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Febrile seizure — MRCPCH FOP MCQ

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EasyNeurology and neurodevelopmentFebrile seizureMRCPCH FOP

An 18-month-old boy has a 2-minute generalised tonic-clonic seizure with fever from otitis media. He recovers fully within 20 minutes and neurological examination is normal. What would you advise the parents?

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Correct answer: B — Explain simple febrile seizure care and when to seek urgent help

This is a simple febrile seizure, so parental explanation, first-aid advice and safety-netting are appropriate. Long-term antiseizure medication is not used after a simple febrile seizure. Vaccines should not be avoided, although fever management advice can be discussed. The pearl is that the underlying febrile illness still needs assessment.

Reference: NICE CKS Febrile seizure; RCPCH safety-netting guidance