Seizure Disorders USMLE Step 1 Practice Question
A 27-year-old previously healthy man is brought to the emergency department after witnessed sudden loss of consciousness with tonic stiffening followed by bilateral synchronous jerking lasting 2 minutes. Vital signs show BP 156/92, HR 118, RR 20, temp 37.2°C, SpO2 98% on room air. He has a lateral tongue laceration and postictal confusion lasting 30 minutes. EEG shows generalized spike-and-wave discharges. No prior seizure history. Which of the following is the most likely diagnosis?
Answer choices
- AFocal aware motor seizure
- BAbsence seizure
- CGeneralized tonic clonic seizureCorrect answer
- DPsychogenic nonepileptic seizure
- EBenign rolandic epilepsy
- FFocal impaired awareness seizure with secondary generalization
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