Traditionally, which of the following aspects of orientation is being assessed when one asks a patient to

state their own name?

o Time
o Place
o Condition
o Event
o Person

Related to muscle strength testing , what is the muscle strength score of a patient with full muscle
contraction and strength of a specific muscle?

o 10
o 7
o 5
o 1
o 3

Related to muscle strength testing , what is the muscle strength score of a patient who can move the limb
but the strength is inadequate to counter gravity?

o 3
o 5
o 1
o 4
o 2

While performing the deep tendon reflex examination, what score would be given if repetitive, rhythmic
motion is elicited?

o 3 or brisk reflex
o 0 or absent reflex
o 4 or clonus
o 1 or trace reflex
o 2 or normal reflex

A child has up to 100 very brief focal spasms every day, without loss of consciousness. Which of the
following is the most likely diagnosis?

o Absence seizure
o Tonic-clonic seizure
 o Tonic seizure
o Myoclonic jerks
o Atonic-akinetic seizure

Which of the following statements is FALSE regarding seizures?

o Seizures result from the uncontrolled firing of neurons in the brain.

o Status epilepticus can be convulsive or non-convulsive.
o Febrile seizures are more common than epileptic seizures in children.
o Seizures manifest with subtle symptoms in young infants.
o A seizure is considered focal if it involves both cerebral hemispheres.

Which vitamin deficiency can cause seizures?

o Vitamin B1
o Vitamin A
o Vitamin C
o Vitamin B6
o Vitamin B12

Which of the following type of seizure does NOT match its description?

o Atonic-akinetic: drop spell with complete loss of tone

o Myoclonic jerks: multiple jerking spasms of one extremity
o Absence: complete spacing out without a postictal phase
o State epilepticus: frequent, recurrent, or prolonged seizure with preserved
consciousness.
o Tonic-clonic seizure: initial "stiffening" phase followed by a "shaking" phase

Which of the following conditions appears similar to a seizure but is resolved with IV Benadryl?

o Pseudoseizures
o Tics
o Dystonic reaction
o Syncope
o Panic attacks

A child starts seizing in front of you on the floor of the supermarket. What is the first thing you do?

o Provide mouth-to-mouth resuscitation

o Check the time/duration and describe the episode
o Check for pulses
o Call 911
o Hold the tongue down with a spoon
Which of the following medications should be used first for seizure control?

o Intravenous magnesium sulfate

o Midazolam
o Intravenous phenobarbital
o Intrarectal diazepam
o Intravenous phenytoin

Which of the following is an advantage of fosphenytoin?

o It can be given at a faster rate than phenytoin.

o It can sedate the patient.
o It is very effective even at small doses.
o It is less expensive compared to phenytoin.
o It is safer than phenytoin for children below 1 year of age.

Which of the following tests must be performed in a seizing baby?

o Urine drug screen

o Lumbar puncture
o Blood culture
o Skin PPD test
o D-stick

Which of the following statements is TRUE about infantile spasms?

o It typically presents with focal seizures.

o Hypsarrhythmia is seen on EEG.
o You usually note absent corpus callosum on MRI.
o Patients will have decreased deep tendon reflexes bilaterally.
o The typical onset is after 3 years of age.

Which of the following is NOT a feature of Lennox Gastaut syndrome?

o Onset is at the age of 3-5 years.

o The EEG shows the typical pattern of intermittent independent polywave spikes lasting 1-
8 seconds.
o The patients have only focallized seizures.
o Patients can develop mental retardation and behavior problems.
o Management is difficult.

A mother brings her 8-year-old child to the clinic. She complains that her son performs poorly in school
and his teachers always complain that he does not pay attention. On further questioning, the mother says
that her son often stares blankly and becomes unresponsive for a few seconds several times a day. What
is the drug of choice for this child?
 o Phenytoin
o Ethosuximide
o Lamotrigine
o Phenobarbital
o Carbamazepine

Which of the following is a side effect of phenytoin?

o Increased body hair (hypertrichosis)

o Loss of IQ points
o Aplastic anemia
o Sedation
o Nausea

Which of the following is FALSE regarding focal seizures?

o They have auras warning the occurrence of another seizure.

o An MRI is done to rule out a focal cause.
o They can be treated with an implanted device.
o It usually involves one area of the body.
o The child will always lose consciousness during the attack.

Which of the following statements about Benign Rolandic Epilepsy (or Benign Epilepsy with
Centrotemporal Spikes - BECTS) is TRUE?

o EEG findings are non-specific.

o It persists beyond childhood.
o Seizures are complex generalized.
o Treatment is very difficult
o Its usual onset is at 5-12 years of age.