WBR1131

Author	[[PageAuthor::Pratik Bahekar, MBBS [1]]]
Exam Type	ExamType::USMLE Step 2 CK
Main Category	MainCategory::Psychiatry
Sub Category	SubCategory::Psychiatry
Prompt	[[Prompt::A 65 year old man is brought to an emergency room after he suffered from convulsions. He has no history of seizures, head trauma, hypertension, and diabetes. He has been taking escitalopram from last 2 months for depression, but he forgot to take it in last 3 days. The patient is confused and unable to answer any question. Which of the following medicine you would administer?]]
Answer A	AnswerA::Lorazepam
Answer A Explanation	[[AnswerAExp::Lorazepam is found to be as effective as diazepam, and has fewer side effects than later. Short acting benzodiazepine like lorazepam and fosphenytoin are the first line treatment for any cause of convulsion.]]
Answer B	AnswerB::Thioridazine
Answer B Explanation	AnswerBExp::Thioridazine has no role in the treatment of convulsion.
Answer C	AnswerC::Haloperidol
Answer C Explanation	AnswerCExp::Haloperidol has no role in the treatment of convulsion.
Answer D	AnswerD::Ibuprofen
Answer D Explanation	AnswerDExp::Ibuprofen has no role in the treatment of convulsion.
Answer E	AnswerE::Buspirone
Answer E Explanation	AnswerEExp::Buspirone reduces seizure threshold. It should not be given in convulsion or history of seizure disorder.
Right Answer	RightAnswer::A
Explanation	[[Explanation::Short acting benzodiazepine like lorazepam is the first line treatment for convulsion. Educational Objective: Short acting benzodiazepine like lorazepam is the first line treatment for convulsion. References: http://www.wikidoc.org/index.php/Seizure_medical_therapy http://www.ncbi.nlm.nih.gov/pubmed/18646081]]
Approved	Approved::No
Keyword	WBRKeyword::Convulsions
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::