What is the correct answer?


Topic: Seizure
Subject: Medicine
A 32-year-old female experiences an episode of unresponsiveness associated with jerking movements of her arms and legs. Which one of the following presentations would make a diagnosis of true seizure more likely?

A. Post-event confusion

B. Eye closure during the event

C. A history of fibromyalgia

D. A history of chronic back pain

Correct Answer :

A. Post-event confusion

Up to 20% of patients diagnosed with epilepsy actually have pseudoseizures. Eye closure throughout the event is uncommon in true seizures, and a history of fibromyalgia or chronic pain syndrome is predictive of pseudoseizures. If obtained within 20 minutes of the event, a serum prolactin level may be useful in differentiating a true seizure from a pseudoseizure. An elevated level has a sensitivity of 60% for generalized tonic-clonic seizures and 46% for complex partial seizures. Other features suggestive of seizure activity include tongue biting, the presence of an aura, postictal confusion, and focal neurologic signs.

Related Questions

Topic: AmnesiaSubject: MedicineWhich of the following medications may… Topic: Foot DropSubject: MedicineDuring the physical exam of a patients… Topic: Horner's SyndromeSubject: MedicineA 54-year-old white male presents… Topic: Status EpilepticusSubject: MedicineWhich one of the following should… Topic: DM neuropathySubject: MedicineIn which of the following diseases… Topic: Adverse Drug EffectSubject: MedicineDuring the morning rounds,… Topic: MMSESubject: MedicineThe Mini-Mental State Examination (MMSE) tests… Topic: Temporal ArteritisSubject: MedicineA female patient complains of… Topic: Essential TremorSubject: MedicineA 75 year old white male complains… Topic: Peripheral NeuropathySubject: MedicineA 68-year-old male presents… Topic: Mini Mental Status Exam (or MMSE)Subject: MedicineA 63-year-old… Topic: SeizureSubject: MedicineA 32-year-old female experiences an episode… Topic: Diagnostic InvestigationsSubject: MedicineA 50-year-old male is… Topic: Alzheimer's DiseaseSubject: MedicineAn 84-year-old black female… Topic: Intracranial HemorrhageSubject: MedicineThe most significant risk… Topic: Horner's SyndromeSubject: MedicineA 70-year-old man presented with… Topic: Alzheimer's DiseaseSubject: MedicineWhich one of the following… Topic: Trigeminal NeuralgiaSubject: MedicineA 55-year-old man complains… Topic: Brain DeathSubject: MedicineA 30 year old man has been on life… Topic: Temporal Lobe LesionSubject: MedicineA 40 year old man presents… Topic: Brain DeathSubject: MedicineA 57-year-old white male with coronary… Topic: Neurologic painSubject: MedicineA 21-year-old man presented to… Topic: Brain DeathSubject: MedicineA 35 year old man has been on life… Topic: Cholinergic ToxidromeSubject: MedicineA 37 year old male arrives… Topic: Fragile X SyndromeSubject: MedicineYou are asked to see a mentally… Topic: AnalgesicsSubject: MedicineA 74-year-old black female has moderately… Topic: Dementia Subject: MedicineAll of the following dementias can benefit… Topic: Postherpetic NeuralgiaSubject: MedicineWhen given during acute… Topic: Temporal ArteritisSubject: MedicineA 75-year-old female presents… Topic: DementiaSubject: MedicineA 60-year-old white female presents for…