Neurology: benign rolandic epilepsy: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Neurology: benign rolandic epilepsy

Sample item

A 8-year-old has nocturnal seizures with facial twitching, drooling and speech arrest. EEG shows centrotemporal spikes. What is the prognosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Excellent, with remission by adolescence

Benign epilepsy with centrotemporal spikes is the commonest childhood focal epilepsy, with an age-related onset and spontaneous remission by about 16 years. Treatment may not be needed if seizures are infrequent. Neurodevelopment is normal.

Option by option

  • A. Intractable in most

    It is usually easily controlled or needs no drugs.

  • B. Evolves to infantile spasms

    Infantile spasms occur in infancy.

  • C. Progressive neurological deterioration

    It is not progressive.

  • D. Excellent, with remission by adolescence (correct)

    Correct. It resolves by adolescence.

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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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is D, Excellent, with remission by adolescence. Benign epilepsy with centrotemporal spikes is the commonest childhood focal epilepsy, with an age-related onset and spontaneous remission by about 16 years.

Why is "Intractable in most" not the answer?

It is usually easily controlled or needs no drugs.

Why is "Evolves to infantile spasms" not the answer?

Infantile spasms occur in infancy.

Why is "Progressive neurological deterioration" not the answer?

It is not progressive.

What concept does this question test?

It tests Neurology: benign rolandic epilepsy in Pediatrics. Treatment may not be needed if seizures are infrequent. Neurodevelopment is normal.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Neurology: benign rolandic epilepsy?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.