Phenytoin Monotherapy in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12353
SMLE Question #12353
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 27-year-old primigravida at 15 weeks’ gestation has generalized tonic–clonic epilepsy treated with phenytoin monotherapy. She has been seizure-free for 6 years and took folic acid before conception. She asks about fetal risks of phenytoin and whether her antiseizure medication should be changed. What is the most appropriate next step in management?
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