NEUROLOGY Flashcards by SALI BABY

ADHD patients can best be managed with one of the following:

a. Stimulants
b. Clonidine
c. Methylphenidate
d. structured routine response consistency

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Which of the following findings is alarming and should prompt the physician to do further investigation?

a. Moro & parachute reflexes in a 6-month old
b. An infant who feeds from a spoon by 18 months old
c. Retinal hemorrhages in a full-term
neonate delivered via vaginal delivery
d. Soft cranial bruit over the anterior fontanel in a 40-month old with febrile illness

d. Soft cranial bruit over the anterior fontanel in a 40-month old with febrile illness

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The following are risk factors for recurrence of febrile seizures EXCEPT:

a. Fever is > 38C
b. less than 1 year old
c. duration of fever < 24 hrs
d. family history of febrile seizure

d. family history of febrile seizure

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Which of the following statements is true regarding tuberous sclerosis complex (TSC)?

a. The hallmark of TSC is a cortical tuber best demonstrated in brain MRI
b. To count as a major feature, at least 3 hypermelanotic macules must be present
c. Spontaneous genetic mutations occur in majority of cases resulting to loss of tumor suppression
d. Brain MRI is recommended every 1-3 years for those with symptomatic subependymal giant cell astrocytomas (SEGA)

a. The hallmark of TSC is a cortical tuber best demonstrated in brain MRI

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Epilepsy is a paroxysmal brain disorder characterized by the following, except

a. Has a lifetime predisposition to generate seizures
b. Etiology may be structural, metabolic, infectious, or unknown
c. Considered when there is at least 1 unprovoked seizure plus an associated neurodevelopmental abnormality
d. Can lead to intellectual disability if left unrecognized or untreated

c. Considered when there is at least 1 unprovoked seizure plus an associated neurodevelopmental abnormality

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The prevalence of cerebral palsy increases in the following conditions, except

a. Antenatal infection
b. Death of a twin in utero
c. Magnesium sulfate in preterm labor
d. Enhanced survival of very premature infants

d. Enhanced survival of very premature infants??

or c?

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The neurodevelopmental function (cognition) is dependent mainly on the development of the following functions EXCEPT

a. sensory and motor
b. Language
c. Visual–spatial
d. Intellectual
e. cerebeller

e. cerebeller

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Diagnosis of autistic spectrum disorder (ASD) depends partly but importantly on assessment of language. All the following may raise your concern regarding language development and may indicate ASD EXCEPT

a. absent babbling by 6 months
b. absent gestures by 12 month
c. absent single words by 16 month
d. absent 2-word purposeful phrases by 24
month

a. absent babbling by 6 months

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One of the following neurologic signs and/or symptoms is most useful in the localization of a CNS lesion?

a. Unsteadiness while sitting in a 6-year old
b. Extension of the great toe & fanning of the remaining toes on stimulation of the lateral aspect of the sole of the foot in a
neonate
c. Seizures with lethargy & nuchal rigidity in any age
d. Incomplete abduction of the eyes on lateral gaze

d. Incomplete abduction of the eyes on lateral gaze??

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.Juvenile myoclonic epilepsy is also known as:

a. Janz syndrome
b. West syndrome
c. Dravet syndrome
d. Lennox-Gastaut syndroe

a. Janz syndrome

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All the following should raise the suspicion of autistic spectrum disorders (ASD) EXCEPT

a. sibling with ASD
b. playmate concern
c. parental concern
d. caregiver concern
e. Epediatrician concern

b. playmate concern

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Benign Rolandic Epilepsy or Benigh Childhood Epilepsy shows the following characteristics EXCEPT:

a. seizures resolve y 16 years
b. it is a single nocturnal seizure
c. altered consciousness is common
d. postictal confusion and aura are rare

c. altered consciousness is common
??

