A 14-year-old male presents with a witnessed generalized tonic-clonic seizure. Prior to the seizure event, he felt anxious, confused, and diaphoretic. Medical history is significant for recently diagnosed type I diabetes mellitus, and he has been struggling to control his blood glucose levels. His only medication is an insulin regimen administered via needle and syringe injections. He denies any alcohol or drug use. Laboratory tests were obtained. Which of the following is the best next step in management?

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Question 1 of 5

A 14-year-old male presents with a witnessed generalized tonic-clonic seizure. Prior to the seizure event, he felt anxious, confused, and diaphoretic. Medical history is significant for recently diagnosed type I diabetes mellitus, and he has been struggling to control his blood glucose levels. His only medication is an insulin regimen administered via needle and syringe injections. He denies any alcohol or drug use. Laboratory tests were obtained. Which of the following is the best next step in management?

Correct Answer: A

Rationale: A single seizure with hypoglycemia risk (diabetes, poor glucose control) and prodrome (anxiety, diaphoresis) suggests a provoked event. Education on glucose management prevents recurrence; AEDs are for epilepsy, not single provoked seizures.

Question 2 of 5

The chemical messenger between neurons or a neuron and its target muscle is:

Correct Answer: C

Rationale: Neurotransmitters are chemicals released into the synapse to transmit signals from one neuron to another or to a target muscle.

Question 3 of 5

Multiple sclerosis results from an autoimmune disease that primarily involves

Correct Answer: B

Rationale: Multiple sclerosis is characterized by immune-mediated destruction of the myelin sheath, impairing nerve signal conduction and causing neurological deficits.

Question 4 of 5

Parkinson's disease is associated with a deficiency in

Correct Answer: A

Rationale: Parkinson’s disease results from dopamine loss in the substantia nigra, impairing motor control and causing tremors and rigidity.

Question 5 of 5

Which of the following results from stimulation by the sympathetic nervous system?

Correct Answer: A

Rationale: The sympathetic system triggers 'fight or flight,' releasing glucose from the liver for energy, unlike parasympathetic relaxation effects.

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