Epilepsy Quiz Questions & Answers with explanations from Volume 2 issue 2 (Previous issue)

• Q.1 The strongest predictor of long-term outcome of epilepsy is:

  • A) Total duration of epilepsy.

  • B) Duration of epilepsy before initial treatment.

  • C) Age at onset of epilepsy.

  • D) Duration of treatment.

• Q.2 The most common reason for lower confidence of physicians on epilepsy surgery is:

  • A) Fear or morbidity/mortality.

  • B) Availability of new AEDs.

  • C) Lack of data from randomized clinical trials.

  • D) Advent of procedures like Vagus nerve stimulation.

• Q.3 Which of the following is true surgery in adults with mesial lesional Temporal lobe epilepsy:

  • A) Duration of epilepsy under ten years predicts favourable outcome.

  • B) Low pre-surgical IQ predicts unfavourable outcome.

  • C) Both of the above.

  • D) Younger age of onset predicts unfavourable outcome.

• Q.4 Neurological complications in H1N1 are:

  • A) More common in adults than children.

  • B) Is often associated with altered consciousness in children only.

  • C) Distributed irrespective of age.

  • D) Definitely associated with seizures.

• Q.5 Often of the following is rarely associated with CNS metastasis in women:

  • A) Lung cancer.

  • B) Breast cancer.

  • C) Melanoma – Malignant.

  • D) Epithelial ovarian cancer.

• Q.6 EEG in patients with Febrile Infection Related Epilepsy syndrome shows:

  • A) Slow background during acute phase and chronic phase.

  • B) Fast background during acute and chronic phase.

  • C) Slow background during acute phase and multifocal spikes during chronic phase.

  • D) Multifocal spikes during acute phase and slow background during chronic phase.

• Q.7 Phenobarbital is clinically not useful in:

  • A) Juvenile myoclonic epilepsy.

  • B) Refractory epilepsy.

  • C) Febrile seizures.

  • D) Neonatal absence seizures.

• Q.8 Phenobarbital augments the effect of:

  • A) Oxcarbazepine.

  • B) Clobazam.

  • C) Oral contraceptives.

  • D) Valproic acid.

• Q.9 Invasive ictal EEG recordings in pre-surgical evaluation of patients with medically refractory TLE are:

  • A) Mostly concordant to non-invasive techniques.

  • B) Useful only in MRI negative cases.

  • C) Will determine the extent of resection.

  • D) Better than magnetoencephalography.

• Q.10 The following statement about Phenobarbitone is incorrect:

  • A) Phenobarbitone is equally effective as lorazepam in overt Generalized convulsive status epilepticus.

  • B) VPA is superior to phenobarbitone in the management of convulsive SE.

  • C) Phenobarbitone is more efficient than levetiracetam in the management of SE.

  • D) Phenobarbitone is predominantly successful as first-line therapy in Generalized convulsive status epilepticus.