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Epilepsy MCQ

1. The document discusses various risk factors for SUDEP, characteristics of different epilepsy syndromes like JME, advice to give to a patient with JME, features of conditions like narcolepsy and Tourette syndrome, appropriate investigations for different epilepsy presentations in children, characteristics of temporal lobe epilepsy and tuberous sclerosis, and recognized EEG findings. 2. It provides choices to select the most appropriate statement about different epilepsy and neurological conditions in multiple choice questions to test knowledge. 3. The questions cover topics like advice for contraception in a patient with JME, investigations for different pediatric epilepsy presentations, characteristics of conditions like JME, temporal lobe epilepsy and tuberous sclerosis, and recognized EEG findings.

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267 views7 pages

Epilepsy MCQ

1. The document discusses various risk factors for SUDEP, characteristics of different epilepsy syndromes like JME, advice to give to a patient with JME, features of conditions like narcolepsy and Tourette syndrome, appropriate investigations for different epilepsy presentations in children, characteristics of temporal lobe epilepsy and tuberous sclerosis, and recognized EEG findings. 2. It provides choices to select the most appropriate statement about different epilepsy and neurological conditions in multiple choice questions to test knowledge. 3. The questions cover topics like advice for contraception in a patient with JME, investigations for different pediatric epilepsy presentations, characteristics of conditions like JME, temporal lobe epilepsy and tuberous sclerosis, and recognized EEG findings.

Uploaded by

ko naythwe
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Pastest

1. The following are risk factors for SUDEP


a. Poorly controlled epilepsy
b. Focal epilepsy
c. Being a child
d. Sudden and frequent changes in anticonvulsants
e. Nocturnal seizures

2.myoclonic jerks are commonly seen in


a. Lennox-Gastaut syndrome
b. Juvenile myoclonic epilepsy
c. landu-kleffner syndrome
d. West syndrome
e. Gilbert syndrome

3. A 15-year old girl with JME is being routinely followed up in clinic. She has
had good seizure control on sodium valproate for the last 6 months. Select
the best advice to give her about contraception and pregnancy.
a. No advice because she is 15 and under the legal age to have sexual
intercourse
b. If in the future she wants to become sexually active, discuss the issues
around anticonvulsant and contraception further as it is important for
patients with epilepsy to have pre-pregnancy advice
c. If she were to become pregnant she should stop AED because sodium
valproate is teratogenic
d. She should seek medical advice when she become pregnant because they
will change her AED to one that will not harm her baby
e. To avoid oral contraception while on AED because they interactions can
be complex

4. Concerning narcolepsy, select the most appropriate statement


a. It typically occur in the early childhood years
b. It is familial
c. Psychiatric problems are uncommon
d. REM sleep does not occur
e. Associated with cataplesy is unusual
5. Concerning Gilles da la Tourette syndrome, select the most appropriate
statement
a. It has a characteristic abnormal EEG
b. Learning difficulties are rare
c. Symptoms disappear during sleep
d. It may be triggered by haloperidol
e. It may be treated by methylphenidate

6. Concerning epilepsy,select the most appropriate statement


a. In a complex seizure consciousness is retained
b. Simple refers to a short duration
c. Partial seizures begin focally
d. Epilepsy that is difficult to control is classified as symptomatic
e. An aura is necessary to make diagnosis

7. A 7-month -old child attend an assessment unit with a 1-week history of


episodes of twitching. Her mum described how her arms would rise into the
air and jerk, with jerking of her head;these episodes would occur in clusters
What is the next step?
a. Genetic testine
b. Start prednisolone
c. Start AED
d. A ct scan
e. An urgent EEG

8. The following statements refer to tuberous-sclerosis. Select the most


appropriate.
a. There is no increased recurrence risk in offspring
b. Adenoma sebaceum is a feature
c. Classic EEG findings are 3 Hz/s spike and wave
d. Good response of seizures to treatment with topiramate
e. There is frequent occurrence of malignany tumors
9. the following statements are refer to temporal lobe epilepsy. Select most
appropriate one
a. it can present with feeling of deja’vu
b.ethosuximide is the drug of choice
c. the EEG shows 3/s spike
d.it can present as brief loss of vision
e. it is the most common form of childhood epilepsy

10. On admission of a 3-year-old child with a first afebrile tonic clonic seizure,
select the most appropriate investigation
a. Ct head
b. Serum calcium
c. Blood cultur
d. ECG
e. EEG

