The neurologically abnormal child has never appeared in the exam, with the exception of Question 5 from the first paper of 2014 where febrile convulsions became the subject of detailed interrogation.  By the most recently attempted definition, febrile convulsions are "a seizure occurring in childhood after one month of age, associated with a febrile illness that is not caused by an infection of the central nervous system". There are actually two definitions, which differ slightly. In brief summary, these are seizures which occur in the presence of fever and in the absence of any other good reason for seizures, in an age range variably described as under 6 years, 1 month to five years, 3 months to five years, and six months to six years.

The Royal Children's Hospital Clinical Guidelines has a slightly different age range to both of the above, and closely resembles the college answer. Clearly, both must have the same source.

The list of criteria for the diagnosis of simple febrile convulsions:

• Fever >38.0°
• No history of neonatal seizures
• No previous unprovoked seizures
• No focal neurological features (i.e. generalised seizure)
• Tonic-clonic seizure
• Occurs after 6 months of age, and before the age of 6
• Lasts less than 15 minutes
• Occurs only once per episode of febrile illness.

Additionally, the following is a list of criteria for the diagnosis of complex febrile convulsions:

• Focal seizure (focal features at onset or during the seizure)
• Lasts longer than 15 minutes
• Occurs several times within the same episode of febrile illness.
• Incomplete recovery after 1 hour.

In Question 5 from the first paper of 2014, the college asked for five drugs with which to manage seizures in the paediatric population – one from each class, as well as their dose, their advantages and disadvantages. Such a question lends itself well to a tabulated answer.

Much of this information can be found it its raw untreated form in Slater's chapter on neurological emergencies in children, from Oh's Manual.