12892912
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
over 6 years ago
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| Question | Answer |
| TRUE/FALSE? 1. Benign Neonatal Sleep Myoclonus: A. Commonly persists over the age of 12 months. | FALSE. In 95% if infants it resolves by 6 months. |
| TRUE/FALSE? 1. Benign Neonatal Sleep Myoclonus: B. Can be diagnosed on history and examination in most instances. | TRUE. The key is that the jerks abolish completely on waking the baby in an otherwise normal healthy infant. |
| TRUE/FALSE? 1. Benign Neonatal Sleep Myoclonus: C. Is associated with developmental delay and severe infant onset epilepsy. | FALSE. There is no association with long term neurological disease. |
| TRUE/FALSE? 1. Benign Neonatal Sleep Myoclonus: D. The myoclonic jerks can be provoked by noise or tactile stimulus. | TRUE. Rocking the baby, patting the baby and external sudden sounds may provoke the jerks in sleep. |
| TRUE/FALSE? 2. Syncope and related disorders: A. The majority of faints or syncopal episodes in teenagers can be classified as neurally mediated (vasovagal). | TRUE. |
| TRUE/FALSE? 2. Syncope and related disorders: B. The stiffening of the limbs after breath holding spells in some infants is an epileptic phenomenon. | FALSE. Stiffening of limbs in blue breath holding spells is related to brief cerebral hypoxia and is not epileptic. |
| TRUE/FALSE? 2. Syncope and related disorders: C. If syncope occurs in the context of a family history of cardiac disease a cardiac cause should be excluded. | TRUE. These are warning signs that there may be a cardiogenic cause for the syncope. A clinical cardiac examination is important as part of an evaluation of any teenager with syncope. |
| TRUE/FALSE? 2. Syncope and related disorders: D. Urinary incontinence after an episode of collapse is indicative of this episode being epileptic. | FALSE. Urinary incontinence, jerking of the limbs and tongue-biting can all be seen in syncope. |
| TRUE/FALSE? 3. Nonepileptic Events: A. Absence seizures are often >30 seconds duration. | FALSE. Typically 5-10 seconds. |
| TRUE/FALSE? 3. Nonepileptic Events: B. Stereotypies are diagnostic of autism. | FALSE. Parents are often fearful that their child has autism, but these are seen in normal kids. |
| TRUE/FALSE? 3. Nonepileptic Events: C. Tics often occur during sleep. | FALSE. Movement disorders or jerks persisting in sleep suggest an epileptic disorder, or sleep related hypnic jerks. |
| TRUE/FALSE? 3. Nonepileptic Events: D. An 8 month old infant with normal development and examination with recurrent ‘spasms’ of the trunk and head, only seen in drowsiness or when feeding, and a normal EEG can be reassured. | TRUE. This is the history of ‘shuddering attacks’ or 'benign myoclonus of infancy’. |
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