CLTM (CERTIFIED IN LONG-TERM MONITORING) EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: A young women with several previous episodes of
shifting areas of numbness and tingling, dizziness and difficulty
with vision awakens one morning unable to move her legs. A
reasonable diagnosis would be?
Answer:
Multiple Sclerosis
Question 2: In ischemia, as the cerebral blood flow decreases, the
EEG changes. What are the steps of EEG changes as cerebral
blood flow decreases?
Answer:
1. Subtle loss of faster frequencies- beta, alpha, sleep spindles
2. Slowing appears
3. Excess Theta
4. Excess Delta- but still reversible
Suppression of all frequencies with irreversible neuronal death (infarction)
Question 3: What are the components of the Glasgow Coma Scale?
Answer:
Eyes best motor response and best verbal response
Question 4: Compressed spectral arrays
Answer:
, *Assist in highlighting trends or changes over prolonged periods and
*do not substitute for review of the original EEG file
Question 5: Specific EEG patterns seen with this disease (CJD) are
"virtually diagnostic"
Answer:
Burst of biphasic or triphasic sharp complexes occurring about once per
second
Question 6: Which of the following could be a function of a network
administrator or "super- user"?
Answer:
-changing critical network settings
-altering key system files
-resetting passwords for users
-starting new user accounts
Question 7: Most seizures are?
Answer:
Idiopathic- cause is unknown
Question 8: The interdisciplinary team can be encouraged to:
Answer:
-Document medication changes
-Notify technologist of ancillary testing
-Adjust and zoom camera as needed
,Question 9: If possible your LTM patient be admitted to a private
room:
Answer:
True
Question 10: The central vertex electrode is:
Answer:
CZ
Question 11: When doing cEEG in the ICU, the physician should be
sent a communication when:
Answer:
-when the patient seizes
-when there is an abrupt change in the background
Question 12: Benzodiazepines such as Ativan (Lorazepam), at
therapeutic levels can cause:
Answer:
Frontal central beta
Question 13: A brief period of transient paralysis following a
seizure:
Answer:
Todd's Paralysis
Question 14: A longer time constant results in:
, Answer:
more slow frequencies recorded
Question 15: A clinical sign of meningitis:
Answer:
nuchal rigidity
Question 16: Which of the following statements is correct in
describing a potential hazard of a peer-to-peer network?
Answer:
Question 17: During the diagnostic process_________________
Answer:
uncertainty about the nature of the problem is reduced
Question 18: Wernicke's Area
Answer:
Parietal Lobe
Question 19: When phenobarbital is used to manage increased
intracranial pressure in traumatic brain injury patients, cEEG is a
key tool to help monitor:
Answer:
Depth of sedation
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: A young women with several previous episodes of
shifting areas of numbness and tingling, dizziness and difficulty
with vision awakens one morning unable to move her legs. A
reasonable diagnosis would be?
Answer:
Multiple Sclerosis
Question 2: In ischemia, as the cerebral blood flow decreases, the
EEG changes. What are the steps of EEG changes as cerebral
blood flow decreases?
Answer:
1. Subtle loss of faster frequencies- beta, alpha, sleep spindles
2. Slowing appears
3. Excess Theta
4. Excess Delta- but still reversible
Suppression of all frequencies with irreversible neuronal death (infarction)
Question 3: What are the components of the Glasgow Coma Scale?
Answer:
Eyes best motor response and best verbal response
Question 4: Compressed spectral arrays
Answer:
, *Assist in highlighting trends or changes over prolonged periods and
*do not substitute for review of the original EEG file
Question 5: Specific EEG patterns seen with this disease (CJD) are
"virtually diagnostic"
Answer:
Burst of biphasic or triphasic sharp complexes occurring about once per
second
Question 6: Which of the following could be a function of a network
administrator or "super- user"?
Answer:
-changing critical network settings
-altering key system files
-resetting passwords for users
-starting new user accounts
Question 7: Most seizures are?
Answer:
Idiopathic- cause is unknown
Question 8: The interdisciplinary team can be encouraged to:
Answer:
-Document medication changes
-Notify technologist of ancillary testing
-Adjust and zoom camera as needed
,Question 9: If possible your LTM patient be admitted to a private
room:
Answer:
True
Question 10: The central vertex electrode is:
Answer:
CZ
Question 11: When doing cEEG in the ICU, the physician should be
sent a communication when:
Answer:
-when the patient seizes
-when there is an abrupt change in the background
Question 12: Benzodiazepines such as Ativan (Lorazepam), at
therapeutic levels can cause:
Answer:
Frontal central beta
Question 13: A brief period of transient paralysis following a
seizure:
Answer:
Todd's Paralysis
Question 14: A longer time constant results in:
, Answer:
more slow frequencies recorded
Question 15: A clinical sign of meningitis:
Answer:
nuchal rigidity
Question 16: Which of the following statements is correct in
describing a potential hazard of a peer-to-peer network?
Answer:
Question 17: During the diagnostic process_________________
Answer:
uncertainty about the nature of the problem is reduced
Question 18: Wernicke's Area
Answer:
Parietal Lobe
Question 19: When phenobarbital is used to manage increased
intracranial pressure in traumatic brain injury patients, cEEG is a
key tool to help monitor:
Answer:
Depth of sedation
