Question:

A 3-year-old child is brought to the emergency department with generalized convulsions following a high-grade fever. Which of the following is the most appropriate first-line medication to manage seizures in this acute febrile episode?

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Acute ongoing febrile seizure = give a benzodiazepine, commonly diazepam.
Updated On: May 14, 2026
  • Diazepam
  • Valproate
  • Fosphenytoin
  • Doxycycline Amoxicillin
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The Correct Option is A

Solution and Explanation

Concept: Febrile seizures occur in young children with fever. If the seizure is ongoing, a benzodiazepine such as diazepam is used as first-line acute management.

Step 1:
Identify the condition.
A 3-year-old child with fever and generalized convulsion suggests: \[ \text{Febrile seizure} \]

Step 2:
Choose acute seizure control drug.
For acute seizure termination, benzodiazepines are first-line.

Step 3:
Select the best option.
Among the options, diazepam is the appropriate first-line drug. Therefore, the correct answer is Diazepam.
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