A 29-year-old man presents with a first generalised tonic-clonic seizure. Post-ictal but recovered; normal exam. CT head normal, glucose normal. What ...

Question

A 29-year-old man presents with a first generalised tonic-clonic seizure. Post-ictal but recovered; normal exam. CT head normal, glucose normal. What is the most appropriate next investigation in primary care/ED workup?

Accepted Answer

Arrange routine outpatient EEG

Answer

Start sodium valproate immediately

Answer

MRI brain urgently same day

Answer

No further tests if normal CT

Answer

Prolactin level now

ukmla MCQ (SBA): First seizure

A 29-year-old man presents with a first generalised tonic-clonic seizure. Post-ictal but recovered; normal exam. CT head normal, glucose normal. What is the most appropriate next investigation in primary care/ED workup?