A 4-year-old child presents with a simple febrile seizure lasting 2 minutes associated with a viral illness. Neurological examination is normal, and t...

Question

A 4-year-old child presents with a simple febrile seizure lasting 2 minutes associated with a viral illness. Neurological examination is normal, and the child has returned to baseline. Which management is most appropriate?

Accepted Answer

Reassure parents, treat fever supportively and arrange routine follow-up without prophylactic anticonvulsants

Answer

Admit to ICU for continuous EEG monitoring

Answer

Start daily anticonvulsant prophylaxis

Answer

Order urgent CT head for all first febrile seizures

Answer

Perform lumbar puncture in all cases regardless of clinical findings

ca-mccqe1 MCQ (SBA): Simple febrile seizure

A 4-year-old child presents with a simple febrile seizure lasting 2 minutes associated with a viral illness. Neurological examination is normal, and the child has returned to baseline. Which management is most appropriate?