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CLTM ASAP Board Prep Study Guide: 139 Practice Questions with Answers for Certification in Long-Term Monitoring ( Edition)

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This comprehensive study guide is your essential resource for passing the CLTM (Certification in Long-Term Monitoring) board exam and advancing your career in neurodiagnostics and epilepsy monitoring. Featuring 139 exam-style questions with verified answers, this guide covers every critical topic tested on the exam, including EEG patterns, seizure semiology, epilepsy syndromes, surgical evaluation, intracranial monitoring, and functional mapping. You will master the specifics of ictal and interictal EEG findings, status epilepticus management, neonatal EEG patterns, and the 10-10 and 10-20 electrode placement systems. The guide also provides a deep dive into pre-surgical workup including WADA testing, PET and SPECT imaging, MEG, and intracranial electrode placement (depth, strip, grid, and foramen ovale electrodes).

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CLTM ASAP BOARD PREP WIH 139
QUESTIONS AND CORRECT ANSWERS
RATED A+ 2026/2027

The safest AED for pregnant women
Lamictal
Hypsarrhythmia is a pattern most often associated with
Infantile spasms
Expressive speech
Broca's area
Vagus nerve stimulators are approved for use in patients with
partial seizures
Phenobarbital shows what activity?
Beta
Which medication is appropriate for treating status epilepticus?
Lorazepam
Keto diet consists of
high fat, low carbohydrates, adequate protein
Bolus of Propofol will cause:
burst suppression
Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy?
60%
The majority of seizures in the intensive care unit are:

,non convulsive
What type of resection is associated with medial temporal sclerosis?
Temporal lobectomy
Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy?
60%
The majority of seizures in the intensive care unit are:
non convulsive
What type of resection is associated with medial temporal sclerosis?
Temporal lobectomy


How often should Stimulation assessment be made on patients monitored in the
ICU?
Daily
The greatest utility of CEEG is in the ICU patients with:
Unexplained "spells" such as variations in vital signs or twitching
WADA testing, also known as intracarotid amobarbitol procedure is performed for:
Language and memory lateralization
What less invasive test for language and memory has decreased the number of
WADA tests that are being conducted?
fMRI
PET
hypometabolism
The intracarotid ambarbital test is used to determine cerebral dominance for:
language and memory function
WADA is associated with:

, language function
What does PET stand for?
Positron Emission Tomography
Cerebral angiography prior to intracarotid amobarbital testing is necessary to
assess
arterial blood flow
SPECT stands for:
Single Photon Emitted Computed Tomography
Which of the following blood vessels is most frequently involved in
cerebrovascular accidents (CVA)?
Internal carotid artery
How many hours is the typical therapeutic hypothermia period for neonates with
hypoxic ischemic encephalopathy?
72 hours
A subarachnoid hemorrhage occurs:
Between the first and second layer of meninges
Juvenile Myoclonic Epilepsy has seizures that occur:
during the first hour of waking
This type of surgical treatment is most beneficial for patients who have epileptic
zones arising from or overlapping with eloquent cortex
Multiple Subpial Transection
Hyothalamic Hamartomas are associated with:
Gelastic seizures
Which type of epilepsy may be confused with psychogenic non epileptic seizures?
Frontal lobe epilepsy

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