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DOI: 10.1016/S2213-6320(16)30103-8
Multiple Choice Question Based on Newer Anti-Epileptic Drugs
Publikationsverlauf
Publikationsdatum:
06. Mai 2018 (online)
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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?
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A) Effects on tongue mobility
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B) No significant EEG after discharge
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C) Eloquent reference electrode
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D) Patient has a seizure
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Q.2 Which of the following is the most highly significant and characteristic electrocortigraphic finding of focal cortical dysplasia?
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A) Continuous repetitive discharges
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B) High amplitude spikes
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C) High frequency oscillations
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D) EEG seizures with no clinical signs
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Q.3 When comparing subdural and sterotactic depth electrodes, which of the following is false?
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A) Subdural electrodes may afford more extensive mapping of eloquent cortex
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B) Sterotactic depth electrodes may afford more precise recording from deeper regions away from the cortical surface
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C) Subdural electrodes have a lower risk of complications than sterotactic depth electrodes
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D) Subdurals are more difficult to explant
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Q.4 At one year after resective epilepsy surgery, factors favorable for consideration of medication withdrawal include which of the following?
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A) No postoperative seizures
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B) No epileptiform discharges on EEG
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C) No mitigating factors suggesting incomplete resection
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D) All of the above
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Q.5 Which antiepileptic drug regimen combines drugs with different mechanisms of action?
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A) Lamotrigine + Carbamazepine
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B) Lamotrigine + Eslicarbazepine
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C) Phenytoin + Carbamazepine
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D) Lamotrigine + Clobazam
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Q.6 Which of the following conditions has been identified as a highest risk factor for non-convulsive status epilepticus?
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A) Coma in the setting of intracerebral hematoma
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B) History of bipolar disorder
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C) Acute ischemic stroke
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D) Liver failure
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Q.7 What is the approximate percentage of patient with altered mental status found to be having seizures on EEG in the ICU?
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A) 1–5%
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B) 20–30%
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C) 80–90%
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D) 70–80%
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Q.8 Which ICU EEG application can help detect seizures and display multiple hours of EEG on a single screen?
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A) Quantitative EEG (Trend Analysis)
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B) High frequency oscillations
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C) Magnetoencephalography (MEG)
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D) Using EEG filters
Using silver epoxide coated plastic electrodes All of the above
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Q.9 All except which of the following interventions may help to reduce the risk for suicide in youths with epilepsy?
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A) Ask directly about mood and suicidal ideation at clinic visits
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B) Perform mental health screening at least every 6 months or with treatment changes
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C) Avoid discussing suicide with suggestible teens
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D) Sending all to psychiatry OPD
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Q.10 All of the following are true regarding contraception in women with epilepsy EXCEPT which of the following?
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A) Estrogen activates seizures in one third of women with epilepsy
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B) Oral hormonal contraception inhibits the metabolism of lamotrigine
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C) Enzyme-inducing antiepileptic medications are associated with increased risk of oral contraceptive failure
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D) Intrauterine device is preferred in those with one child.
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Die Autoren geben an, dass kein Interessenkonflikt besteht.