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Post-partum pelvic floor symptoms — MRCGP AKT MCQ

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A 35-year-old has a first witnessed tonic-clonic seizure and has fully recovered. Examination is normal and capillary glucose is normal. What should primary care arrange?

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Correct answer: D — Urgent first-seizure specialist assessment and 12-lead ECG

The best answer is “Urgent first-seizure specialist assessment and 12-lead ECG”. After a first suspected seizure, an adult should receive urgent specialist assessment, with a 12-lead ECG used to identify cardiac conditions that can mimic epilepsy. Long-term antiseizure treatment is not automatically started before diagnostic evaluation. Safety, driving and recurrence advice are addressed while awaiting review.

Reference: NICE NG217: Epilepsies diagnosis and management: https://www.nice.org.uk/guidance/ng217/chapter/2-Diagnosis-and-assessment-of-epilepsy