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CLTM QUIZ EXAM WITH CORRECT
ANSWERS 2025 GRADED A+
Stimulation assessment should be made on patients monitored in the ICU correct answers >> Daily **What function has the lowest risk of being affected if a temporal lobectomy is performed in the dominant hemisphere correct answers >> Supplementary Motor Deficits Where would the central sulcus be found in this sample correct answers >> Between G3-G The purpose of bilateral mesial temporal depth electrodes is to correct answers >> Lateralize hippocampal seizure focus
The sample EEG shown, most closely represents a(n) correct answers >> 58 year old survivor of cardiopulmonary resuscitation ACNS Guidelines recommends the following filter performance specifications correct answers >> LFF 0.5 Hz - HFF 70 Hz When is it permissible to release patient information to a third party? correct answers >> With written consent of the patient **Focal seizures with symptoms of "tingling" sensations in the face likely originate in correct answers >> inferior post- central gyrus **First line treatment for Lennox-Gastaut Syndrome correct answers >> Valproic Acid **Which is not a characteristic of the RNS Neurostimulator correct answers >> It is used as an adjunctive therapy for adults and children
Seizures characterized by hypersalivation, oral-facial apraxia, and at times facial clonic activity, orginate correct answers
Frontal operculum 24-48 hour continuous EEG monitoring in the ICU is recommended for diagnosing correct answers >> Non- convulsive Status The intracarotid amobarbital test is used to determine cerebral dominance for correct answers >> language and memory function What does LPD+R stand for in the 2012 ACNS EEG terminology correct answers >> lateralized periodic discharges + superimposed rhythmic activity The EEG pattern seen with Ohtahara Syndrome is correct answers >> Burst Suppression PET scan in a child with Rasmussen's encephalitis will most likely demonstrate correct answers >> Widespread hemispheric hypometabolism
**Which childhood epileptic syndrome has the best prognosis correct answers >> Panayiotopoulous Syndrome Relative to P7 the P9 electrode placement is placed correct answers >> 10% lateral to P Damage to Wernicke's area may result in correct answers
Receptive aphasia Where can the central sulcus be found in the following sample correct answers >> G4- **A typical surgical treatment that is considered for Temporal Lobe Epilepsy correct answers >> Focal resection Montage Key Code: LAD = Left Amygdala; LHD = Left Hippocampus Depth; LST = Left subdural strip temporal neocortical; RAD = Right Amygdala; RHD = Right Hippocampus Depth; RST = Right subdural strip temporal neocortical. This sample demonstrates: correct answers >> bilateral independent spike and wave
What is the most common spacing of electrode disks on a 4 point intracranial strip correct answers >> 1 cm The typical latency for somatosensory cortical potentials to upper extremity stimulation is correct answers >> 20 msec **What type of anesthesia is best for electrocorticography in the operating rooms correct answers >> Desflurane If a patient was experiencing tongue numbness, which contacts would most likely show an EEG abnormality correct answers >> 28- **What should be done in the case of pulse artifact correct answers >> Slightly displace the electrode During functional mapping, afterdischarges (ADs) are more likely to occur with intensities greater than correct answers
10mA **In the Intensive Care Unit, what is the most commonly encountered EEG medication effect that is not specific for a
particular medication? correct answers >> Generalized Slowing Afterdischarges (ADs) correct answers >> Periodic or continuous epileptiform discharges A surgical treatment for Landau-Kleffner Syndrome correct answers >> Multiple Subpial Transection Which of the following is a criterion for sudden unexpected death in epilepsy (SUDEP) correct answers >> No explained cause Hypothalamic Hamartomas are assocated with correct answers >> Gelastic seizures An effectively known treatment option for Hypothalamic Hamartomas is correct answers >> Gamma Knife This type of surgical treatment is most beneficial for patients who have epileptic zones arising from or overlapping with eloquent cortex correct answers >> Multiple Subpial Transection
Hypsarrhythmia is a pattern most often associated with correct answers >> Infantile spasms Evaluating the sample EEG given, which of the following diagnosis is most likely correct answers >> Hippocampal Sclerosis Functional mapping of eloquent cortex includes correct answers >> Motor, sensory and language Artifact seen when an electrode is sitting over a vessel correct answers >> Pulse artifact According to the National Association of Epilepsy Centers (NAEC), the main difference between a level 3 and level 4 Epilepsy Center is that a Level 3 center correct answers >> Is not able to perform intracranial evaluations and is not able to offer complex resective epilepsy surgery Landau-Kleffner Syndrome correct answers >> Aphasia
