16 MCQs in Pediatrics for NEET PG
A 6-year-old girl with a history of generalized tonic-clonic seizures presents with status epilepticus lasting 28 minutes. After lorazepam administration, seizures persist. Regarding second-line and subsequent management of refractory status epilepticus in children, all of the following are appropriate interventions EXCEPT:
A 3-year-old boy from rural Maharashtra presents to the emergency department with continuous generalized tonic-clonic seizures for 18 minutes. He had a fever 2 days ago (now afebrile). On arrival, he is actively seizing. Airway is patent, oxygen saturation 94% on room air. IV access has been established. What is the most appropriate immediate next step in management?
A 6-year-old boy with known epilepsy presents to the ED with recurrent seizures lasting 25 minutes. Which feature best distinguishes early status epilepticus from established status epilepticus in a child?
According to the current definition, status epilepticus in children is defined as a seizure lasting longer than which duration, or recurrent seizures without return to baseline consciousness?
A 6-year-old girl with known idiopathic generalized epilepsy is brought to the pediatric emergency department in status epilepticus. She received IV lorazepam 4 mg 10 minutes ago, but seizures have not stopped. Her vital signs are: HR 156/min, RR 32/min, BP 98/60 mmHg, SpO₂ 91% on room air. She is still actively convulsing with generalized tonic-clonic movements. What is the most appropriate next step in management?
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