skip to main content

Status Epilepticus — SCE Neurology MCQ

Instant feedback + full explanation. One question, done properly.

EasyEpilepsy & Seizure DisordersStatus EpilepticusSCE Neurology

A 42-year-old man presents with a 5-minute witnessed generalised tonic-clonic seizure in the emergency department. Intravenous access is established and resuscitation facilities are available. Which is the most appropriate first-line treatment?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Intravenous lorazepam

Per NICE NG217, when IV access and resuscitation facilities are immediately available, intravenous lorazepam is the first-line treatment for convulsive status epilepticus. A: Phenytoin is a second-line agent used if benzodiazepines fail. B: Buccal midazolam is first-line in the community setting without IV access. D: Rectal diazepam is an alternative community option. E: Levetiracetam is a second-line agent.

Reference: NICE NG217 (2025)