email a colleague

CME Posttest

You are required to answer all questions. To receive a certificate you must answer at least 5 of the questions correctly.

1.	General characteristics of epilepsy include all of the following except:
		a. It involves recurrent seizures
		b. It involves one seizure developing from a problem that invariably causes recurrent seizures if left untreated
		c. No pattern of behavior or movement is proof of seizure activity
		d. It can be defined as a tendency toward recurrent seizures unprovoked by systemic or neurologic insults
		e. It always leads to mental retardation

2.	Which of the following is predictive of an increased risk for recurrence of a seizure following a focal nonfebrile seizure?
		a. A negative family history
		b. Duration of the first seizure
		c. Age greater than 2 and not a teenager
		d. Age less than 2 or a teenager
		e. A normal EEG

3.	Following one or two seizures, if the decision is made to treat the child with anti-epileptic therapy, the seizure-free duration before stopping the medication should be:
		a. 6 to 12 months
		b. The patient’s lifetime
		c. 2 to 3 years
		d. The parent’s decision
		e. None of the above

4.	Which of the following tests should be performed with an eight year old child who had a seizure recently and is now normal. The child has no other significant prior medical history.
		a. Magnesium
		b. Electrolytes
		c. Cerebral spinal fluid evaluation
		d. Calcium
		e. None of the above

5.	Which of the following seizure types has an incorrect evaluation, assuming that the child is currently normal-appearing:
		a. Neonatal seizure: Routine chemistries, CSF examination, and possibly serum amino and urine organic acids
		b. Febrile seizure in a child over 18 months of age: No workup required
		c. Infantile spasm: No workup required
		d. Absence seizure in a 5 year old: EEG
		e. Partial seizure in a 12 year old: MRI and an EEG

6.	Which of the following statements is false?
		a. MRI can pick up gliosis or scarring that often goes along with temporal lobe epilepsy, whereas CT cannot
		b. The risk of recurrence of a non-febrile focal motor seizure is approximately 10%
		c. A normal EEG does not rule out epilepsy
		d. The prevalence of epilepsy in the United States may be as high as 2% of the population but is generally estimated at 0.5%
		e. Approximately 6% of children will have had a seizure by the age of 5 or 6