Question

a child suffering from generalized tonic-clonic seizures may:

a. look like he is having a temper tantrum
b. have a high fever
c. lose consciousness and fall to the floor with jerking movements
d. need to lie down and rest

Explanation:

Analyze the clinical presentation of generalized tonic-clonic seizures

Generalized tonic-clonic seizures (formerly known as grand mal seizures) involve both hemispheres of the brain. The tonic phase is characterized by a sudden loss of consciousness and muscle stiffening, causing the individual to fall. The clonic phase follows with rapid, rhythmic jerking movements of the limbs.

Evaluate the given options

• Option A describes behaviors associated with emotional outbursts or behavioral issues, not neurological seizure activity.
• Option B describes a febrile state, which can trigger febrile seizures in young children, but is not the definition or direct presentation of a generalized tonic-clonic seizure itself.
• Option C accurately describes the hallmark clinical features of a generalized tonic-clonic seizure: loss of consciousness, falling, and bilateral rhythmic jerking.
• Option D describes a post-ictal state or general fatigue, but does not capture the active seizure event.

Answer:

• (A) Look like he is having a temper tantrum
• (B) Have a high fever
• (C) Lose consciousness and fall to the floor with jerking movements (Correct answer)
• (D) Need to lie down and rest