skip to main content

Febrile seizure — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePaediatric and Obstetric EmergenciesFebrile seizureDipIMC

A 5-year-old child has a generalised convulsion lasting 4 minutes with fever. He is breathing adequately, has no rash and the seizure stops as you prepare medication. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Support airway, monitor and assess for serious infection after the seizure stops

A simple febrile seizure that has stopped needs supportive care, glucose and observation with assessment for the source and severity of fever. Benzodiazepines are reserved for ongoing prolonged seizures, as repeated doses risk respiratory depression. Objects in the mouth cause injury and airway risk. The pearl is that treatment changes once convulsive activity has stopped.

Reference: JRCALC Guidelines 2025; NICE Fever in under 5s NG143