National Registry of Certified Medical Examiners (NRCME) DOT Practice Exam

How many unprovoked seizures are required for a diagnosis of epilepsy?

1. One

2. Two

3. There is no single definition; diagnosis is made on a case-by-case basis

4. Three

The correct answer is: Two

A diagnosis of epilepsy typically requires the occurrence of two unprovoked seizures. This criteria reflects the understanding that a single seizure does not necessarily indicate a chronic condition; it could be attributed to various factors such as stress, fever, or a head injury. The rationale is to ensure a more reliable identification of the disorder, as many individuals may experience one seizure without having epilepsy. Requiring two unprovoked seizures establishes a clearer baseline for diagnosing epilepsy, thereby enhancing patient safety and treatment strategy. This approach provides a better opportunity to assess the individual's history and conduct any necessary diagnostic testing to understand the underlying causes of their seizures before a formal diagnosis is made.