Professional and Linguistic Assessments Board (PLAB) Practice Exam

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What symptom is typically associated with a true seizure rather than a pseudoseizure?

  1. Postictal confusion

  2. Prolonged duration

  3. History of head trauma

  4. Absence of tongue biting

The correct answer is: Postictal confusion

Postictal confusion is a symptom that is typically associated with a true seizure. After a generalized tonic-clonic seizure, for example, it is common for individuals to experience confusion, disorientation, and a lack of awareness of their surroundings, which can last from a few minutes to several hours. This phenomenon occurs because the brain requires time to recover from the excessive electrical activity that characterizes a seizure. In contrast, pseudoseizures, or psychogenic non-epileptic seizures, often do not lead to postictal confusion. Individuals may retain full awareness of their surroundings and can quickly return to a baseline state following a pseudoseizure episode. Understanding these differences is crucial for accurate diagnosis and treatment. It helps healthcare professionals differentiate between epileptic seizures and non-epileptic events, guiding appropriate management strategies.