CC BY-NC-ND 4.0 · International Journal of Epilepsy 2016; 03(02): 104-105
DOI: 10.1016/S2213-6320(16)30103-8
Multiple Choice Question
Thieme Medical and Scientific Publishers Private Ltd.

Multiple Choice Question Based on Newer Anti-Epileptic Drugs

Manjari Tripathi
1  Department of Neurology, ALL INDIA INSTITUTE OF MEDICAL SCIENCES, New Delhi, India
› Author Affiliations
Further Information

Publication History

Publication Date:
06 May 2018 (online)

  • Q.1 Which of the following conditions should be met for speech arrest during cortical stimulation to reliably indicate that the electrode overlies language-eloquent cortex?

    • A) Effects on tongue mobility

    • B) No significant EEG after discharge

    • C) Eloquent reference electrode

    • D) Patient has a seizure

  • Q.2 Which of the following is the most highly significant and characteristic electrocortigraphic finding of focal cortical dysplasia?

    • A) Continuous repetitive discharges

    • B) High amplitude spikes

    • C) High frequency oscillations

    • D) EEG seizures with no clinical signs

  • Q.3 When comparing subdural and sterotactic depth electrodes, which of the following is false?

    • A) Subdural electrodes may afford more extensive mapping of eloquent cortex

    • B) Sterotactic depth electrodes may afford more precise recording from deeper regions away from the cortical surface

    • C) Subdural electrodes have a lower risk of complications than sterotactic depth electrodes

    • D) Subdurals are more difficult to explant

  • Q.4 At one year after resective epilepsy surgery, factors favorable for consideration of medication withdrawal include which of the following?

    • A) No postoperative seizures

    • B) No epileptiform discharges on EEG

    • C) No mitigating factors suggesting incomplete resection

    • D) All of the above

  • Q.5 Which antiepileptic drug regimen combines drugs with different mechanisms of action?

    • A) Lamotrigine + Carbamazepine

    • B) Lamotrigine + Eslicarbazepine

    • C) Phenytoin + Carbamazepine

    • D) Lamotrigine + Clobazam

  • Q.6 Which of the following conditions has been identified as a highest risk factor for non-convulsive status epilepticus?

    • A) Coma in the setting of intracerebral hematoma

    • B) History of bipolar disorder

    • C) Acute ischemic stroke

    • D) Liver failure

  • Q.7 What is the approximate percentage of patient with altered mental status found to be having seizures on EEG in the ICU?

    • A) 1–5%

    • B) 20–30%

    • C) 80–90%

    • D) 70–80%

  • Q.8 Which ICU EEG application can help detect seizures and display multiple hours of EEG on a single screen?

    • A) Quantitative EEG (Trend Analysis)

    • B) High frequency oscillations

    • C) Magnetoencephalography (MEG)

    • D) Using EEG filters

    Using silver epoxide coated plastic electrodes All of the above

  • Q.9 All except which of the following interventions may help to reduce the risk for suicide in youths with epilepsy?

    • A) Ask directly about mood and suicidal ideation at clinic visits

    • B) Perform mental health screening at least every 6 months or with treatment changes

    • C) Avoid discussing suicide with suggestible teens

    • D) Sending all to psychiatry OPD

  • Q.10 All of the following are true regarding contraception in women with epilepsy EXCEPT which of the following?

    • A) Estrogen activates seizures in one third of women with epilepsy

    • B) Oral hormonal contraception inhibits the metabolism of lamotrigine

    • C) Enzyme-inducing antiepileptic medications are associated with increased risk of oral contraceptive failure

    • D) Intrauterine device is preferred in those with one child.