No Tonic-clonic Movements in Pediatrics — 8yo Child | Pediatric Emergency | SMLE Q#17483
SMLE Question #17483
Pediatrics
Pediatric Emergency
Objective: OBJ-OPH-REFERRAL-001
Last updated: February 2026
An 8-year-old girl collapses briefly while standing during a crowded outdoor school assembly on a hot day. She had been in the sun for 45 minutes and had not drunk water since morning. Witnesses report pallor before collapse, with no tonic-clonic movements, tongue biting, or urinary incontinence. She regained consciousness within 1 minute and is now at baseline with a normal neurologic examination. Which historical feature is most concerning for a cardiac cause of syncope and warrants urgent evaluation?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.