Seizure Disorders USMLE Step 1 Practice Question
A 32-year-old primigravida at 8 months gestation presents with a sudden generalized tonic-clonic seizure. She reports a 2-week history of progressive headaches, blurred vision, and right upper quadrant abdominal pain. Vital signs show BP 168/110 mmHg, HR 102/min, RR 20/min, temperature 37.2°C. Laboratory studies reveal proteinuria (3+) and elevated liver enzymes. Reflexes are hyperactive. No prior seizure history or fever. Which diagnosis best explains her presentation?
Answer choices
- AIdiopathic generalized epilepsy
- BEclampsiaCorrect answer
- CAcute stroke
- DSubarachnoid hemorrhage
- EIntracranial tumor
- FSepsis with fever-induced seizures
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