Order Medical Treatment Of Epilepsy

Order Medical Treatment Of Epilepsy
Order Medical Treatment Of Epilepsy
1. Epilepsy surgery workup:
a. Sleep-deprived EEG
b. Video EEG
c. MRI
d. PET
e. Neuropsychological testing
f. Psychiatric evaluation
g. Wada study
h. Functional MRI
i. Ictal and interictal subtraction SPECT
(SISCOM)
j. Magnetoencephalography
k. Visual field testing
For each of the following descriptions, select the
most appropriate answers from the list above.
Each answer may be used once, more than once
or not at all.
1. Aids in localizing language and motor function but not sufficient for predicting postoperative verbal memory impairment.
2. Important before resuming driving if seizure free after temporal lobectomy.
3. Suspicion of nonepileptic attack disorder.
4. Can help assess risk of postoperative amnesia and likelihood of seizure-free outcome
5. Epileptic focus often appears hypometabolic
23. Seizure semiology:
a. Complex partial
b. Epilepsia partialis continua
c. Generalized tonic-clonic
d. Generalized absence
e. Jacksonian March
f. Myoclonic
g. Nonconvulsive status epilepticus
h. Pseudoseizures
i. Rolandic epilepsy
j. Simple partial sensory
k. Status epilepticus
l. Uncinate seizures
For each of the following descriptions, select the
most appropriate answers from the list above.
Each answer may be used once, more than once
or not at all.
1. A 37-year-old man develops involuntary
twitching movements in his left thumb,
which spread to his entire left hand and
forearm and the left side of his face then
blacked out. Witnesses report that he fell
down and the entire left side of his body
appeared to be twitching, followed by unresponsive episode for a few minutes and confusion for 15 min. During the episode, he
bit the side of his tongue and was incontinent of urine.
2. A 17-year-old boy reports involuntary jerking movements in his arms when he
awakens. This has occurred during the
day after a nap as well as in the morning
after a full night’s sleep.
3. A 21-year-old man with septicemia induced
DIC develops continuous rhythmic jerking
of the right thumb and wrist lasting several
hours. CT head shows a small hemorrhage
in the left posterior frontal region. He is otherwise conscious and obeying commands.
4. A 21-year-old presents with unpleasant
olfactory hallucinations.
24. Medical treatment of epilepsy:
a. ACTH
b. Clonazepam
c. Ethosuximide
d. Felbamate
e. Levetiracetam
f. Lorazepam
g. Magnesium sulfate
h. Phenobarbital
i. Primidone
j. Phenytoin
k. Sodium valproate
For each of the following descriptions, select the
most appropriate answers from the list above.
Each answer may be used once, more than once
or not at all.
1. A 7-month-old boy develops generalized
limb extension and neck flexion spasms
that occur more than 20 times daily and
are associated with altered consciousness.
EEG reveals diffuse, high-voltage,
polyspike-and-slow-wave discharges between spasms and suppression of these bursts
during the spasms. A sibling died with a
brainstem glioma, and the father has several
large areas of hypopigmented skin in the
shape of ash leaves. The infant had obvious
psychomotor retardation even before the
appearance of the spasms.
2. A 5-year-old girl has frequent staring spells
and does not respond when her mother
calls her name during these episodes. She
never falls down or bites her tongue, but
she does have occasional lip smacking during episodes. EEG reveals a 3 Hz spikeand-wave pattern that occurs for less than
10 s at a time but several times an hour.
The child has normal motor and cognitive
development.
3. A 35-year-old pregnant woman at term
is admitted to the hospital for delivery.
She has headaches and visual blurring. Her
blood pressure is 180/100. On examination,
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