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The following are indications for neuroimaging in a child with a headache EXCEPT

a. frontal headache
b. brief cough headache
c. abnormal neurologic examination
d. headache worst on first awakening
e. migrainous headache in the child with no family history of migraine

a. frontal headache

occipital dapat

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In the evaluation of the first seizure, magnetic resonance imaging (MRI) should be seriously considered in all of the following conditions, except
a. Children < 1 -year old
b. Benign partial epilepsy of childhood
c. Unexplained acute psychosis
d. Electroencephalography showing
secondary generalized epilepsy

b. Benign partial epilepsy of childhood

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The following are TRUE about Absence seizures EXCEPT:

a. last for > 30 secs
b. common in >6 yrs old
c. not associated with postictal state
d. patients resume activity after a seizure

a. last for > 30 secs

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All the following are red flags in the history of children with specific learning disorders (SLD) EXCEPT

a. parents concern about academic performance
b. inconsistency in marks report from grade to grade
c. struggling with home work activities
d. positive vision or hearing test
e. positive standard screening test

b. inconsistency in marks report from grade to grade
?

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Of the following, the MOST common presenting behavior in girls with attention-deficit hyperactivity disorder is:

a. inattentive
b. hyperactive
c. impulsive
d. disruptive
e. combined

a. inattentive

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The initial management of a febrile seizure in an emergency room setting is:

a. start IV fluids
b. securing the airway
c. give diazepam per rectum
d. give paracetamol per rectum

b. securing the airway

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A 4-month old girl presenting with status epilepticus at the emergency room was noted to have an occipital cephalhematoma on palpation of the head. What is the imaging modality of choice to evaluate for intracranial hemorrhage and to rule out a skull fracture?

a. Skull x-ray
b. Cranial ultrasound
c. Plain cranial CT scan
d. Cranial MRI

c. Plain cranial CT scan

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Which is a red flag for an 8 month old child?

a. not saying “dada”
b. not interested in “peek-a-boo”
c. not able to hold a rattle on both hands
d. does not stand while holding on

b. not interested in “peek-a-boo”

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The following is a gross motor red flags EXCEPT

a. @ 4 years old, does not hop
b. @ 5 mos, does not roll over
c. @ 7 mos, does not sit with support
d. @ 10 mos, does not stand while holding on

c. @ 7 mos, does not sit with support

dapat without support

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Guillain Barre Syndrome is an autoimmune disorder of postinfectious polyneuropathy involving mainly motor but also sensory and sometimes autonomic nerves.All the following are required in diagnosis EXCEPT

a. CSF study
b. muscle biopsy
c. electromyography
d. sural nerve biopsy
e. motor nerve conduction study

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Matching type: Summary of neurocutaneous syndromes.

NEUROFIBROMATOSIS // TUBEROUS SCLEROSIS// BOTH

S. Lisch nodules

NEUROFIBROMATOSIS

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Matching type: Summary of neurocutaneous syndromes.

NEUROFIBROMATOSIS // TUBEROUS SCLEROSIS// BOTH

mental retardation

BOTH

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Matching type: Summary of neurocutaneous syndromes. NEUROFIBROMATOSIS // TUBEROUS SCLEROSIS// BOTH Cafe au lait macules

NEUROFIBROMATOSIS

Matching type: Summary of neurocutaneous syndromes. NEUROFIBROMATOSIS // TUBEROUS SCLEROSIS// BOTH ash leaf, shagreen patch

TUBEROUS SCLEROSIS

Matching type: Summary of neurocutaneous syndromes. NEUROFIBROMATOSIS // TUBEROUS SCLEROSIS// BOTH axillary or inguinal freckling

NEUROFIBROMATOSIS

Of thefollowing, the MOST recognized sign of impending respiratory failure in Guillain Barre Syndrome is: a. dysphagia b. tachypnea c. tachycardia d. altered sensorium e. vasomotor instability

a. dysphagia ??

The main difference between simple febrile and complex febrile seizures is:] a. the gender of the patient b. the temperature during the seizure c. the length of time of the seizure episode d. the number of seizure episodes in a 24 hour period

d. the number of seizure episodes in a 24 hour period

the following are characteristics of West syndrome EXCEPT: a. begins @ 4-8 mos b. ECG shows hypsarrythmia c. brief symmetric contractions of neck, trunk, extremities d. loss of body tone and falling and slumping forward

d. loss of body tone and falling and slumping forward

hich of the following statements is **true** regarding **neurofibromatosis**? a. Neurofibromas typically involving the skin are the hallmark of neurofibromatosis b. Iris hamartomas are characteristically absent in NF-2 c. Brain MRIs should be done to detect “unidentified bright objects” d. ≥6 café-au-lait macules > 5mm in prepubertal patients are specific for NF-1

