A 2-year-old boy has a generalised tonic–clonic seizure lasting 3 minutes associated with a temperature of 39 degrees Celsius due to otitis media. He ...

Question

A 2-year-old boy has a generalised tonic–clonic seizure lasting 3 minutes associated with a temperature of 39 degrees Celsius due to otitis media. He recovers fully with no focal deficit. This is his first seizure. What is the most appropriate management?

Accepted Answer

Treat the infection, reassure parents and arrange routine follow-up with safety-netting

Answer

Start long-term antiepileptic medication

Answer

Arrange urgent CT head and lumbar puncture in all cases

Answer

Admit to intensive care for continuous EEG monitoring

Answer

Report the family to social services

uk-plab-1 MCQ (SBA): Simple febrile seizure

A 2-year-old boy has a generalised tonic–clonic seizure lasting 3 minutes associated with a temperature of 39 degrees Celsius due to otitis media. He recovers fully with no focal deficit. This is his first seizure. What is the most appropriate management?