🏥 USMLE Exam Prep

A 15-month-old child presents to the emergency department after experiencing a generalized tonic-clonic seizure lasting 3 minutes, during which his temperature was 103.5°F (39.7°C). He is now alert and playful. His past medical history is unremarkable, and he has no signs of meningeal irritation. What is the most appropriate next step in his management?

A Lumbar puncture
B Electroencephalogram (EEG)
C Reassurance and discharge with fever control education
D Initiate daily prophylactic anticonvulsant medication

✓ Correct Answer: Option C

A simple febrile seizure (generalized, <15 min, single episode in 24h, no neurological deficits post-ictally) in an otherwise healthy child typically requires only reassurance and fever control education. No further extensive workup is usually needed.

💡 Why is C) the correct answer?

The correct answer to the question "A 15-month-old child presents to the emergency department after experiencing a generalized tonic-clonic seizure lasting 3 minutes, during which his temperature was 103.5°F (39.7°C). He is now alert and playful. His past medical history is unremarkable, and he has no signs of meningeal irritation. What is the most appropriate next step in his management?" is Option C: Reassurance and discharge with fever control education.

The other options — A) Lumbar puncture, B) Electroencephalogram (EEG), D) Initiate daily prophylactic anticonvulsant medication — are incorrect for this USMLE Exam Prep question. As explained above: A simple febrile seizure (generalized,

📚 About This USMLE Exam Prep Practice Question

This 2-level USMLE Exam Prep question from the Step 3 – Clinical Management topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free USMLE Exam Prep practice test or use flashcards for spaced repetition review.

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