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Febrile seizure simple — USMLE Step 3 MCQ

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EasyPediatrics (well-child, chronic management)Febrile seizure simpleUSMLE Step 3

A 19-month-old boy has a generalized tonic-clonic seizure lasting 2 minutes during a fever to 39.2°C from viral illness. He returns to baseline quickly. Neurologic examination is normal and there is no meningismus. Which of the following is the most likely diagnosis?

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Correct answer: E — Simple febrile seizure

A brief generalized seizure with fever in a neurologically normal child aged 6 to 60 months is a simple febrile seizure.

Reference: AAP Febrile Seizure Guideline