12-year-old Girl in Pediatrics — 12yo Child | Paediatric Neurology | SMLE Q#17385
SMLE Question #17385
Pediatrics
Paediatric Neurology
Last updated: February 2026
A 12-year-old girl is seen in clinic after a first unprovoked generalized tonic-clonic seizure that lasted 2 minutes, followed by postictal sleepiness. There is no history of fever, head trauma, toxin exposure, or substance use. Family history is negative. She has returned to her baseline and her general and detailed neurological examinations are normal. Emergency department evaluation reportedly showed no metabolic abnormality and toxicology screen was negative. What is the best next step in this girl's diagnostic evaluation?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.