1. Which one of the following is associated with petit mal epilepsy?

a. Involving all parts of the brain

b. Abnormality of EEG wave shows 3-Hz generalized, symmetric spike-wave
complex.
c. Onset at 20th age.
d. Cannot be detect by electroencephalogram
e. Appear as generalized tonic-clonic seizure
2. The most important differential diagnosis of epilepsy are
a. Syncope and pseudoseizure
b. Malingering and tension-type headache
c. Stroke and brain death
d. Myocard infark and TIA
e. Encephalitis and syncope
3. A 9-year-old boy is brought to your clinic by his parents because he has begun to have
episodes of eye fluttering lasting several seconds. Sometimes he loses track of his
thoughts in the middle of a sentence. There was one fall off a bicycle that may have been
related to one of these events. There are no other associated symptoms, and the episodes
may occur up to 20 or more times per day. The boys development and health have been
normal up until this point. He did have two head injuries as a young child: the first when
he fell off a tricycle onto the ground, and the second when he fell off of a playset onto his
head. Both episodes resulted in a brief loss of consciousness and he did not think clearly
for part of the day afterward, but had no medical intervention. The test most likely to
confirm this patients diagnosis is
a. Brain CT scan
b. Brain MRI
c. Electroencephalogram/EEG
d. Lumbar puncture
e. Nerve conduction study
4. A 56-year-old man with epilepsy is brought into the emergency room. He has been
having continuous generalized tonic-clonic seizures for the past 30 min. He is treated
with 2 mg of IV lorazepam. Most physicians recommend using a high dose of
intravenous benzodiazepine as part of the management of status epilepticus because of
its
a. Ability to suppress seizure activity for more than 24 h after one injection
b. Lack of respiratory depressant action
c. Rapid onset of action after intravenous administration
d. Lack of hypotensive effects
e. Lack of dependence on hepatic function for its metabolism and clearance

5. The patients seizing does not stop. A second intravenous drug is given. Infusing which of
the following antiepileptic drugs at more than 50 mg/min in an adult may evoke a cardiac
arrhythmia?
a. Carbamazepine
b. Diazepam
c. Phenobarbital
d. Clonazepam
e. Phenytoin
6. A 4-year-old boy has the onset of episodes of loss of body tone, with associated falls, as
well as generalized tonic-clonic seizures. His cognitive function has been deteriorating.
EEG shows 1.5- to 2-Hz spike-and-wave discharges. The most likely diagnosis is
a. Landau-Kleffner syndrome
b. Lennox-Gastaut syndrome
c. Juvenile myoclonic epilepsy
d. Mitochondrial encephalomyopathy
e. Febrile seizures
7. A 27-year-old man begins to experience infrequent episodes of nausea, warmth rising
through his body, and an unusual odor like rotting fish. His girlfriend notices that
afterward he may develop twitching of the left side of his face and an inability to speak
for several minutes. Afterward the man appears dazed and cannot remember what has
occurred. He has otherwise been well. Magnetic resonance imaging (MRI) of his brain is
most likely to show a lesion in which area of the brain?
a. Left frontal lobe
b. Right frontal lobe
c. Cribriform plate
d. Uncus
e. Left parietal lobe
8. A patient with intractable complex partial seizures due to cortical dysplasia undergoes left
temporal lobectomy. He is most likely to develop which of the following problems after
surgery?
a. Right superior quadrantanopsia
b. Right inferior quadrantanopsia
c. Right homonymous hemianopsia
d. Right hand weakness
e. Aphasia