Electroencephalogram (EEG) in febrile seizure is characterized by the following EXCEPT

Correct Answer: B

Rationale: In simple febrile seizures, EEG is not routinely needed , spikduring drowsiness are common , and post-seizure EEGs may show slowing , all true. EEG helps classify epilepsy if present. However, an abnormal EEG donot reliably predict recurrence or epilepsy ; studishow it lacks specificity for prognosis in simple cases, making it the exception and correct answer. This reflects EEGs limited predictive value in febrile seizures, focusing its role on diagnosis rather than risk assessment.

Correct Answer: B

Rationale: NF-1 causlearning disabiliti, seizur, precocious puberty , and scoliosis via neurofibromas, gliomas, or hormonal dysregulation. Cataracts are linked to NF-2 (via lens opacities), not NF-1, which affects optic gliomas or Lisch nodulinstead. This specificity NF-1s ocular featurversus NF-2s cataracts make B the exception and correct answer, reflecting distinct genetic and phenotypic profiles.

Correct Answer: D

Rationale: Valproate is the first-line AED for primary generalized tonic-clonic seizurin children, per guidelin(e.g., ILAE), due to its broad-spectrum efficacy via sodium channel blockade and GABA enhancement. Phenytoin and carbamazepine target focal seizures, worsening some generalized types. Phenobarbital is sedating and less preferred, while topiramate is adjunctive. Valproatversatility and evidence base make D the correct answer over focal-specific or outdated options.

Correct Answer: B

Rationale: Fever is the most common trigger of status epilepticus in children, often via febrile seizurprogressing to prolonged events, per studi(e.g., Chin et al.). CNS infection , medication change , trauma , and metabolic causare less frequent precipitants. Fevers prevalence in young children drivits dominance, making B the correct answer.

Correct Answer: A

Rationale: Deformational plagiocephaly, from external pressure, risks include firstborn status , torticollis , delay , and bottle feeding due to positioning. Female sex is not a risk; malare more affected (~2:1), possibly from larger heads or positioning habits. This gender disparity makes A the exception and correct answer.