[dr.Ira]

4 вопроса про судороги.

Q1] The parents of a 2-year-old come in to discuss their child's febrile seizures. The child has experienced four seizures, each associated with fever (usually from an ear infection). Each seizure lasted less than 2 minutes and was generalized tonic-clonic. The child was usually post-ictal for about 60 minutes but then returned to his normal level of mental function. The parents are concerned about the long-term significance for these seizures, specifically about any permanent brain damage and retardation. They ask if their child should be on medication to prevent the seizures.

Which one of the following should you tell them?

A) Children with a history of febrile seizures usually go on to a more complicated seizure pattern as they age.
B) Children with a history of febrile seizures typically perform less well on standardized school tests.
C) Children with febrile seizures typically are growth retarded.
D) Children with febrile seizures are at greater risk for premature death than the general public.
E) Most children who experience febrile seizures develop normally.



Q2] You receive a telephone call from a worried mother. She says her 8 month old son just had a seizure lasting for 2 minutes.The seizure has subsided.He is feeding well. His temp 103 RR: 34/min
She asks you what needs to be done. You say:

A] Take him immediately to the nearest ER
B] This is nothing serious. Stay calm
C] Give antipyretics to the child and monitor the temp.



Q3] Mother in Q2 asks you what is the risk of her child developing a recurrent febrile seizure now. You say:

A] There is no such risk in your child
B] Risk is increased if his family member has a h/o febrile seizure
C] He will definitely have an increased risk since he already had one febrile seizure


Q4] Mother in Q2 also asks you, " Doctor. I am very worried. Does this episode of seizure increase my son's risk of developing future epilepsy?"
You should say:

A] Your child is definitely at increased risk of developing epilepsy
B] Your son will be at an increased risk if father has history of febrile seizures.
C] If another seizure occurs during this illness then he will be at increased risk
D]He will not have increased risk of developing future epilepsy.