skip to main content

Night terrors — RACP Paediatrics MCQ

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

EasyNeurologyNight terrorsRACP Paediatrics

A 3-year-old has episodes of screaming and appearing terrified 1-2 hours after sleep onset. The child sits up, is inconsolable, has tachycardia and sweating, and does not recognise the parents. Episodes last 5-10 minutes and the child returns to sleep with no memory of the event. What is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: D — Night terrors

Night terrors (sleep terrors) are a non-REM parasomnia occurring in the first third of the night (during deep NREM sleep). The child appears awake and terrified but is not truly conscious. Complete amnesia for the event is characteristic. They are common in children aged 3-8 and are usually outgrown. Reassurance and safety measures are the mainstay of management.

Reference: RCH Melbourne – 2023 – Sleep CPG; RACP Paediatric Curriculum – Neurology