香港医考的例题分享

LMCHK例题

A 16-year-old boy presents to the Emergency Department one morning after an episode of unconsciousness, a convincing history of which was obtained from his mother. She had witnessed his eyes rolling upwards, a fall to the floor, jerking of all four limbs and his lips going blue. He had been incontinent. He had been assessed in a general paediatric clinic 3 years earlier complaining of sudden brief bilateral ‘jerks’ occurring largely in the morning after waking. Neurological examination is normal.

What is the most likely diagnosis?

A. Hypoxic myoclonus

B. Juvenile myoclonic epilepsy

C. Localisation related epilepsy

D. Non-epileptic attack disorder

E. Wilson’s disease