d. ≥6 café-au-lait macules > 5mm in prepubertal patients are specific for NF-1

Benign myoclonic epilepsies are often best treated with a. clonazepam b. lamotrigine c. topiramate d. valproate e. benzodiazepines

d. valproate

A 9-month old male child was in active seizure at the ER. He was febrile. Laboratory work-up in this patient includes **EXCEPT**: a. CBC b. EEG c. Urinalysis d. Lumbar tap

c. Urinalysis

Which is not a r**ed flag for a 2 year old?** a. screams easily b. not able to stack 5 blocks c. no repetition of words d. does not categorize similarities e. Stiffens when approached

e. Stiffens when approached

One of the following statements are true for generalized-tonic seizures: a. usually starts with sudden cry b. post-ictal state is sudden drowsiness c. tonic phase shows generalized contractions d. clonic phase shows snapping of jaw with cyanosis

a. usually starts with sudden cry

Cranial CT is a valuable diagnostic tool in the evaluation of the following conditions EXCEPT a. acute infarcts b. skull fractures c. intracranial hemorrhages d. impending herniation

a. acute infarcts

Severe **myoclonic epilepsy of infancy** is also known as: a. West syndrome b. Dravet syndrome c. Ohtahara syndrome d. Janz syndrome

b. Dravet syndrome

Which statement is FALSE regarding specific learning disorders (SLD)? a. it focuses on academic skill development b. it is a type of neurodevelopmental dysfunctions c. the overall estimates of the prevalence of SLD range from 3-10% d. includes students did well in academic testing but not in intelligence testing

d. includes students did well in academic testing but not in intelligence testing

Which is a **contraindication** to performing a lumbar tap? a. Loss of brainstem reflexes b. Thrombocytopenia of < 50 x 109/L c. Seizures and nuchal rigidity suggestive of CNS infection d. Lack of a cranial CT scan to rule out a mass lesion of the brain prior to a lumbar tap

a. Loss of brainstem reflexes

absence seizures are MOST often initially treated with a. ethosuximide b. valproate c. lamotrigine d. acetazolamide e. clonazepam

a. ethosuximide

Electroencephalogram (EEG) in febrile seizure is characterized by the following **EXCEPT** a. an EEG need not norrmally be performed in first simple febrile seizure b. an abnormal EEG could predict the future recurrence of febrile seizures or epilepsy c. spikes during drowsiness are often seen in children with febrile seizures d. an EEG performed within 2 wk of a febrile seizure often have nonspecific slowing e. an EEG should be used to delineate the type of epilepsy

b. an abnormal EEG could predict the future recurrence of febrile seizures or epilepsy

**High-voltage**, **slow**, **chaotic** background with **multifocal** spikes is a typical electroencephalographic finding in: a. Lennox-Gastaut syndrome b. West syndrome c. Dravet syndrome d. Landau-Kleffner syndrome

b. West syndrome

All the following are characteristic features of autistic spectrum disorder (ASD) EXCEPT a. defective social communication b. highly restricted fixated interests c. scarce of gesture use d. stereotyped motor movements e. absence of routines

e. absence of routines

The behavioral changes in attention-deficit/hyperactivity disorder (ADHD) should met all the following criteria **EXCEPT** a. developmentally inappropriately far comparing with other children of the same age b. must begin before age 6 yr c. must be present for at least for 6 mo d. must be present in 2 or more settings e. must not be secondary to another disorder

b. must begin before age 6 yr

True regarding treatment of migraine headaches, **except** a. IV prochlorperazine plus ketorolac has a better response rate of 93% b. The most commonly used preventive therapy for migraine is amitriptyline c. The most effective abortive treatment is to use NSAIDs first, limited to < 2-3 attacks per month then adding triptan if nonresponsive to NSAIDs d. IV prochlorperazine is very effective in aborting an attack in the emergency room with 75% improvement at 1 hou

c. The most effective abortive treatment is to use NSAIDs first, limited to < 2-3 attacks per month then adding triptan if nonresponsive to NSAIDs

