Epilepsy: symptoms and diagnosis
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What is the most likely cause of epilepsy in a patient, aged 70 years, who has always lived in the UK and is newly diagnosed with epilepsy?CorrectIncorrect
In which age groups are there significant incident peaks for epilepsy diagnosis?CorrectIncorrect
The most effective approach to improve the prognosis of a patient with epilepsy would be to:CorrectIncorrect
A patient is diagnosed with generalised seizures. Which seizure type are they least likely to experience?CorrectIncorrect
A patient experiences a seizure where they stop what they are doing and stare into the distance. They then rock backwards and forwards for ten seconds, then scissor their legs for ten seconds, before gradually returning to normal. They do not remember the seizure afterwards. From the description above, what seizure type is the patient most likely experiencing?CorrectIncorrect
A female student, aged 19 years, has recently moved away from home to live in university accommodation. When not studying, she has been enjoying university life to the full, with lots of socialising and late night parties. After a few weeks, she experiences a re-emergence of her seizures after a period of five years seizure-free. Which of the following is least likely to be a trigger in this case?CorrectIncorrect
Photosensitive seizures are commonly triggered by television, video games and flickering light. How common is photosensitive epilepsy among people with epilepsy?CorrectIncorrect
A patient experiences their first tonic-clonic seizure on Christmas Eve and their second on New Year’s Day. Which of the following is most likely to have the greatest contribution to the diagnosis of epilepsy in this case?CorrectIncorrect
In which case would the National Institute for Health and Care Excellence recommend that an MRI scan is carried out?CorrectIncorrect
Psychogenic non-epileptic seizures (PNES) are commonly misdiagnosed as epilepsy in older children and adults. Which of the following cannot be used to distinguish PNES from epileptic seizures?CorrectIncorrect
A man, aged 65 years, has a history of mild hypertension and is slightly overweight. While out shopping a few weeks ago, he felt very lightheaded, his legs were seen to collapse and he flopped into a chair. He was lowered to the ground and experienced his legs jerking. He was unconscious for about a minute but when he tried to sit up, he felt dizzy and had to lie down again. He experienced no other after-effects and made a complete recovery. What is the most likely diagnosis based on the above history?CorrectIncorrect
Which of the following is not a modifiable risk factor for sudden unexpected death in epilepsy?CorrectIncorrect
How many years does a person have to remain seizure-free for their epilepsy to be defined as resolved?CorrectIncorrect
Which of the following is least likely to be a risk factor for refractory epilepsy?CorrectIncorrect
Which of the following is not a reason to call 999 when a person is experiencing a seizure?CorrectIncorrect