Seizure Disorders USMLE Step 1 Practice Question
A 24-year-old woman with no prior medical history presents to the emergency department after experiencing a generalized tonic-clonic seizure lasting 2 minutes. She reports irregular menstrual cycles and amenorrhea for the past 6 months. On examination, she has facial hirsutism and mild acne. Vital signs are stable post-ictal. Serum electrolytes, glucose, and renal function are normal. Urine pregnancy test is negative. Noncontrast head CT is unremarkable. Which of the following is the most likely diagnosis?
Answer choices
- APolycystic ovary syndrome with coincidental first seizure
- BIdiopathic generalized epilepsyCorrect answer
- CTemporal lobe epilepsy secondary to mesial temporal sclerosis
- DAcute symptomatic seizure from acute intermittent porphyria
- EPseudoseizure disorder with hormonal comorbidity
- FFocal seizure from previously undetected low-grade astrocytoma
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