skip to main content

Simple febrile seizure — RCPSC EM MCQ

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

HardPaediatric emergenciesSimple febrile seizureRCPSC EM

A 2-year-old has a first generalised seizure lasting two minutes during a febrile illness. He is now alert, immunisations are up to date and examination shows otitis media without meningism. Glucose is 5.2 mmol/L. What is the most appropriate disposition?

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

Reveal the answer and explanation

Correct answer: E — Discharge after observation when back to baseline with caregiver education and treatment of the fever source

A simple febrile seizure is brief, generalised, single in 24 hours and followed by return to baseline. Extensive neuroimaging or chronic antiseizure therapy is not indicated when no red flags exist.

Reference: Canadian Paediatric Society febrile seizure guidance; PALS