Ideally all children should be subjected to routine screening for autistic spectrum disorders at ageof a. 06and12mo b. 12and18mo c. 18and 24mo d. 24and30mo e. 30and18mo

c. 18 and 24mo

Case A 13-year old female with mental retardation was brought in for consult due to headache. The mother reported that when it happens the patient would hit her forehead several times as if indicating pain in the frontal area and she would not stop shouting and crying. This has happened 3 times already in the past 2 months. In all three occasions, the patient would gradually become clumsy and drowsy followed, within an hour, by head slapping and the incessant crying often lasting for several hours. There was no family history of migraine, tumors, or epilepsy. There were no lateralizing signs noted on physical examination. Headache management plan should include which of the following? a. Acute treatment + biobehavioral therapy b. Acute & preventive strategy + biobehavioral therapy c. Acute & preventive strategy + biobehavioral therapy + neuroimaging d. Acute & preventive strategy + biobehavioral therapy + EEG & neuroimaging

c. Acute & preventive strategy + biobehavioral therapy + neuroimaging

Given the limited reliability of both informant and patient, what is the most likely consideration in this case? a. Migraine without aura b. Migraine with typical aura c. Migraine with atypical aura d. Tension-type headache

c. Migraine with atypical aura

A previously normal, healthy 8-month old female infant was brought to the ER due to a first febrile seizure. She was examined in active generalized tonic seizure for 3 minutes which was controlled with IV diazepam. She was febrile at 39.2 C that started 5 hours prior to ER consult. Review of the infant’s history revealed a strong family history of febrile seizures and a family history of epilepsy as well. The informant thinks she has completed all immunizations at the barangay local health center. Pertinent findings include lethargy, nuchal rigidity, & sluggishly reactive pupils. Which of the following indications for a lumbar tap best applies to this case? a. lumbar tap should be done if immunization status is unknown b. lumbar tap should be done in all infants younger than 12 months old c. lumbar tap should be done immediately to allow early initiation of antibiotic treatment for confirmed bacterial meningitis d. lumbar tap should be done immediately specially in the presence of nuchal rigidity, sluggishly reactive pupils, and decreasing sensorium

a. lumbar tap should be done if immunization status is unknown

Which is a major risk factor for febrile seizure recurrence present in this case? a. Female gender b. Family history of epilepsy c. Strong family history of febrile seizures d. Fever starting 5 hours prior to seizure and ER admission

d. Fever starting 5 hours prior to seizure and ER admission

Epilepsy is defined as: less than 2 unprovoked seizures occurring in a time frame of >24 hrs More than 2 provoked seizures in >24 hrs More than 2 unprovoked seizures in > 24 hours More than 2 unprovoked seizures in less than 24 hours

More than 2 unprovoked seizures in > 24 hours

The imaging modality for vascular malformations in infants is: Cranial ultrasound Cranial CT scan Cranial MRI MR Angiography

MR Angiography

How will you give diazepam to a child in active seizure at the ER? Oral diazepam IV diazepam Buccal diazepam Rectal diazepam

rectal diazepam

Which diagnostic procedure is done to a **5-month old with simple febrile seizure**: EEG Lumbar puncture Cranial ultrasound Serum sodium, potassium, glucose All of the above

Lumbar puncture

The triad of **Lennox-gastaut syndrome** includes **EXCEPT**: Developmental delay Myoclonic seizures Polyspike bursts in sleep 1-2 Hz spike and rapid waves

1-2 Hz spike and rapid waves

Triad of **West sydrome** includes **EXCEPT**: Infantile spams hypsarrhytmia Developmental regression polyspike burst in wakefulness

polyspike burst in wakefulness

Absence seizures are described as the following EXCEPT: focal type of seizure generalized type of seizure no postictal period may have simple automatisms

focal type of seizure

Partial seizures are common in: frontal lobe epilepsy parietal lobe epilepsy occipital lobe epilepsy temporal lobe epilepsy

temporal lobe epilepsy

It is also called the infantile epileptic encephalopathy. West syndrome Dravet syndrome Ohtahara syndrome Janz syndrome

Ohtahara syndrome

How will you initially manage a patient presenting with febrile seizures at the emergency room? Do lumbar tap Give antipyretics Give anticonvulsants Check for the airway, breathing, circulation