11.With regard to EEG, select the most appropriate statement


a. A sufficiently abnormall EEG alone can be enough make a diagnosis of
epilepsy
b. EEG should be performed in case of probable syncope to ensure that a
diagnosis of epilepsy is not being missed
c. EEG can help in providing likely prognosis in patients in whom an
epilepsy syndrome is suspected
d. A sleep EEG is no better than a standard EEG in providing diagnosis
information; however, it makes it easier to place the electrodes on
children
e. EEG should be used to exclude the diagnosis of epilepsy in patients in
whom the clinical presentation supports a diagnosis of a non-epileptic
event
-

12.A previously fit and well 8-year-old child presents he with irregular jerky
movements of her limbs which have come on over a few days; before this
her parents had noted her to be generally more agitated. The movements
reduce and sometimes disappear on sleep. Several weeks previously she had
had a sorethroat
a. This may be epilepsy and she will need an EEG to confirm
b. These episodes are being fabricated by the patient, otherwise they would
not terminate with sleep
c. This may be choreoathetoid cerebral palsy and she will need an urgent
MR scan
d. This may be Sydenham chorea,would be treated with antibiotics and has
an overall good prognosis but may take several weeks to recover
e. This may be Tourette syndrome and she will need referral to a
psychiatists

13.The following statements refer to JME,select most appropriate one


a. Myoclonic jerks,generalized tonic-clonic and absence seizures may all
feature
b. Seizures control is usually possible with low dose AED and successful
drug withdrawl is possible after a suitable seizure free interval has been
achieved
c. Myoclonic jerks are typically experienced at night
d. Sodium valproate, lamotrigine and carbamazepine can all be used
successfully as monotherapy
e. JME is frequently associated with learning difficulties

14.Neurocutaneous syndrome
a. A 6-month-old child presenting with right focal seizure who is noted to
have a left facial haemagiome

b. A 8-year-old boy has had a number of afebrile seizure; on examination he


has seven café-au-lait patches. His father also has a large number of café-
au-lait patches.

c. A 2-year-old child who at birth had a blistering rash presents with


developmental delay. She has small teeth and brown swirl-like patches
on her skin

15.Epilepsy
a. A 8-year-old boy woke from sleep with tingling feeling of his lips and
tongue on the right side of his face. His parents heard him making
gurgling noises in his room, when they found him he was conscious but
had twitching down the right side of his body; this lasted several seconds
and then he seemed to lose consciousness and all 4 limbs started to
shake,lasted a few minutes after which he was sleepy. He recovered fully
from this episode. EEG revealed centrotemporal spike wave discharges.

b. A 5-year-old , his school teachers concern that he had been noticed to be


day-dreaming on several occasions during these episodes they have
noticed he tends to pick at his clothes, his EEG showed 3 Hz/s spike
wave discharge

c. A 3-year-old boy who has had a number of typical episodes; he has


woken from sleep, becomes pale and feels sick, his eyes and head turn to
the right, last about 15minutes then he vomits ,drowsy for 30 minutes. In
between episodes he has a normal neurological examination, a normal
ECG, normal MR scan and EEG showed occipital and frontal spike wave
diacharge

16.ASM
a. A 17-year-old girl with difficult to control migraine

b. An 8-day-old baby with seizures secondary to HIE

c. A 1-year-old with left focal seizures secondary to and in utero infarction

17.Infantile spasms
a. Occur predominantly in the 1st year of life
b. Have a characteristic EEG showing hypsarrhythmia
c. Often have a strong family history
d. May be treated with steroids
e. Have a good long term outcome

18.Primary generalized absence seizures


a. Are characterized by an electroencephalograph showing spike and wave
activity at 3 cycles/s
b. Are typically not preceded by an aura
c. Usually last 2-3 minutes
d. Should be treated with phenobarbitone
e. Are rarely associated with the development of generalized tonic-clonic
seizures

19.Features of complex partial seizures include


a. Association with febrile convulsion
b. Auditory hallucinations
c. Vomiting
d. No alteration in consciousness
e. Abnormal interictal EEG in the majority of cased

20. Febrile convulsions


a. Characteristically first occur under the age of 6 months
b. Are associated with an increased risk of epilepsy
c. May be unilateral
d. Are commonly followed by further convulsions in the same febrile illness
e. May occur with teething

21.Neonatal convulsion may be caused by


a. Hypomagnesaemia
b. Hyperkalaemia
c. Pyridoxine dependency
d. Cephalhaematoma
e. Herpes simplex infection

22.Recognized finding of EEG include


a. A reducing in high frequency (α ∧β ) rhythms with increasing maturity
b. Hypsarrhythmia in infants with tuberous sclerosis
c. Generalized slow wave activity in the presence of a cerebral abscess
d. A 3 Hz spike and wave pattern associated with structural abnormalities of
the brain
e. A burst suppression pattern following severe perinatal asphyxia

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