Febrile Seizures MCQ Quiz | OPD Case Management

Welcome to this interactive quiz on Febrile Seizures, a crucial topic in OPD Case Management for MBBS students. This quiz is designed to test your understanding of the evaluation, diagnosis, and management of children presenting with seizures associated with fever. You will find 25 multiple-choice questions covering clinical scenarios, from differentiating simple versus complex seizures to appropriate investigations and parental counseling. This self-assessment tool will help reinforce key concepts and prepare you for clinical practice. After submitting your answers, you’ll receive your score and a detailed review. You can also download all the questions and their correct answers in a PDF format for future reference and study. Good luck!

1. What is the most common age range for the occurrence of febrile seizures?

2. A simple febrile seizure is characterized by all of the following EXCEPT:

3. A 2-year-old presents to the OPD after a generalized tonic-clonic seizure lasting 5 minutes during a febrile illness. This is his first seizure, and he is now back to baseline. What is the most appropriate next step?

4. Which of the following features defines a complex febrile seizure?

5. What is the most widely accepted pathophysiology behind febrile seizures?

6. The risk of recurrence of a febrile seizure is highest if:

7. A child who has a continuous febrile seizure lasting 20 minutes is classified as having:

8. Which investigation is routinely recommended after a first simple febrile seizure in a well-appearing, fully recovered child?

9. A lumbar puncture is strongly indicated in an infant with a first febrile seizure if they are:

10. What is the primary role of an EEG after a first simple febrile seizure?

11. A 3-year-old child has a second simple febrile seizure. What is the approximate risk of this child developing epilepsy later in life?

12. The first-line medication for terminating an ongoing febrile seizure in a pre-hospital or home setting is typically:

13. In the emergency department, what is the preferred intravenous benzodiazepine for a seizure lasting more than 5 minutes?

14. Continuous prophylactic antiepileptic therapy for preventing febrile seizure recurrence is generally not recommended due to:

15. What is the current view on intermittent diazepam prophylaxis during febrile illnesses?

16. The most important aspect of parental counseling after a first simple febrile seizure is:

17. A child presents with a seizure and fever. Which of the following features would most strongly suggest a CNS infection like meningitis over a simple febrile seizure?

18. By definition, the fever associated with a febrile seizure is typically:

19. What percentage of children who experience one febrile seizure will have a recurrence?

20. Which of the following is NOT a recognized risk factor for the recurrence of febrile seizures?

21. A child who has three separate seizures within a 24-hour febrile period would have their condition classified as:

22. Aggressive use of antipyretics (like paracetamol or ibuprofen) during a febrile illness has been shown to:

23. The long-term intellectual and developmental outcome for children with simple febrile seizures is:

24. Which of the following immunizations has a well-known, albeit small, association with an increased risk of febrile seizures in the 1-2 weeks post-vaccination?

25. In managing a child who has just had a simple febrile seizure and is now post-ictal but stable in the OPD, the priority is: