Febrile seizures, pediatric epilepsy syndromes, and neurodevelopmental red flags tested on USMLE Step 2 CK.
35 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the maximum duration and character of a simple febrile seizure?
- Under 15 minutes, generalized (not focal), and does not recur within 24 hours
- What features define a complex febrile seizure?
- Lasts more than 15 minutes, has focal features, or recurs within 24 hours
- What is the typical age range for febrile seizures?
- 6 months to 5 years
- What is the most common cause of seizures in children between 6 months and 5 years?
- Febrile seizures
- In a child with a febrile seizure, when is lumbar puncture indicated?
- When there are signs or symptoms of meningitis or the child is ill-appearing
- Is EEG routinely indicated after a simple febrile seizure?
- No, EEG is not indicated after a simple febrile seizure
- When is neuroimaging indicated after a febrile seizure?
- When the seizure is complex or focal neurologic deficits are present
- What is the approximate recurrence risk after a first febrile seizure?
- About 30 percent
- What age-related factor increases the risk of febrile seizure recurrence?
- Younger age at the first febrile seizure
- What family history factor increases the risk of febrile seizure recurrence?
- A family history of febrile seizures
- What is the risk of developing epilepsy after a simple febrile seizure?
- About 1 to 2 percent, similar to the general population
- What is the risk of developing epilepsy after a complex febrile seizure?
- About 4 to 6 percent, higher than after simple febrile seizures
- Do antipyretics reduce the risk of febrile seizure recurrence?
- No, antipyretics improve comfort but do not prevent recurrence
- What medication is used as rescue therapy for a prolonged febrile seizure?
- Rectal diazepam
- At what age do infantile spasms (West syndrome) typically begin?
- 3 to 8 months of age