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Epilepsy counseling — USMLE Step 3 MCQ

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ModerateInternal Medicine (Chronic Management)Epilepsy counselingUSMLE Step 3

A 25-year-old man had a generalized tonic-clonic seizure 2 months ago and another unprovoked seizure yesterday. MRI is normal and EEG shows epileptiform discharges. He works as a delivery driver. Which of the following would you recommend at the follow-up visit?

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

Reveal the answer and explanation

Correct answer: B — Start antiseizure medication and counsel about driving restrictions

Two unprovoked seizures establish epilepsy in many cases and require treatment plus safety counseling.

Reference: Current US clinical practice standards and USMLE Step 3 content outline, https://www.usmle.org/exam-resources/step-3-materials