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Pediatrics · USMLE Step 2 CK · Healthcare and Nursing

USMLE Step 2 CK Pediatrics: Neurology and Seizure Disorders

Febrile seizures, pediatric epilepsy syndromes, and neurodevelopmental red flags tested on USMLE Step 2 CK.

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35 basic cards for USMLE Step 2 CK Pediatrics. Set 7 of 8 in USMLE Step 2 CK Pediatrics. It opens with "What is the maximum duration and character of a simple febrile seizure?" and "What features define a complex febrile seizure?". Study it alongside the other USMLE Step 2 CK sets below.

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What is the maximum duration and character of a simple febrile seizure?
Show answerUnder 15 minutes, generalized (not focal), and does not recur within 24 hours
What features define a complex febrile seizure?
Show answerLasts more than 15 minutes, has focal features, or recurs within 24 hours
What is the typical age range for febrile seizures?
Show answer6 months to 5 years
What is the most common cause of seizures in children between 6 months and 5 years?
Show answerFebrile seizures
In a child with a febrile seizure, when is lumbar puncture indicated?
Show answerWhen there are signs or symptoms of meningitis or the child is ill-appearing
Is EEG routinely indicated after a simple febrile seizure?
Show answerNo, EEG is not indicated after a simple febrile seizure
When is neuroimaging indicated after a febrile seizure?
Show answerWhen the seizure is complex or focal neurologic deficits are present
What is the approximate recurrence risk after a first febrile seizure?
Show answerAbout 30 percent
What age-related factor increases the risk of febrile seizure recurrence?
Show answerYounger age at the first febrile seizure
What family history factor increases the risk of febrile seizure recurrence?
Show answerA family history of febrile seizures
What is the risk of developing epilepsy after a simple febrile seizure?
Show answerAbout 1 to 2 percent, similar to the general population
What is the risk of developing epilepsy after a complex febrile seizure?
Show answerAbout 4 to 6 percent, higher than after simple febrile seizures
Do antipyretics reduce the risk of febrile seizure recurrence?
Show answerNo, antipyretics improve comfort but do not prevent recurrence
What medication is used as rescue therapy for a prolonged febrile seizure?
Show answerRectal diazepam
At what age do infantile spasms (West syndrome) typically begin?
Show answer3 to 8 months of age

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