Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

3MB Neurology > Seizure Disorders > Flashcards

Seizure Disorders Flashcards

1
Q

List risk factors for epilepsy

A 
Birth and abnormal development
Past seizures
Head injury (LOC)
Family history
Drugs
Alcohol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List drugs that are common precipitants of epilepsy

A 
Antibiotics
Tramadol
Anti-emetics
Opioids
Aminophylline
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the mandatory first investigation in all patients presenting with a seizure?

A

ECG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which seizure patients usually qualify for MRI/CT?

A

Intracranial pathology
Trauma
Focal signs
Low GCS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the rule regarding driving after your first seizure?

A

Can’t drive until seizure-free for:

car: 6 months
hgv: 5 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the rule regarding driving with epilepsy?

A

Can’t drive until seizure-free for:

car: 1 year
hgv: 10 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define “seizure”

A

Abnormal discharge of electrical activity in the brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define “epilepsy”

A

A tendency for repeat epileptic seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define “epileptic seizure”

A

Abnormal synchronisation of neural activity, usually excitatory, causing interruption of brain activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 2 classifications of epileptic seizure?

A

Focal

Generalised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the difference between focal and generalised epileptic seizure?

A

Focal: part of brain structurally abnormal causing focal symptoms
Generalised: neural cortical pathways conduct seizure to different brain areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which is more common in children and young people - focal or generalised epileptic seizures?

A

Generalised epileptic seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the treatment of choice for focal seizures?

A

Carbamazepine

Lamotrigine/levetiracetam are alternatives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the treatment of choice for generalised seizures?

A

Sodium valproate

Lamotrigine/ethuxosam are alternatives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which patient group in particular should not be given sodium valproate and why?

A

Young girls

Teratogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which epileptic drug can make generalised seizures worse?

A

Carbamazepine

17
Q

List clinical features of functional non-epileptic attack

A

Prominent motor activity
Collapse
Fear, gasping, hyperventilation
Prolonged duration (up to 20mins)

18
Q

What is status epilepticus?

A

Recurrent epileptic seizures without full recovery of consciousness

19
Q

List some precipitants of status epilepticus

A

Infection
Trauma
Metabolic disorders
Withdrawal of anti-convulsants

20
Q

Which drugs should be administered for acute seizure by carers at home?

A

Diazepam (rectal)

21
Q

Which drug is preferred over diazepam for immediate control of acute seizure?

A

Lorazepam (iv)

3MB Neurology (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions