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NURS 6501: Week 7 Quiz Question 10 / NURS-6501N Advanced Pathophysiology

 

NURS 6501: Week 7 Quiz:

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Question 10

Which one of the following symptoms is typically associated with generalized tonic-clonic seizures?

  • Awareness/consciousness is maintained
  • Automatisms, like lip-smacking
  • Postictal confusion
  • Tingling sensations in the extremities

 

Correct answer: Postictal confusion

 

Explanation:

Generalized tonic-clonic seizures (also known as grand mal seizures) involve:

  • Loss of consciousness at onset
  • A tonic phase (sustained muscle contraction)
  • Followed by a clonic phase (rhythmic jerking)

After the seizure ends, patients typically enter a postictal state, which may include:

  • Confusion
  • Fatigue
  • Headache
  • Sometimes amnesia for the event

 

Why the other options are incorrect:

  • Awareness/consciousness is maintained ❌
    → This is not true for generalized tonic-clonic seizures. Consciousness is lost.
  • Automatisms, like lip-smacking ❌
    → Seen in focal seizures with impaired awareness (formerly complex partial seizures), not tonic-clonic.
  • Tingling sensations in the extremities ❌
    → These are sensory auras, often seen in focal seizures, particularly from the parietal lobe.

 

Remember:
The hallmark of generalized tonic-clonic seizures is a loss of consciousness and postictal confusion.

 

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