Today’s Quiz 6/4/22

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Created by obgresource

Z4 Epilepsy in Pregnancy

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1. Q6 Epilepsy in Pregnancy

A woman with epilepsy comes to the emergency with labor pains. Immediately on arrival,she gets a prolonged siezure . There is no intravenous access- what is the drug of choice?

A. Immediate i.v access and start phenytoin

B. Rectal Diazepam

C. Intravenous Diazepam

D. Intramuscular Diazepam

If there is no intravenous access, diazepam 10?20 mg rectally - repeated once 15 minutes later if there is a continued risk of status epilepticus.
or midazolam 10 mg as a buccal preparation.

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2. Q5 Epilepsy in Pregnancy

A woman with epilepsy has a history of recurrent seizures, particularly precipitated by lack of sleep.
She is admitted to the labor room in labor.
What is the recommendation to prevent seizures in women at very high risk of seizure recurrence during labor? ( Check all that apply)

A. Continue her anti epileptic drugs during labor

B. Add clobazam during labor

C. Add phenytoin infusion during late first stage and during second stage

D. Prophylactic diazepam suppository

Women at a VERY HIGH RISK of seizures can be managed with an additional benzodiazepine such as clobazam. Women should be advised to continue taking regular AEDs orally during induction of labour and during
labour. If not tolerated orally, AEDs may be given parenterally (this includes phenytoin, phenobarbital, sodium valproate and levetiracetam).

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The average score is 46%
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