Epilepsy in Medicine / Internal Medicine — 28yo Woman | Neurology | SMLE Q#11297
SMLE Question #11297
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 28-year-old woman with epilepsy for 6 years attends preconception counseling. Despite taking an antiepileptic drug, she has had 2–3 generalized tonic-clonic seizures per month over the past year. She plans to conceive within the next few months. She reports good adherence and no other medical problems. She has been taking folic acid 5 mg daily for the last 3 months. Neurologic examination between seizures is normal. What is the most appropriate next step in management at this visit?
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