55 Questions
Which investigation is NOT routinely done to confirm the diagnosis of epilepsy?
Sleep EEG
What is the sensitivity of interictal EEG in diagnosing epilepsy?
50%
What is the immediate care for a person experiencing a seizure?
Ensure clear airway
Which drug is considered a first-line treatment for primary generalized tonic-clonic seizures?
Valproate
Which drug is associated with a risk of teratogenicity and neural tube defects?
Valproate
Which drug is commonly used as a second-line treatment for absence seizures?
Valproate
Which drug is associated with the side effect of gum hypertrophy?
Phenytoin
Which investigation is recommended for patients with unprovoked first fit?
EEG
Which type of EEG is used to monitor brain activity during sleep?
Sleep EEG
What is the first aid measure for a person experiencing a seizure?
Move away from danger
Which drug is commonly used as a first-line treatment for myoclonic seizures?
Valproate
Which drug is NOT commonly used as a first-line treatment for primary generalized tonic-clonic seizures?
Carbamazepine
Which drug is associated with the side effect of transient leucopenia and rare aplastic anemia?
Carbamazepine
Which drug is NOT commonly used as a second-line treatment for absence seizures?
Lamotrigine
Which investigation is NOT routinely done to confirm the diagnosis of epilepsy?
MRI
Which drug is commonly used as a first-line treatment for myoclonic seizures?
Lamotrigine
Which type of EEG is used to monitor brain activity during sleep?
Sleep EEG
What is the first-line drug of choice for the treatment of absence seizures?
Ethosuximide
What is the recommended dose regimen for anticonvulsant therapy?
Start with low dose and gradually increase
What is the common side effect associated with valproate use?
Tremor
What is the preferred treatment target for epilepsy?
Complete control of seizures
Which investigation is NOT routinely done to confirm the diagnosis of epilepsy?
CSF examination
Which drug is commonly used as a second-line treatment for absence seizures?
Lamotrigine
What is the recommended dose regimen for anticonvulsant therapy?
Start with a moderate dose and maintain
Which drug is considered a second-line treatment for primary generalized tonic-clonic seizures?
Carbamazepine
What is the most common side effect associated with carbamazepine use?
Stevens-Johnson syndrome
What is the recommended approach for drug treatment in epilepsy?
Start with one anticonvulsant (monotherapy)
Which drug is NOT commonly used as a first-line treatment for partial and secondary generalized tonic-clonic seizures?
Gabapentin
Which investigation is NOT routinely done to confirm the diagnosis of epilepsy?
Chest X-ray
What is the first aid measure for a person experiencing a seizure?
Turn into recovery position
What is the sensitivity of interictal EEG in diagnosing epilepsy?
50%
Which drug is commonly used as a first-line treatment for primary generalized tonic-clonic seizures?
Valproate
Which drug is commonly used as a second-line treatment for absence seizures?
Lamotrigine
Which drug is NOT commonly used as a first-line treatment for partial and secondary generalized tonic-clonic seizures?
Lamotrigine
Which drug is associated with a risk of teratogenicity and neural tube defects?
Valproate
What is the first aid measure for a person experiencing a seizure?
Turn into recovery position
Which investigation is NOT routinely done to confirm the diagnosis of epilepsy?
CT scan
Which drug is commonly used as a second-line treatment for absence seizures?
Lamotrigine
Which drug is commonly used as a first-line treatment for primary generalized tonic-clonic seizures?
Sodium valproate
Which drug is commonly used as a second-line treatment for absence seizures?
Lamotrigine
Which drug is NOT commonly used as a first-line treatment for myoclonic seizures?
Carbamazepine
Which investigation is NOT routinely done to confirm the diagnosis of epilepsy?
Lumbar puncture
Which investigation is NOT routinely done to confirm the diagnosis of epilepsy?
CT scan
What is the first aid measure for a person experiencing a seizure?
Move away from danger
What is the sensitivity of interictal EEG in diagnosing epilepsy?
50%
Which drug is commonly used as a first-line treatment for primary generalized tonic-clonic seizures?
Lamotrigine
What is the common side effect associated with valproate use?
Weight gain
What is the sensitivity of interictal EEG in diagnosing epilepsy?
20%
Which investigation is NOT routinely done to confirm the diagnosis of epilepsy?
MRI scan
Which of the following is NOT a common cause of seizures?
Alzheimer's disease
What is the mechanism of seizure formation?
Too much excitation of nerves discharging independently
What is epilepsy?
A chronic neurological disorder with recurring seizures
Which one of these is NOT a characteristic of syncope?
Convulsive or nonconvulsive
What should be recorded during the evaluation of a person with suspected transient loss of consciousness (TLoC)?
Circumstances of the event
What should be asked about during the history-taking for a person with suspected transient loss of consciousness (TLoC)?
All of the above
Test your knowledge on the diagnosis and management of epilepsy. This quiz covers clinical history and examination, laboratory investigations, and the importance of intensive testing for adult-onset cases. Learn about routine investigations, including metabolic and infection/inflammatory markers. Perfect for healthcare professionals looking to sharpen their epilepsy diagnostic skills.
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