Check for the airway, breathing, circulation

What is the cumulative risk for subsequent epilepsy in this case? 1% 6% 19% 33%

19%

Matching type MAJOR FACTOR MINOR FACTOR Lower serum electrolyte at presentation

MINOR FACTOR

Matching type MAJOR FACTOR MINOR FACTOR Complex febrile seizure

MINOR FACTOR

Matching type MAJOR FACTOR MINOR FACTOR Fever duration of 12 hours

MAJOR FACTOR

Matching type MAJOR FACTOR MINOR FACTOR Family history of epilepsy

MINOR FACTOR

Matching type MAJOR FACTOR MINOR FACTOR Family history of febrile seizures

MINOR FACTOR

Matching type Fever 39 C MAJOR FACTOR MINOR FACTOR

MAJOR FACTOR

Matching type MAJOR FACTOR MINOR FACTOR Daycare

MINOR FACTOR

Matching type MAJOR FACTOR MINOR FACTOR Male gender

MINOR FACTOR

Matching type MAJOR FACTOR MINOR FACTOR Age < 1 year old

MAJOR FACTOR

MATCHING TYPE: MIGRAINE // TENSION TYPE HEADACHE Mild pain

TENSION TYPE HEADACHE

MATCHING TYPE: MIGRAINE // TENSION TYPE HEADACHE Focal in location

MIGRAINE

MATCHING TYPE: MIGRAINE // TENSION TYPE HEADACHE Severe pain

MIGRAINE

MATCHING TYPE: MIGRAINE // TENSION TYPE HEADACHE Constant pressure

TENSION TYPE HEADACHE

MATCHING TYPE: MIGRAINE // TENSION TYPE HEADACHE Throbbing quality

MIGRAINE

MATCHING TYPE: MIGRAINE // TENSION TYPE HEADACHE Diffuse in location

TENSION TYPE HEADACHE

MATCHING TYPE: MIGRAINE // TENSION TYPE HEADACHE Worsened by physical activity

MIGRAINE

MATCHING TYPE: MIGRAINE // TENSION TYPE HEADACHE Physical activity has no effect

TENSION TYPE HEADACHE

According to the PPS, a 16-month old presenting with simple febrile seizure, lumbar tap is routinely done. True False

True

EEG is routinely done to patients with complex febrile seizures regardless of age. True False

False

Anticonvulsants are given as maintenance medications after an episode of febrile seizure. True False

False

A 10-year old girl was brought in for poor school performance. Her teacher was complaining of frequent day dreaming. At the clinic, there was sudden onset of blank stare followed with movements of the eyelids. You consider this patient as: a. Focal seizure b. Myoclonic seizure c. Absence seizure d. Complex partial seizures

c. Absence seizure

This refers to the ability of the child to **understand words spoken to him.** a. Cognitive b. Social-emotional c. Receptive language d. Expressive language

c. Receptive language

It refers to the child's **ability** to think, reason, understand concepts and **solve problems**. a. Cognitive b. Social-emotional c. Receptive language d. Expressive language

a. Cognitive

The following are **gross motor red flags** **EXCEPT**: a. 5 months old does not roll over b. 15 months old not walking c. 2 years old not climbing up and down the stairs d. 3 years old not hopping

d. 3 years old not hopping

The following are **fine** motor red flags **EXCEPT**: a. Unable to hold rattle at 5 months b. Absent pincer grasp at 10 months c. Unable to stack 3 blocks at 2 years d. Unable to draw straight line at 3 years

c. Unable to stack 3 blocks at 2 years

The following are **language** red flags **EXCEPT**: a. no babbling at 5 months b. no 2-word sentence at 2 years c. does not understand prepositions at 3 years d. Not using proper syntax at 5 year

c. does not understand **prepositions** at 3 years

The following are **cognitive** red flags **EXCEPT**: a. not alert to mother at 2 months b. not interested in peek-a-boo at 8 months c. does not know own name at 3 years d. does not know color at 4 years old

d. does not know **color** at 4 years old

**Psychosocial** red flags include **EXCEPT**: a. no social smile at 3 months b. not laughing at playful situations at 7 months c. hard to console at 2 years old d. resists. discipline at 4 years old

c. hard to console at 2 years old

In Intellectual Disability, these are deficits in intellectual functions EXCEPT: a. reasoning b. planning c. judgement d. communication

d. communication

In Intellectual Disability, these are **deficits** in **adaptive** functions EXCEPT: a. problem solving b. personal independence c. social responsibility d. independent living

