1 MCQs in Medicine for NEET PG
A 71-year-old woman with prior left MCA stroke and subtherapeutic levetiracetam presents with 90 minutes of unresponsiveness, subtle right eyelid twitching, and leftward gaze deviation. Glasgow Coma Scale is 8. Non-contrast CT head shows only old infarct. Urgent bedside EEG is obtained. The pattern marked **A** in the diagram—continuous generalized rhythmic 2–3 Hz spike-and-slow-wave discharges persisting >30 minutes with bifrontal predominance, absent normal posterior rhythm, and no reactivity—is documented. Within 3 minutes of IV lorazepam 4 mg, the epileptiform discharges attenuate, posterior rhythm re-emerges, and the patient opens her eyes to voice. Which of the following best describes the diagnostic significance of the EEG pattern marked **A** in this clinical context?
Ready to test yourself?
Test your Medicine knowledge with AI-powered MCQs and detailed explanations — no signup required to try.
Sign up free and practice all 1 Nonconvulsive Status Epilepticus (NCSE) MCQs with AI-powered explanations tailored to your performance.
Create Free Account