CLTM Questions with complete verified solutions

1. PET a. Hypometabolism b. Hypoperfusion c. Hypothyroid d. Hypoglycemia Hypometabolism 2. SPECT a. Hypometabolism b. Hypoperfusion c. Hypothyroid d. Hypoglycemia Hypoperfusion 3. Choose the correct order for surgical evaluation for epilepsy surgery. a. Seizure, placement of subdural electrodes, epilepsy diagnosis, medication trials, surgical resection, imaging for pathology, EMU b. Seizure, epilepsy diagnosis, medication trials, imaging for pathology, craniotomy, placement of subdural electrodes, EMU, surgical resection c. EMU, seizure, epilepsy diagnosis, placement of subdural electrodes, craniotomy, medication trials, surgical resection, imaging for pathology d. EMU, medication trails, seizure, epilepsy diagnosis, imaging for pathology, surgical resection, craniotomy, placement of subdural electrodes Seizure, epilepsy diagnosis, medication trials, imaging for pathology, craniotomy, placement of subdural electrodes, EMU, surgical resection 4. fMRI a. Detects spatial focal changes in blood flow and oxygenation b. Can be used for sensory and language mapping c. Is part of the pre-surgical planning d. All of the above all of the above 5. As part the presurgical work-up, this magnetic source localization is used for spatial and temporal functional mapping of interictal epileptiform discharges a. fMRI b. PET c. MEG d. WADA MEG 6. Intraoperative cortical mapping is performed for identification of a. Tumor classification b. Eloquent cortex c. Hypometabolism d. Epileptic foci Eloquent cortex 7. Phase II of epilepsy surgery a. Subdural electrodes are placed for intracranial monitoring b. Intracarotid amobarbital procedure is performed c. Functional imaging for hypometabolism is performed d. Functional hemispherectomy is performed Subdural electrodes are placed for intracranial monitoring 8. The main difference between simple partial and complex partial is: a. Focal motor activity b. Preservation of consciousness c. Autonomic activity d. Anatomic location Preservation of consciousness 9. Cortical stimulation near the inferior frontal gyrus will most likely result in: a. Leg movements b. Auditory sensations c. Expressive aphasia d. Receptive aphasia Expressive aphasia 10. The goal of Cortical Stimulation during functional mapping is to: a. Provoke epileptic seizures b. Cause after discharges (ADs) c. Identify eloquent cortex d. Prevent schwann cell damage Identify eloquent cortex (ADs) 11. Wernicke's area lies in the: a. Posterior part of the parietal lobe b. Posterior part of the inferior temporal gyrus c. Posterior part of the inferior frontal gyrus d. Posterior part of the superior temporal gyrus Posterior part of the superior temporal gyrus 12. Broca's area lies in the: a. Posterior part of the parietal lobe b. Posterior part of the inferior temporal gyrus c. Posterior part of the inferior frontal gyrus d. Posterior part of the superior temporal gyrus Posterior part of the inferior frontal gyrus 13. Damage to Wernicke's area may result in: a. Ataxia b. Anoxia c. Expressive aphasia d. Receptive aphasia Receptive aphasia 14. Damage to Broca's area may result in: a. Ataxiz b. Anoxia c. Expressive aphasia d. Receptive aphasia Expressive aphasia 15. