Seizure Disorders USMLE Step 1 Practice Question
A 34-year-old woman presents with recurrent episodes beginning with olfactory hallucinations and déjà vu, followed by lip smacking and 2-3 minutes of altered consciousness. She reports postictal confusion and fatigue lasting 30 minutes after each event. Vital signs: BP 128/82, HR 92, RR 16, temp 37°C, SpO2 98% on room air. Brain MRI reveals left mesial temporal sclerosis. She denies tongue biting or incontinence. She takes no medications. Which diagnosis best explains these findings?
Answer choices
- APsychogenic nonepileptic seizure
- BFocal impaired awareness seizureCorrect answer
- CAbsence seizure
- DFocal aware motor seizure
- EJuvenile myoclonic epilepsy
- FGeneralized tonic-clonic seizure
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