BCACP Neurology Test Questions With Correct Detailed

BCACP Neurology Test Questions With Correct Detailed Answers Clinical definition of epilepsy - ANSWER- propensity to have unprovoked seizures repeatedly 2 unprovoked seizures 24 hrs apart OR one unprovoked seizure for high risk populations (older adult, pts post CVA) What can a seizure be provoked by? (5) - ANSWER- 1. withdrawal of illicit drugs or EtOH 2. drugs that can lower the seizure threshold or precipitate a seizure 3. metabolic disturbances such as hypoglycemia or severe hyponatremia 4. CNS infections 5. febrile illness How are epilepsies classified? (3) - ANSWER- focal Generalized Unknown focal seizures - ANSWER- begin focally in one hemisphere of the brain focal seizures are (5) - ANSWER- a. Focal aware b. Focal impaired awareness c. Focal motor (e.g., atonic, clonic) d. Focal nonmotor (i.e., sensory) e. Focal to bilateral tonic-clonic Generalized seizures (bilateral hemispheres involvement) (7) - ANSWER- a. Absence (blanking/spacing out) b. Atonic (lack of muscle tone) c. Clonic (sustained jerking movements) d. Myoclonic (brief, shocklike jerks) e. Tonic (increased muscle tone/stiffening) f. Tonic-clonic (jerking followed by stiffening)