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First seizure — ABFM Board MCQ

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ModerateNeurologyFirst seizureABFM Board

A 25-year-old man has a first generalized tonic-clonic seizure witnessed by his roommate. He is now back to baseline. He has no fever and no prior seizures. Which of the following is the most appropriate next step?

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

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Correct answer: C — Check glucose and electrolytes and arrange brain imaging and EEG evaluation

A first unprovoked seizure requires evaluation for provoking metabolic causes and structural or epileptiform risk factors.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html