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CNIM Multiple Choice Exam Questions and Answers, Academic Year 2026, practice questions with answers

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This document contains CNIM multiple-choice exam questions and answers for exam preparation. It covers key concepts related to intraoperative neurophysiological monitoring and CNIM certification, providing practice material for reviewing important examination topics.

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CNIM




CNIM MULTIPLE CHOICE EXAM QUESTIONS AND ANSWERS




Ipsilateral cranial nerve deficits combined with contralateral motor
deficits indicate what site of lesion?
A- Cortex
B- Cauda equina
C- Brainstem
D- Spinal cord - correct answer C


Median Nerve
A- MCA
B- PCA
C- AICA
D- ACA - correct answer A


The layers of protective tissue which surround the central nervous
system are called:

,CNIM


A- Ventricles
B- Cerebrospinal fluidd
C- Skull
D- Meninges - correct answer D


The interconnecting blood vessels at the base of the brain make up:
A- Carotid exchange
B- Blood circle
C- Circle of Milford
D- Circle of Willis - correct answer D


Upper extremity SEPs transmit through which spinal cord tract?
A- Fasciculus gracilis
B- Lateral corticospinal tract
C- Spinothalamic tract
D- Fasciculus cuneatus - correct answer D


Transcranial Motor Evoked Potentials transmit primarily through which
spinal cord tract?
A- The lateral corticospinal tract
B- The fasciculus gracilis
C- The fasciculus cuneatus

,CNIM


D- The spinothalamic tract - correct answer A


Which muscle is innervated by L5 nerve root?
A- Iliopsoas
B- Gracilis
C- Tibialis Anterior
D- Abductor digiti minimi - correct answer C


Which artery would you notice with PTN stimulation?
A- Radial
B- ACA
C- PCA
D- MCA - correct answer B


Gracile nucleus
A- Arms
B- Ears
C- Legs
D- Face - correct answer C


Which of the following will affect the neurogenic response to spinal
cord stimulation the least?

, CNIM


A- shunting of current by irrigation fluid
B- muscle relaxants
C- anesthetic agents
D- insertion of hardware - correct answer C


The effect of volatile anesthetic agents on cortical evoked potentials is
to
A- decrease amplitudes and decrease latencies
B- prolong latencies and decrease amplitudes
C- increase amplitudes
D- decrease latencies - correct answer B


The BIS monitor
A- uses the phase coupling between frequencies in the EEG signal to
establish depth of anesthesia
B- divides the EEG into 8 frequencies in order to determine grades of
cortical ischemia
C- squares the EEG power to produce a positive amplitude in the
compressed spectral array
D- is used by anesthesia to determine the effect of TCMEP monitoring
on the patient's EEG - correct answer A


The effects of halogenated agents on the cortical somatosensory
evoked potential are:

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