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Week 7 Quiz: Please contact Your Favorite Professor for help with NURS 6501: Week 7 Quiz Question 10 / NURS-6501N Advanced Pathophysiology or any other assignment. Email: professorrobertphd@gmail.com Question 10 Which one of the following symptoms is typically associated with generalized tonic-clonic seizures?
  • Awareness/consciousness is maintained
  • Automatisms, like lip-smacking
  • Postictal confusion
  • Tingling sensations in the extremities
  Correct answer: Postictal confusion   Explanation: Generalized tonic-clonic seizures (also known as grand mal seizures) involve:
  • Loss of consciousness at onset
  • A tonic phase (sustained muscle contraction)
  • Followed by a clonic phase (rhythmic jerking)
After the seizure ends, patients typically enter a postictal state, which may include:
  • Confusion
  • Fatigue
  • Headache
  • Sometimes amnesia for the event
  Why the other options are incorrect:
  • Awareness/consciousness is maintained ❌ → This is not true for generalized tonic-clonic seizures. Consciousness is lost.
  • Automatisms, like lip-smacking ❌ → Seen in focal seizures with impaired awareness (formerly complex partial seizures), not tonic-clonic.
  • Tingling sensations in the extremities ❌ → These are sensory auras, often seen in focal seizures, particularly from the parietal lobe.
  Remember: The hallmark of generalized tonic-clonic seizures is a loss of consciousness and postictal confusion.