30 Questions
Which types of channels are genes implicated in susceptibility to epilepsy coding for?
All of the above
What age group is most commonly affected by Benign Febrile Convulsions?
Children aged 6 months to 5 years
What is the defining characteristic of Benign Febrile Convulsions?
They usually happen during a febrile illness
What is the percentage of children who experience more than three seizures with Benign Febrile Convulsions?
Less than 10%
Which gene has been linked to febrile convulsions among other genes?
GABRD
How long do Benign Febrile Convulsions usually last?
Around 10 to 15 minutes
What is the first step in the diagnostic evaluation of seizures?
Evaluating the clinical history
Which of the following is NOT a feature suggesting focal onset during a seizure?
Speaking fluently during the seizure
What aspect of a patient's medical history could indicate an acute, proximate cause for a seizure?
History of recent fever
What information can family members and friends provide in the diagnostic evaluation of seizures?
Description of the seizure
Which condition is NOT mentioned as a potential underlying medical or neurologic condition related to seizures?
Chronic obstructive pulmonary disease (COPD)
Why is it important to search for an acute, proximate cause in the diagnostic evaluation of seizures?
To understand what may have triggered the seizure
What is the recommended approach before starting drug therapy for seizures?
Start therapeutic trials without confirming epilepsy diagnosis
How do absence seizures typically respond to anticonvulsant drugs?
They do not respond to most drugs used for focal or generalized seizures
What is the primary focus in modulating treatment for seizures?
Modulating treatment based on seizure control
How do most anticonvulsant drugs act in managing seizures?
By inhibiting sodium channels
What is the main aim of treatments available for seizures and epilepsy?
To reduce the recurrence of seizures
What is the recommended treatment strategy for acute symptomatic seizures from a toxic or metabolic cause?
Avoiding acute precipitants
What is a predominant feature distinguishing transient ischemic attacks (TIAs) from seizures?
Loss of vision in part of the visual field
Which of the following is not typically associated with transient ischemic attacks (TIAs)?
Shaking
What distinguishes the time course of migraine from seizure?
Migraine auras last minutes
What is the underlying etiology of most transient ischemic attacks (TIAs)?
Focal stenosis of a blood vessel
Which type of phenomena are typically associated with seizures?
Hallucinations and lights or colors
What would be unusual for an individual presenting with multiple, recurrent, stereotyped events related to transient ischemic attacks (TIAs)?
Having no evidence of cerebral infarction on MRI scan
During syncope, what is a distinguishing feature that differentiates it from seizures?
Return to normal mental status
What kind of symptoms may help localize the CNS abnormality responsible for some seizures?
Fear and olfactory hallucinations
Which type of seizures is commonly associated with sensations like fear or olfactory hallucinations?
Temporal lobe seizures
What might suggest decreased cerebral blood flow according to the text?
Progressive light-headedness
Which condition is more likely to occur in the upright or sitting position according to the text?
Orthostatic hypotension
What is a distinguishing factor between seizures and syncope in terms of duration?
Syncope lasts 30 seconds to 2 minutes
Test your knowledge on the differences between syncope and seizures. Learn about the duration and accompanying symptoms of these events that occur at the onset.
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