Status epilepticus — MCCQE Part 1 MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: C — Give a benzodiazepine immediately followed by longer-acting antiseizure therapy if needed
Give a benzodiazepine immediately followed by longer-acting antiseizure therapy if needed is the single best answer because the age, timing, examination findings and investigations in the vignette fit Status epilepticus better than the alternatives. The most tempting distractor is less appropriate because it either treats a neighbouring presentation, delays a time-critical intervention, or ignores a key discriminator in the stem. The remaining options are suboptimal because they would miss the diagnosis, use an investigation or treatment in the wrong sequence, or fail to address safety and follow-up. Canadian practice should be anchored to Canadian seizure emergency guidance, with attention to acuity, safety-netting and local provincial pathways.
Reference: Canadian seizure emergency guidance