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Exam (elaborations)

Cltm questions with correct answers graded A+ 2023/2024 already passed

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Heart rate during seizure - correct answer Sinus tachycardia 100-120 also seen in temporal lobe epilepsy Rasmussen's - correct answer Hemispherectomy Ictal spect - correct answer Blood perfusion Pet scan - correct answer Monitors metabolism Loss of t1 volume high t2 - correct answer Hippocampal sclerosis MRS Magnetic resonance spectroscopy - correct answer Measure metabolites of brain Otahara syndrome - correct answer Burst suppression Febrile - correct answer Up to age 5! Alzheimer's - correct answer Theta increases delta and sharp waves Parkinson's - correct answer Generalized theta delta sharp waves ALS - correct answer Normal then later on non focal slowing Angelmans - correct answer Happy puppet High amplitude slow spike wave Foramen Ovale electrodes monitor - correct answer mesial temporal lobe Nasopharyngeal electrodes - correct answer anteromedial frontal lobe, should not use due to irritation Crani - correct answer Grid electrodes Burr Holes- - correct answer Strip electrodes Sensorimotor localization - correct answer Band Pass 1-30Hz to 250-1000 Hz (-3db) 50 ms, 25-50 reps, 2 trials, referential montage, use 1 or 1/2 MAC with nitrous EcoG Stimulus threshold - correct answer 70 dB above normal threshold, 10/s, averages, pulse duration .5-1 ms, pulse rate 50-60, stim intensity 0-20 mA, stim length 3-8 sec Cortical Stim threshold - correct answer 1-mA-15mA biphasic prevents tissue damage, 50/sec in trains of 3-5 for motor mapping and 5-10 for language until AD's produced Biphasic stimulation - correct answer prevents tissue damage, reduces risk of polarization or accumulation of ions within cortex EP Grid Sensitivity - correct answer 10-20 uV/div for amp EcoG sensitivity - correct answer 20-70 uV/mm, 30mm/sec for amp TIVA - correct answer S S E P no inhalations agents used Cortical Mapping anesthesia - correct answer Propofol and remifentanil used + ketamine no muscle relaxant EcoG anesthesia - correct answer low dose Propofol subarachnoid hemorrhage - correct answer causes ischemia Gelastic epilepsy - correct answer Hypothalamic Harmartoma Herpes Simplex pattern - correct answer temporal Pleds and slowing West syndrome - correct answer starts age 2-5 moths Occipital OVM - correct answer post of seizures, homonymous visual field loss, Hemispherectomy or Functional may reduce Seizures Left AVM - correct answer focal and secondarily generalized Supplementary Motor area - correct answer Fencing BRE - correct answer Needs sleep during test, 6 hours centro-temporal spikes may not treat JME - correct answer GTC almost all, Normal intelligence, Photosensitive EEG frontally dominant 4-6hz ictal faster/gen sw, 3.5-4 Hz polyspike Depakote ESES - correct answer non rem sleep and Landau Kelffner PNES - correct answer hip thrusting, opisthotonic posturing

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December 18, 2023
Number of pages
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Written in
2023/2024
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