Generalized Epilepsy Is Brought in Medicine / Internal Medicine — 25yo Woman | Neurology | SMLE Q#2308
SMLE Question #2308
Medicine / Internal Medicine
Neurology
Last updated: February 2026
A 25-year-old woman with generalized epilepsy is brought to the emergency department for continuous generalized tonic-clonic seizures lasting 35 minutes. She is compliant with valproate. She received IV lorazepam 20 mg in divided doses without cessation of convulsions. She is obtunded and continues to have generalized motor seizures. What is the most appropriate next medication to administer?
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