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Question
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An 8-year-old boy presents with frequent staring episodes while in class. Based on the electroencephalogram (EEG) shown, which of the following is the most appropriate medication for this patient?
Explanation
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The EEG demonstrates the typical 3-Hz spike and wave pattern seen in absence epilepsy. The best medication for absence epilepsy is ethosuximide<br>Valproic acid is also used in absence epilepsy, but typically if there are generalized tonic-clonic seizures in addition to staring episodes. Phenytoin and carbamazepine have the potential to worsen generalized epilepsy.
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Reference
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Bradleys NiCP, 7th edn
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Option 1
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Is Correct (Option 1):
Valproic acid
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Option 2
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Is Correct (Option 2):
Ethosuximide
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Option 3
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Is Correct (Option 3):
Phenytoin
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Option 4
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Is Correct (Option 4):
Carbamazepine
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