Per ACNS Guidelines, an important aspect of montage design for LTME is to clearly separate activity from the correct answers >> Basal temporal and 10/20 cortical derivations SI or SIRPIDS patterns are induced by correct answers >> Stimulus **Where are sphenoidal locations are used to record epileptiform activity correct answers >> the mesial or anterior aspects of the temporal lobe Which contacts would show an abnormality if the patient was experiencing expressive aphasia correct answers >> 33- Therapeutic hypothermia is indicated for better outcome in adult patients with correct answers >> Cardiac arrest **Anterior tongue and lip bites often indicate correct answers >> non-epileptic seizure Focal seizures with symptoms of "tingling" sensations in the face likely originate in correct answers >> inferior post- central gyrus
neuronal injury and functional deficits are likely after correct answers >> 30 minutes **An EEG finding that can be seen with Absence epilepsy correct answers >> OIRDA Ictal weeping and pelvic thrusting may indicate correct answers >> Non-epileptic events The recommended duration for cEEG in a non-comatose patient suspected of having non-conclusive seizures is correct answers >> 24 hours Vagus nerve stimulators are approved for use in patients with correct answers >> partial seizures Cortical stimulation near the inferior frontal gyrus will most likely result in correct answers >> Expressive aphasia **Which of the following is primarily limited to selected catastrophic infant and early childhood epilepsies correct answers >> Hemispherectomy
**Which of the following is the most appropriate initial response to a significant acetone spill correct answers >> Evacuate and ventilate the area Pentobarbital Coma correct answers >> Burst-suppression **How many hours is the typical therapeutic hypothermia period for neonates with hypoxic ischemic encephalopathy correct answers >> 72 WADA testing, also known as itracarotid amobarbital procedure is performed for correct answers >> language and memory lateralization Ohtahara Syndrome correct answers >> Burst- suppression **Which of the following electrodes can best record a focal discharge in Sturge-Weber syndrome correct answers >> Suboccipital
Personal Protective Equipment (PPE) standards are set forth by correct answers >> OSHA Damage to Broca's area may result in correct answers >> Expressive aphasia 68 year old presents with confusion after recently being diagnosed with cancer. What pattern is seen in this baseline EEG correct answers >> BIPLEDS **The physiologic substrate of clinical seizure activity is correct answers >> Abnormal neuronal discharge **Which of the following electrodes is MRI conditional for intracranial monitoring correct answers >> Platinum What should always be monitored to access the presence of afterdischarges (ADs) correct answers >> ECoG Risks associated with invasive subdural grid electrodes include correct answers >> All are correct
Evaluating the sample EEG given, which of the following would be most likely utilized for accurate presurgical evaluation correct answers >> Bi-temporal depth electrodes **Rapid removal of which of the following anticonvulsants is most likely to elicit a generalized seizure correct answers
Phenobarbital What is the MAXIMUM allowable instrument leakage current when recording from a patient with invasive monitoring electrodes correct answers >> 10 microamps WADA correct answers >> Language function Which of the following precautions should be taken to prevent SUDEP correct answers >> Monitor cardiac and oxygen saturation One way to differentiate rhythmic epileptic seizure from that of rhythmic biologic artifacts is correct answers >> Identification of postictal slowing
Risks of VEEG monitoring related to medication withdrawal includes correct answers >> All are correct The primary motor and sensory corticies surround what landmark correct answers >> Central Sulcus According to the ABRET Code of Ethics, a credentialed technologist should report to ABRET if correct answers >> they have been convicted of a felony related to their work in neurodiagnostics **A woman who experienced a GTC sz recently has arrived in the EMU. She is confused. While the technologist is runnign a baseline, a man enters claiming to be her husband. If he asks about the record, the technologist should correct answers
ask the man to wait for a physician to speak to him Electrical Status Epilepticus during sleep (ESES) correct answers >> Landau-Klerrner syndrome Risks associated with foramen ovale electrodes include correct answers >> Facial numbness
**Which of the following is the most common sign of temporal lobe seizure correct answers >> Contralateral dystonia Long term monitoring in the ICU is the most helpful for correct answers >> nonconvulsive status epilepticus Automatisms are generally associated with activity generated from which lobe correct answers >> Temporal MEG is helpful in detection of epileptiform activity in patients with correct answers >> All are correct **ACNS Guidelines recommends that the reference electrode for localization of sensorimotor cortex should be placed correct answers >> Contralateral scalp or ear
