Neurology: Lennox-Gastaut syndrome: 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: Lennox-Gastaut syndrome

Sample item

A 4-year-old has multiple seizure types including tonic and atonic drops, intellectual disability and EEG showing slow spike-and-wave of 1.5 to 2.5 Hz. Which is the diagnosis?

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

The answer and the reasoning

B. Lennox-Gastaut syndrome

Lennox-Gastaut syndrome is a severe epileptic encephalopathy with multiple seizure types, cognitive impairment and slow spike-and-wave on EEG, which is often a progression from infantile spasms. It is difficult to control. Valproate, lamotrigine, clobazam and rufinamide are used.

Option by option

  • A. Juvenile myoclonic epilepsy

    Juvenile myoclonic epilepsy begins in adolescence with morning jerks.

  • B. Lennox-Gastaut syndrome (correct)

    Correct. This triad is Lennox-Gastaut.

  • C. Benign rolandic epilepsy

    Rolandic epilepsy is benign.

  • D. Childhood absence epilepsy

    Absence epilepsy has 3 Hz spike-and-wave and normal intellect.

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.

More Pediatrics questions

Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is B, Lennox-Gastaut syndrome. Lennox-Gastaut syndrome is a severe epileptic encephalopathy with multiple seizure types, cognitive impairment and slow spike-and-wave on EEG, which is often a progression from infantile spasms.

Why is "Juvenile myoclonic epilepsy" not the answer?

Juvenile myoclonic epilepsy begins in adolescence with morning jerks.

Why is "Benign rolandic epilepsy" not the answer?

Rolandic epilepsy is benign.

Why is "Childhood absence epilepsy" not the answer?

Absence epilepsy has 3 Hz spike-and-wave and normal intellect.

What concept does this question test?

It tests Neurology: Lennox-Gastaut syndrome in Pediatrics. It is difficult to control. Valproate, lamotrigine, clobazam and rufinamide are used.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: Lennox-Gastaut syndrome?

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.