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21 Cards in this Set
- Front
- Back
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Prevalence of epilepsy in the general poulation is...
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0.5 to 1.0%
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Percentage of people who will have at least one seizure in their liftime is...
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10%
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The typical length of a syncopal episode is...
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<30 seconds
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The typical length of a seizure is...
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1-2 minutes
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Syncope typically happens in what positiion?
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Upright
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If a syncopal episode is accompanied by tonic-clonic state it usually lasts no more than...
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10 seconds
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Pseudoseizures are usually charcterized by the fact that they are....
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Prolonged
Monorythmic rather than evolving include variable behaviour Happen around observers |
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One of the important epeliptiform discharges seen on an EEG which is very pronounced is called...
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An interictal spike
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Per definition, a primarily generalized seizure begins ...
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In both hemispheres
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The key to distinguishing between a simple and complex partial seizure is...
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Simple partial-Consciousness retained
Complex partial-Consciousness reduced |
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80% of complex partial seizures originate in....
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The temporal lobe
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Absence or petit mal seizures have no aura or postictal confusion and usually last less than 10 seconds. They originate....
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Bilaterally.
Primarily generalized seizures. Generalized spike and wave on EEG. |
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Staring spells that are of complex partial origin are usually characterized by...
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1-2 minute duration
Aura Postictal confusion Focal spikes and sharp waves on EEG |
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Benign rolandic epilepsy
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5-9 years old onset
Simple-partial motor seizures of face and arm Secondarily GTC Can happen during sleep Centrotemporal EEG spikes Good response to drugs Stops around 14 years |
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Good first choice drugs for simple and complex partial seizures are...
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Carbamazepine (Dilantin)
Oxocarbazine Phenytoin |
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Good first choice drugs for secondarily generalized seizures are....
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Carbamazepine (Dilantin)
Oxocarbazine Phenytoin Valproic acid |
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A good first choice drug for absence seizures on their own is...
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Ethosuxamide
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A good first choice drug for absence seizures with generalized tonic-clonic seizures is....
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Valproic acid
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A good first choice drug for juvenile myoclonic seizures is...
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Valproic acid
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The four basic criteria for epilepsy surgery are...
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Medically refractory partial seizures
Single cortical seizure focus Focus resectable with minimal functional impairment Surgery will improve quality of life |
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The most effective surgical epilepsy procedure in terms of the % of patients that are seizure free postsurgically is...
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Temporal lobectomy
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