Seizure Disorders USMLE Step 1 Practice Question
A 24-year-old woman presents with recurrent convulsive episodes. During a typical spell, video EEG shows asynchronous limb thrashing, eyes tightly closed, and no epileptiform activity. Vital signs reveal BP 128/76, HR 92, RR 14, SpO2 98% on room air. Serum prolactin obtained immediately post-event is normal at 8 ng/mL. She denies prior head trauma and takes no antiepileptic medications. Which of the following is the most likely diagnosis?
Answer choices
- AFocal impaired awareness seizure
- BGeneralized tonic clonic seizure
- CAbsence seizure
- DPsychogenic nonepileptic seizureCorrect answer
- ETodd paralysis
- FJuvenile myoclonic epilepsy
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