A patient is incontinent during a seizure and sleeps for several hours afterward. What type of seizure did the patient most likely have?
a. Absence
b. Simple partial
c. Status epilepticus
d. Tonic-clonic
ANS: D
Generalized tonic-clonic seizures follow a typical progression. Aura and loss of consciousness may or may not occur. The patient is often incontinent. Patients who experience a generalized seizure may sleep deeply for 30 minutes to several hours. Absence and simple partial seizures are not generally associated with incontinence. A patient in status epilepticus may be incontinent but would still be having a seizure and not sleeping.
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