1st Quarter 2012 CE Packet

Pediatric Seizures

Your Name:
1) Brain cells are completely formed at the time of birth.
A. True
B. False
2) Seizures are always accompanied by overt physical signs
A. True.
B. False.
3) A reactive seizure is:
A. caused by trauma.
B. caused by an identifiable lesion in the brain.
C. an abnormal response to a medical condition.
D. a normal response to many medical conditions.
4) Signs and symptoms of a seizure:
A. are the same for all seizures.
B. can be classified as primary, secondary, or reactive.
C. are never the same
D. depend on the location in the brain and the developmental stage of the brain.
5) The primary difference between a simple partial seizure and a complex partial seizure is:
A. Simple partial seizures impair consciousness while complex partial seizures do not.
B. Simple partial seizures do not impair consciousness while complex partial seizures do.
C. There is no difference between the two.
D. Simple partial seizures are often preceded by an aura.
6) Diagnosis of a simple partial seizure is often missed because:
A. they can occur without motor signs.
B. they can occur with autonomic symptoms such as visceral complaints.
C. the symptoms are attributed to other causes.
D. all of the above.
7) Signs of a seizure may occur hours to days before the seizure actually occurs.
A. True
B. False
8) Any partial seizure can increase to a generalized seizure.
A. True
B. False
9) The tonic phase of a generalized seizure usually begins with:
A. musculature contraction of the body.
B. a period of apnea.
C. rhythmic jerking of the trunk.
D. rhythmic jerking of the extremities.
10) Seizures that are characterized by a transient loss of consciousness without obvious convulsions are referred to as:
A. presence seizures.
B. absence seizures.
C. status epilepticus.
D. pseudoseizures.
11) Status epilepticus is:
A. a neurological emergency.
B. characterized by two or more seizures without a period of consciousness.
C. associated with a high incidence of mortality.
D. all of the above.
12) Status epilepticus may result in:
A. cardiac arrest.
B. cardiac arrhythmias.
C. permanent brain damage.
D. all of the above.
13) Several clues to whether or not a child is actually having a seizure include:
A. tonic-clonic type activity while the patient is conscious and responsive.
B. repetitive pelvic thrusting.
C. closed-eyes.
D. all of the above.
14) Treatment for a patient having a seizure should include:
A. inserting a device into the patients mouth to prevent tongue biting.
B. oxygen, IV/IO Blood glucose assessment.
C. physical restraints to minimize movement.
D. all of the above.
15) Pediatric seizures may present in a variety of ways. This is primarily due to:
A. cause of seizure.
B. location in the brain where the seizure originated.
C. development level of the brain.
D. age of the child.