[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-30847":3,"doc-seo-30847":21},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"file_id":15,"file_url":16,"file_type":17,"file_size":18,"view_count":4,"is_deleted":4,"is_public":19,"is_downloadable":19,"audit_status":19,"update_tm":20},30847,13056703019404,"Miles","https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0",4,"Exam","Nervous System Block 6 - Step 1 UWORLD 2020","A clinical question addresses a 5-year-old boy with recurrent generalized tonic-clonic seizures, high fever, and lethargy, progressing to status epilepticus without regaining consciousness between episodes. The explanation identifies intravenous benzodiazepines, such as lorazepam, as the initial drug of choice due to fast onset and proven efficacy. Mechanistically, benzodiazepines allosterically enhance GABA-A receptor activity, increasing chloride influx, hyperpolarizing the postsynaptic neuron, and suppressing action potential firing. Distractors are analyzed by contrasting presynaptic calcium/sodium channel actions, neurotransmitter reuptake, and vesicle fusion inhibition.","cbCais2GAtkdCdvk","https://ap.wps.com/l/cbCais2GAtkdCdvk","pdf",18850743,1,1778362170,{"code":4,"msg":22,"data":23},"ok",{"site_id":24,"language":25,"slug":26,"title":13,"keywords":27,"description":14,"schema_data":28,"social_meta":61,"head_meta":63,"extra_data":65,"updated_unix":20},105,"en","nervous-system-block-6-step-1-uworld-2020","",{"@graph":29,"@context":60},[30,46],{"@type":31,"itemListElement":32},"BreadcrumbList",[33,37,41,44],{"item":34,"name":35,"@type":36,"position":19},"https://docshare.wps.com","Home","ListItem",{"item":38,"name":39,"@type":36,"position":40},"https://docshare.wps.com/document/","Document",2,{"item":42,"name":12,"@type":36,"position":43},"https://docshare.wps.com/document/exam/",3,{"item":45,"name":13,"@type":36,"position":11},"https://docshare.wps.com/document/nervous-system-block-6-step-1-uworld-2020/30847",{"url":45,"name":13,"@type":47,"author":48,"headline":13,"publisher":50,"fileFormat":53,"description":14,"dateModified":54,"datePublished":54,"encodingFormat":53,"isAccessibleForFree":55,"interactionStatistic":56},"DigitalDocument",{"name":9,"@type":49},"Person",{"url":34,"name":51,"@type":52},"DocShare","Organization","application/pdf","2026-05-09",true,{"@type":57,"interactionType":58,"userInteractionCount":4},"InteractionCounter",{"@type":59},"ViewAction","https://schema.org",{"og:url":45,"og:type":62,"og:title":13,"og:site_name":51,"og:description":14},"article",{"robots":64,"canonical":45},"index,follow",{"doc_id":7,"site_id":24}]