Question of the Week # 129, 130 and 131

Q129] You receive a telephone call from a worried mother. She says her 8 month old son just had a seizure lasting for 2 minutes. The description is generalized tonic-clonic. The seizure has subsided. He is feeding well and acting normally. His temperature is 103F  and RR: 28/min.  The child is not in any distress as per mother. She asks you what needs to be done. The most appropriate response :

A] “Take him immediately to the nearest ER”

B]  “This is nothing serious. You need to stay calm”

C]  “Give antipyretic to the child and monitor the temperature”

D] ” Does anyone in your family have epilepsy?”
Q 130] The patient’s mother in the above question also asks you what is the risk of her child developing a recurrent febrile seizure in future. The most appropriate response :

A] There is no such risk to your child

B] Risk is increased if his family member has a history of febrile seizure

C] He has no increased risk since he is younger than one year

D] He is at increased risk of developing intellectual impairment and neurological deficits.
Q131]  The child’s mother is still very concerned and she has further questions. She asks you, ” Doctor. I am very worried. Does this episode of seizure increase my son’s risk of developing future epilepsy?”
Most appropriate response:

A] Your child had a simple febrile seizure and  is definitely at very high risk of developing epilepsy
B] Your son will be at an increased risk of epilepsy if father has history of febrile seizures.
C] If another seizure occurs during this illness with in 24 hours then he will be at increased risk
D] He will not have increased risk of developing future epilepsy.

Question of the Week # 128

Q128]  Parents of a 2-year-old come in to discuss their child’s recent febrile seizures. The child has experienced four seizures, each associated with fever (usually from an ear infection). Each seizure lasted less than 2 minutes and was generalized tonic-clonic. The child was usually post-ictal for about 60 minutes but then returned to his normal level of mental function. The parents are concerned about the long-term significance of these seizures specifically, about any permanent brain damage and retardation. They wonder if their child should be on medication to prevent the seizures.
Which of the following is the most appropriate statement?

A) Children with a history of febrile seizures usually go on to a more complicated seizure pattern as they age.
B) Children with a history of febrile seizures typically perform less well on standardized school tests.
C) Children with febrile seizures typically are growth retarded.
D) Children with febrile seizures are at greater risk for premature death than the general public.
E) Most children who experience febrile seizures develop normally.

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