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    ATI NS113 Paediatrics Proctored Exam

    A child with a seizure disorder suddenly drops to the floor without warning.What type of seizure is this?

    Explanation & Rationale

    Choice A rationaleMyoclonic seizures are characterized by brief, sudden, involuntary muscle jerks or twitches. These movements are typically not associated with a complete loss of postural tone leading to a fall. The child's presentation of suddenly dropping to the floor without warning indicates a loss of muscle strength.Choice B rationaleAtonic seizures, also known as drop attacks, involve a sudden loss of muscle tone, causing the individual to fall abruptly. This loss of tone can be localized or generalized, affecting the entire body, which aligns with the description of the child suddenly dropping to the floor.Choice C rationaleAbsence seizures are characterized by brief lapses of consciousness, often appearing as a staring spell. Individuals usually do not fall during an absence seizure; instead, they may have subtle motor movements like eye blinking or lip smacking.Choice D rationaleTonic seizures involve a sudden increase in muscle tone, causing stiffening of the body, arms, or legs. While a person might fall due to the rigidity, the primary characteristic is muscle stiffening, not a sudden loss of tone.

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