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Medicine question 105 - misshyd
#1
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.
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#2
d
b
b...
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#3
c
b
c
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#4
C, B, B
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#5
a,b,c. Pls post the ans.
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#6
ans please..........
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#7
A.bring to ER for evaluation.
B. recurrence is increase if noted also in first degree relative
C. "In other words, between 95 and 98 percent of children who experience febrile seizures do not go on to develop epilepsy. However, although the absolute risk remains small, some groups of children--including those with cerebral palsy, delated development, or other neurological abnormalities--have an increased risk of developing epilepsy. The type of febrile seizure also matters:; children who have prolonged febrile seizures (particularly lasting more than an hour) or seizures that affect only part of the body, or that recur within 24 hours, are at a somewhat higher risk. Among children who don't have any of these risk factors, only one in 100 develops epilepsy after a febrile seizure.
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#8
A- he needs an ER assessment, should not be making a diagnosis of febrile seizures over the phone
B-
C-Not sure of the numbers, but febrile seizures do increase ur risk of developing epilepsy later in life
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#9
A
B
D
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#10
i think 131 is C
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