NCA 623 EXAM 2 QUESTIONS & ANSWERS|
100% CORRECT.
T/F: Absence nonmotor seizures are a form of generalized seizure and have no post-
ictal state. - True
Simple last < 10 seconds
Complex last < 20 seconds and involve automatisms
T/F: Tonic-clonic seizures are a generalized onset motor seizure with no loss of
consciousness and no postictal state. - False
Generalized with or without motor symptoms with +LOC and + postictal state
T/F: Petit-mal absence seizures have a sudden arrest of motor activity with a blank
stare and is sometimes associated with other types of seizures. - True
All generalized but with or without motor components
T/F: Tonic clonic seizure is a form of generalized seizures with tonic contractions
followed by clonic contractions with development of rigid muscles, a loss of
consciousness, and a postictal state that may be preceded by an aura or prodrome. -
True
T/F: Focal/partial onset seizures involve both the cerebral hemispheres and can occur
as a Jacksonian March - False
They may progress to both hemispheres but by definition begin in one. Further
classified into motor and non-motor and whether awareness is impaired.
Jacksonian march: A kind of simple focal/partial seizures that begins with tingling or
twitching in a small area and then spreads to a larger area of the body.
What type of seizure is the most common type of those with epilepsy and is a simple
focal/partial seizure followed by loss of consciousness with a preceding aura and post-
ictal state and have the potential to turn into secondary generalizes seizures.
- generalized tonic clonic
,- focal complex partial
- absence seizures
- Todd's paralysis - Focal complex partial seizures
I tried to make sense out of this questions and just can't. Focal and partial mean the
same damn thing. @_@
Generalized - involves both hemispheres
Focal or partial - starts in one hemisphere
Simple - No alteration or loss of consciousness
Complex - Altered or loss of consciousness
A 30 year old female with PMH of epilepsy diagnosed as a child presents to the ED
after having a seizure. This seizure was unlike her prior seizures. Exam reveals right
upper and lower extremity weakness with normal strength on the left side. She is alert
and oriented. Physical exam is normal. Seizure occurred about four hours ago and
involved clonic spasms of her entire right side that rapidly spread to her entire body.
What is the most likely diagnosis?
- psychogenic seizure
- Todd's paralysis
- post-ictal state
- absence seizure - Todd's paralysis
A brief period of unilateral paralysis following a seizure that typically resolves in 24
hours
Which of the following types of seizures presents with alternating stiffening and jerking
movement and involves both hemispheres?
- simple partial
- complex partial
- generalized tonic clonic
- focal - Generalized tonic-clonic
T/F: You are starting a patient on treatment for new onset seizures with phenytoin and
understand that gingival hyperplasia, drowsiness, N/V, and constipation are all potential
side effects. - True
A 70 year old male present with a head injury after being in a motor vehicle accident. He
is having generalized tonic clonic seizure. What is the initial first line therapy choice to
treat his seizures?
- valproic acid
- topimax
- tegretol
- gabapentin
- ethosuximide - Valproic acid
, You know, after you give a benzo
Phenytoin and digoxin: what's the deal? - Phenytoin inhibits binding of digitalis and
decreases its efficacy
A 28 year old female with PMH of epilepsy and HTN is considering having children. Her
seizures have been controlled with Keppra for five years and has been seizure free for
three years. You consider the following when discussing her next steps:
- refer to neurology for further counseling and repeat LTEEG monitoring and MRI before
further discussion
- continue Keppra therapy alone
- stop all seizure medications
- aadvise anot ato aproceed awith apregnancy
- aadd aa asecond aAED atherapy a- a aRefer ato aneurology afor afurther acounseling aand arepeat
aLTEEG amonitoring aand aMRI abefore afurther adiscussion
All aof athe afollowing aantimicrobials acan alower athe aseizure athreshold aexcept:
- avancomycin
- acefepime
- ameropenem a- a aVancomycin
What atype aof aseizure acan abe atreated awith aethosuximide?
- apartial acomplex
- amyoclonic
- aabsence
- atonic-clonic a- a aAbsence
The amost acommon atype aof aMS ais:
- aprimary aprogressive
- aprogressive arelapsing
- arelapsing aremitting
- asecondary aprogressive a- a aRelapsing aremitting
T/F: aVitamin aD adeficiency ais aa arisk afactor afor athe adevelopment aof aMS a- a aTrue
T/F: aPregnancy ais acontraindicated ain athose awith aMS. a- a aFalse
You aare aevaluating aa apatient awith aMS awho adescribes aepisodes aof anot afeeling awell athat
aonly alast aa aperiod aof atime, aafter awhich ashe afeels anormal aagain. aShe ais adescribing awhich
atype aof aMS?
- aprimary aprogressive
- asecondary aprogressive
- aclinically aisolated
- arelapsing aremitting a- a aRelapsing aremitting
100% CORRECT.
