The MOST common type of cerebral palsy (CP) associated with seizuris

Correct Answer: B

Rationale: Spastic quadriplegia is the most seizure-associated CP type, affecting all limbs and often linked to severe brain injury (e.g., HIE), increasing epilepsy risk (~50%). Spastic hemiplegia and diplegia have lower rat(~30% and 20%), while hypotonic and ataxic CP are less epileptogenic. Quadriplegias extensive cortical damage drivits seizure prevalence, making B the correct answer.

Correct Answer: D

Rationale: Major risk factors for febrile seizure recurrence include complex seizurprolonged, focal, or multiple due to their strong recurrence link (~50%). Lower fever , family history of seizuror epilepsy , and low sodium are minor risks with weaker impact. Complex seizurseverity marks D as the correct answer.

Correct Answer: D

Rationale: EEG is universally recommended after a first unprovoked seizure to assess epileptiform activity and guide prognosis, per AAN guidelines. CT , MRI , spinal tap , and ECG are situational (e.g., trauma, infection), not routine. EEGs diagnostic yield in epilepsy makes D the correct answer.

Correct Answer: A

Rationale: Higher relapse risk after AED withdrawal includlonger epilepsy duration , multiple seizure typ, polytherapy , and abnormal EEG , reflecting disease severity. Younger onset is not a consistent risk; older onset may signal worse prognosis. This counterintuitive finding makes A the exception and correct answer.

Correct Answer: C

Rationale: Nonketotic hyperglycinemia presents with hiccups, seizures, and coma from glycine accumulation disrupting neurotransmission. Propionic acidemia and maple syrup urine disease cause acidosis and odor, not hiccups. Leigh and adrenoleukodystrophy are later-onset. Glycinunique signs make C the correct answer.