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Pathology · single question

An autistic patient on valproic acid for a generalized tonic-clonic seizure disorder – which is NOT a feature of a generalized tonic-clonic seizure?

  1. Postictal unresponsiveness
  2. Repetitive verbal/automatism behavior
  3. Tonic-clonic motor activity
  4. Loss of consciousness
Show answer and explanation

Correct answer: B. Repetitive verbal/automatism behavior

  • A. Incorrect – a postictal state is expected.
  • B. Correct (NOT a feature) – automatisms/repetitive verbal behavior are typical of focal (complex partial) seizures, not generalized tonic-clonic seizures.
  • C. Incorrect – stiffening then jerking IS the defining feature.
  • D. Incorrect – consciousness is lost in generalized tonic-clonic seizures.

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