a. problem solving

Criteria for **language disorder** include the following **EXCEPT**: a. Reduced vocabulary b. limited sentence structure c. symptoms appear later in life d. Language abilities are below those expected of age

c. symptoms appear later in life

Autism spectrum disorder includes **EXCEPT**: a. Rett's syndrome b. Asperger's syndrome c. Childhood integrative disorder d. Pervasive developmental disorder

c. Childhood integrative disorder

Which of the following is **NOT** an **age** **appropriate** **red** flag in patients with Autism? a. Repetitive clapping at 12 months b. Does not respond to name at 1 year old c. Does not pretend play at 1 year 6 months d. Does not point to objects of interest at 1 year and 2 months

a. Repetitive clapping at 12 months

The following criteria **support** Autism Spectrum Disorder **EXCEPT**: a. Difficulty sustaining attention at a given task b. Difficulty maintaining relationships c. Difficulty in communication d. Stereotyped motor movements

a. Difficulty sustaining attention at a given task

High functioning autism with intact communication function is also called: a. Rett's syndrome b. Asperger's syndrome c. Child Disintegrative Disorder d. Childhood Pervasive Disorde

b. Asperger's syndrome

Repetitive behaviors and compulsivity is NOT found in : a. Rett's syndrome b. Asperger's syndrome c. Child Disintegrative Disorder d. Pervasive Developmental Disorder

c. Child Disintegrative Disorder

Loss of previously acquired skills or regression is found in : a. Rett"s syndrome b. Asperger's syndrome c. Child Disintegrative Disorder d. pervasive Developmental Disorde

c. Child Disintegrative Disorder

The following describes Classic Autism EXCEPT: a. Regression b. Speech defect c. Social impairment d. Repetitive behaviors

a. Regression

Best **prognostic** factors for individual outcome of patients with Austism include **EXCEPT**: a. language impairment b. presence of a learning disorder c. presence of intellectual disability d. absence of intellectual disability

b. presence of a learning disorder

To diagnose **ADHD** with combined presentation, the following symptoms are **present for 6 months** **EXCEPT**: a. On the go attitude b. talks excessively c. intrudes others d. unable to play quietly e. repetitive patterns of behavior

e. repetitive patterns of behavior

ADHD severity classification includes the following EXCEPT: a. Mild b. Moderate c. Severe d. Profound

d. Profound

Impairments in one of the following is part of the Learning Disorder EXCEPT: a. Spelling b. Writing c. Organizing d. Abstract reasoning

d. Abstract reasoning

In a 3 year old, one of the following is a red flag for Learning Disorder: a. Dislikes reading b. Difficulty rhyming c. slow to learn new skills d. Unable to blend sounds

b. Difficulty rhyming

In an 8-year old , one of the following is a red flag for Learning disorder: a. poor handwriting b. Difficulty telling time c. problems pronouncing words d. trouble with learning to tie the shoes

b. Difficulty telling time

**Accommodations** in Learning Disorders include but not limited to, EXCEPT: a. Providing test via audio b. Giving instructions verbally c. Reducing the number of items per page d. Providing tests in darker prints

d. Providing tests in darker prints

American Academy Of Pediatrics (AAP) recommends the following guidelines in developmental screening: a. all children screened for autism at 18 months, 24 months b. all children screen to assess their general development at 9, 18, 24 months c. Only A d. Only B e. Both A and B

e. Both A and B

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **fever of 38.5**

BOTH

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **duration of seizure is 10 minutes**

SIMPLE FEBRILE SEIZURE

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **neurologic deficit**

COMPLEX FEBRILE SEIZURE

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **abnormal movements of the left arm and lower leg**

COMPLEX FEBRILE SEIZURE

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **occurs once in 24 hours**

SIMPLE FEBRILE SEIZURE

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **abnormal movements of the upper and lower extremities**

SIMPLE FEBRILE SEIZURE

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **no neurologic deficit**

SIMPLE FEBRILE SEIZURE

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **occurence of seizures twice in 24 hours**

COMPLEX FEBRILE SEIZURE

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **duration of seizures at 18 minutes**

COMPLEX FEBRILE SEIZURE

MATCHING TYPE SIMPLE FEBRILE SEIZURE COMPLEX FEBRILE SEIZURE BOTH **a sibling has history of febrile seizures**

BOTH