🏥 USMLE Exam Prep

A 28-year-old female with no known medical history is brought to the emergency department by ambulance after experiencing generalized tonic-clonic seizures for 15 minutes. She is actively seizing upon arrival. IV access is established. What is the most appropriate initial pharmacological intervention for her status epilepticus?

A Phenytoin
B Levetiracetam
C Lorazepam
D Fosphenytoin

✓ Correct Answer: Option C

Benzodiazepines (e.g., lorazepam, midazolam, diazepam) are the first-line agents for aborting status epilepticus due to their rapid onset of action. Phenytoin, fosphenytoin, or levetiracetam are typically second-line agents for sustained seizure control after the acute episode is stopped.

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