T/F: Absence nonmotor seizures are a form of generalized seizure and have no post-
ictal state. - True
Simple last < 10 seconds
Complex last < 20 seconds and involve automatisms
T/F: Tonic-clonic seizures are a generalized onset motor seizure with no loss of
consciousness and no postictal state. - False
Generalized with or without motor symptoms with +LOC and + postictal state
T/F: Petit-mal absence seizures have a sudden arrest of motor activity with a blank
stare and is sometimes associated with other types of seizures. - True
All generalized but with or without motor components
T/F: Tonic clonic seizure is a form of generalized seizures with tonic contractions
followed by clonic contractions with development of rigid muscles, a loss of
consciousness, and a postictal state that may be preceded by an aura or prodrome. -
True
T/F: Focal/partial onset seizures involve both the cerebral hemispheres and can occur
as a Jacksonian March - False
They may progress to both hemispheres but by definition begin in one. Further
classified into motor and non-motor and whether awareness is impaired.
Jacksonian march: A kind of simple focal/partial seizures that begins with tingling or
twitching in a small area and then spreads to a larger area of the body.
What type of seizure is the most common type of those with epilepsy and is a simple
focal/partial seizure followed by loss of consciousness with a preceding aura and post-
ictal state and have the potential to turn into secondary generalizes seizures.
- generalized tonic clonic
,- focal complex partial
- absence seizures
- Todd's paralysis - Focal complex partial seizures
I tried to make sense out of this questions and just can't. Focal and partial mean the
same damn thing. @_@
Generalized - involves both hemispheres
Focal or partial - starts in one hemisphere
Simple - No alteration or loss of consciousness
Complex - Altered or loss of consciousness
A 30 year old female with PMH of epilepsy diagnosed as a child presents to the ED
after having a seizure. This seizure was unlike her prior seizures. Exam reveals right
upper and lower extremity weakness with normal strength on the left side. She is alert
and oriented. Physical exam is normal. Seizure occurred about four hours ago and
involved clonic spasms of her entire right side that rapidly spread to her entire body.
What is the most likely diagnosis?
- psychogenic seizure
- Todd's paralysis
- post-ictal state
- absence seizure - Todd's paralysis
A brief period of unilateral paralysis following a seizure that typically resolves in 24
hours
Which of the following types of seizures presents with alternating stiffening and jerking
movement and involves both hemispheres?
- simple partial
- complex partial
- generalized tonic clonic
- focal - Generalized tonic-clonic
T/F: You are starting a patient on treatment for new onset seizures with phenytoin and
understand that gingival hyperplasia, drowsiness, N/V, and constipation are all potential
side effects. - True
A 70 year old male present with a head injury after being in a motor vehicle accident. He
is having generalized tonic clonic seizure. What is the initial first line therapy choice to
treat his seizures?
- valproic acid
- topimax
- tegretol
- gabapentin
- ethosuximide - Valproic acid
, You know, after you give a benzo
Phenytoin and digoxin: what's the deal? - Phenytoin inhibits binding of digitalis and
decreases its efficacy
A 28 year old female with PMH of epilepsy and HTN is considering having children. Her
seizures have been controlled with Keppra for five years and has been seizure free for
three years. You consider the following when discussing her next steps:
- refer to neurology for further counseling and repeat LTEEG monitoring and MRI before
further discussion
- continue Keppra therapy alone
- stop all seizure medications
- aadvise anot ato aproceed awith apregnancy
- aadd aa asecond aAED atherapy a- a aRefer ato aneurology afor afurther acounseling aand arepeat
aLTEEG amonitoring aand aMRI abefore afurther adiscussion
All aof athe afollowing aantimicrobials acan alower athe aseizure athreshold aexcept:
- avancomycin
- acefepime
- ameropenem a- a aVancomycin
What atype aof aseizure acan abe atreated awith aethosuximide?
- apartial acomplex
- amyoclonic
- aabsence
- atonic-clonic a- a aAbsence
The amost acommon atype aof aMS ais:
- aprimary aprogressive
- aprogressive arelapsing
- arelapsing aremitting
- asecondary aprogressive a- a aRelapsing aremitting
T/F: aVitamin aD adeficiency ais aa arisk afactor afor athe adevelopment aof aMS a- a aTrue
T/F: aPregnancy ais acontraindicated ain athose awith aMS. a- a aFalse
You aare aevaluating aa apatient awith aMS awho adescribes aepisodes aof anot afeeling awell athat
aonly alast aa aperiod aof atime, aafter awhich ashe afeels anormal aagain. aShe ais adescribing awhich
atype aof aMS?
- aprimary aprogressive
- asecondary aprogressive
- aclinically aisolated
- arelapsing aremitting a- a aRelapsing aremitting
