which phase of a seizure are neurons depolarized and fired continuously?

A) tonic phase
B) clonic phase
C) postictal depression phase
D) chronic phase

Question 12

What type of seizures are characterized by a sudden loss of muscle tone that may result in falls?

A) atonic seizures
B) myoclonic seizures
C) absence seizures
D) tonic-clonic seizures

Question 13

In which of the following epilepsies is an anticonvulsant not indicated?

A) severe myoclonic epilepsy of infancy
B) benign myoclonic epilepsy of infancy
C) benign childhood epilepsy
D) centrotemporal spikes

Question 14

What is the most common cause of seizure in people over 50 years old?

A) myocardial infarction
B) epilepsy
C) cerebral vascular disease
D) falls

Question 15

Which of the following medications is usually delivered intravenously for the initial management of status epilepticus?

A) lamotrigine
B) benzodiazepines
C) carbamazepine
D) ethosuximide

Question 16

Infants with which type of seizures have an 80% to 90% risk of mental retardation?

A) benign neonatal convulsions
B) childhood absence epilepsy
C) juvenile myoclonic epilepsy
D) frontal lobe epilepsy

Question 17

Which of the following is not considered a cause of acute symptomatic seizures?

A) hyponatremia
B) hypernatremia
C) hypoglycemia
D) hypercalcemia

Question 18

What is the most common type of seizure in adults?

A) myoclonic
B) simple partial
C) absence
D) complex partial

Question 19

Which of the following will not increase seizure activity in people with epilepsy?

A) aspirin
B) caffeine
C) amphetamines
D) some asthma drugs

Question 20

Which cranial nerve can be stimulated by an implantable pulse generator to decrease seizures?

A) abducens
B) spinal accessory
C) vagus
D) oculomotor

Question 21

Which of the following is a false statement regarding epilepsy?

A) You should restrain someone during a seizure.
B) It is impossible to swallow your tongue during a seizure.
C) Status epilepticus can cause death.
D) People with epilepsy hold jobs with a high degree of responsibility.