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Pediatrics · Neurology: febrile seizure
Sample itemA previously healthy 18-month-old has a generalized convulsion lasting three minutes during a febrile viral illness and returns rapidly to baseline, with no focal deficit. What is the most likely classification?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Simple febrile seizure
A simple febrile seizure is generalized, lasts less than 15 minutes, occurs once in 24 hours, and resolves without focal neurologic signs in the appropriate age range. The underlying fever source still needs evaluation.
Option by option
A. Absence seizure
Absence seizures are brief nonconvulsive episodes unrelated to fever.
B. Complex febrile seizure
Complex febrile seizures are focal, prolonged, or recur within 24 hours.
C. Status epilepticus
Status epilepticus is prolonged or recurrent without recovery.
D. Simple febrile seizure (correct)
Correct. This episode fulfills the simple febrile seizure pattern.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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