CSL

SLaLus LpllepLlcus
A 23 year old male presenLed wlLh refracLory selzures lasLlng for more Lhan 30 mlnuLes
1here was hlsLory of epllepsy for 13 years for whlch he was on dllanLln
1 Whlch 8enzodlazeplne ls preferred for acuLe managemenL of Selzures ln SLaLus LpllepLlcus
and why? (2 marks)
2 name Lhe prodrug of phenyLoln whlch ls glven lv WhaL are lLs advanLages over
phenyLoln?(3marks)
3 WhaL anaesLheLlcs are used for Lhe managemenL of refracLory sLaLus epllepLlcus? (2marks)
4 When ls phenobarblLone used ln Lhe proLocol for LreaLlng sLaLus epllepLlcs? MenLlon Lwo
slde effecLs (3 marks)

lebrlle Selzures
A 3 year old chlld presenLed wlLh one eplsode of llp smacklng uprolllng of eyes and clonlc
MovemenL of upper llmbs 1here was hlsLory of fever for one day
1 WhaL ls Lhe drug of cholce for febrlle selzures? MenLlon Lwo slde effecLs (2marks)
2 WhaL ls Lhe drug of cholce for prophylaxls of complex (aLyplcal) selzures? MenLlon four slde
effecLs for Lhe same (3marks)
3 Whlch Lype of prophylaxls ls preferred ln slmple febrlle selzures MenLlon Lhe drugs used for
Lhe same ( 3 marks)
4 Whlch rouLe of admlnlsLraLlon ls preferred for acuLe managemenL of selzures ln
febrlle convulslons Why? (2marks)
Lpllepsy
An elghL year old chlld presenLed wlLh dlfflculLy ln concenLraLlon durlng class sLarlng
eplsodes1here was hlsLory of several such eplsodes ln Lhe pasL for whlch he was on
LreaLmenL urug hlsLory was noL known
1 WhaL ls Lhe drug of cholce for absence selzures for chlldren above 3 years? WrlLe Lhe
mechanlsm of acLlon for Lhe same (3 marks)
2 WhaL ls Lhe drug of cholce for Lennox CasLauL Syndrome? MenLlon Lwo slde effecLs for Lhe
same (2marks)
3 WhaL ls Lhe drug of cholce for lnfanLlle Spasms? WrlLe Lhe mechanlsm of acLlon (3marks)
4 WrlLe four slde effecLs of henyLoln (2marks)