skip to main content

Status epilepticus (adult) — DIPIMC MCQ

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

HardMedical EmergenciesStatus epilepticus (adult)DIPIMCDipIMC

An adult has been convulsing continuously for six minutes. There is no intravenous access yet, and the first dose of treatment is due.

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

Reveal the answer and explanation

Correct answer: A — Give buccal midazolam or intramuscular midazolam now.

A seizure lasting beyond five minutes is treated promptly with a benzodiazepine, and when there is no intravenous access, buccal or intramuscular midazolam is the appropriate first agent. Phenytoin is a second-line agent given after benzodiazepines. Treatment should not be delayed while waiting for cannulation.

Reference: JRCALC Clinical Guidelines