This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': '4-year-old male child had febrile seizures, best prophylaxis – \nSelect and explain. \nA. Paracetamol 6 hourly, B. Paracetamol & diazepam, C. Diazepam, D. Phenobarbitone', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Prophylaxis in febrile seizures \nProphylactic anticonvulsants are not given routinely in febrile seizures. They are required when -\n\nA febrile seizure is prolonged or complicated\nMedical reassurance fails to relieve family anxiety.\n\tProphylaxis may be continuous or intermittent\n\nIntermittent prophylaxis\n\nIt is currently the desirable form of therapy\nIt is used during episodes of fever\nIndicated during first three days of fever:\nDrugs that are used are - Diazepam and other benzodiazepines (these drugs are used because they attain desired levels quickly) Diazepam is given oral or rectal.\n\nContinuous prophylaxis -\n\nIt is used when\nIntermittent therapy has failed \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0\xa0\nCentral nervous system disease\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0 \xa0\nDrugs used are → Sodium valproate or phenobarbitone.\nRecurrent atypical seizures\nThe family history of epilepsy\n\nNote - Carbamazepine and phenytoin are ineffective for prevention of recurrence.', 'role': 'assistant'}]