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Old 06-15-2011
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Question Episodes of confusion and a blank look

A 9 y/o boy is sent for neurologic evaluation because of episodes of "confusion". Over the past year, the child has experienced episodes during which he develops a blank look on his face and fails to respond or respond with unintelligible answer to questions. However, it appears to take several minutes before the boy recovers from the episodes. Which of the following therapies would be appropriate for this patient?

A) Ethosuximide
B) Carbamazepine
C) Diazepam
D) Carbamazepine plus primidone
E) Felbamate
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Old 06-15-2011
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My answer..A
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Old 06-15-2011
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Default A) Ethosuximide

That describes an absence seizure and the DOC is Ethosuximide!
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Old 06-15-2011
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a

i have seen videos that they put them to count ... they stop for little ,completely fail to respond then they continue from where they stopped
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Old 06-15-2011
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Correct Answer correct answer

The right answer is B) Carbamazepine
This is NOT an absence seizure...this is a "Complex Partial Seizures"

"fails to respond or respond with unintelligible answer to questions. However, it appears to take several minutes before the boy recovers from the episodes."

Absence seizures are a type of generalized seizures
On clinical examination, typical absence seizures appear as brief staring spells. Patients have no warning or postictal phase, and if engaged in gross motor activity, such as walking, they may stop and stand motionless or they may continue to walk. Children are not responsive during the seizure and have no memory of what happened during the attack; they are generally unaware that a seizure has occurred.

Feature.........Complex Partial.......................Absence
Onset ...........May have simple partial onset....Abrupt
Duration........Usually >30 s..........................Usually < 30 s
Ending..........Gradual postictal......................Abrupt

this qs. is from lippincott pharmacology
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Old 06-15-2011
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I agree Absence Seizure

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Clinical-Signs, Nervous-System-, Pathology-, Step-1-Questions, Videos-Animations

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