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Simple febrile seizure — MCCQE Part 1 MCQ

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EasySeizuresSimple febrile seizureMCCQE Part 1

An 18-month-old has a generalized tonic-clonic seizure lasting 3 minutes during a viral fever. He returns to baseline, has no meningism and neurological examination is normal. Which of the following is the most appropriate management?

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Correct answer: B — Reassure, identify the fever source and avoid routine anticonvulsant prophylaxis

A brief generalized seizure with fever in a neurologically normal toddler is a simple febrile seizure. Routine imaging, EEG and long-term antiseizure medication are not indicated. Antipyretics improve comfort but do not reliably prevent febrile seizure recurrence.

Reference: Canadian Paediatric Society febrile seizure guidance