Clinical Practice Guidelines - Simple Febrile Seizure

Question 1

Criteria for Simple Febrile Seizure

Answer 1

3 mos. - 6 yrs.
axillary T ≥ 37.8° C
GTC
< 15 min.
does not recur within the same febrile illness

Question 2

Criteria for Complex Febrile Seizure

Answer 2

focal
> 15 min.
recurrent

Question 3

A lumbar tap should be done for children _____.

Answer 3

< 18 mos.

≥ 18 mos. with signs of meningitis

Question 4

Simple Febrile Seizure:

Age

Answer 4

3 mos. - 6 yrs.

Question 5

_____ is the gold standard for the diagnosis of meningitis.

Answer 5

Lumbar Tap

Question 6

Major Signs of Meningitis

Answer 6

nuchal rigidity
coma
petechiae

Question 7

Minor Signs of Meningitis

Answer 7

drowsiness
paresis
paralysis

Question 8

History Features of Meningitis

Answer 8

fever ≥ 3 days
vomiting
drowsiness
physician visit in the past 48 hours

Question 9

_____ studies should not be routinely performed in children for a first febrile seizure.

Answer 9

Neuroimaging, EEG

Question 10

_____ should not be relied upon to prevent the recurrence of febrile seizures.

Answer 10

Antipyretics

Question 11

Ibuprofen Dose

Answer 11

5 mkdose q6

*greater fever reduction

Question 12

Acetaminophen Dose

Answer 12

10 mkdose q6

Question 13

_____ drugs are not recommended in children after a first febrile seizure.

Answer 13

Antiepileptic

Question 14

Children who had BFS at < 12 mos. have a _____ probability of having recurrent febrile seizure.

Answer 14

50%

Question 15

Children who had BFS at > 12 mos. have a _____ probability of having recurrent febrile seizure.

Answer 15

30%

Question 16

Children with BFS have a greater risk of developing epilepsy at _____.

Answer 16

7 y.o.

Question 17

In children with BFS, generalized afebrile seizure may develop by age _____.

Answer 17

25 y.o.