Seizure Disorders USMLE Step 1 Practice Question
A 28-year-old woman presents with recurrent episodes of epigastric rising sensation followed by lip smacking, staring, and confusion lasting 2 minutes, with complete post-ictal amnesia. Vital signs: BP 118/76, HR 92, RR 16, Temp 37°C, SpO2 98%. MRI reveals left hippocampal sclerosis. Serum glucose is normal. She denies tongue biting or urinary incontinence. Currently on no antiepileptic medications. Which seizure type is most likely?
Answer choices
- APsychogenic nonepileptic seizure
- BPrimary generalized tonic clonic seizure
- CFocal impaired awareness seizureCorrect answer
- DAbsence seizure
- EMyoclonic seizure
- FFocal aware seizure with secondary generalization
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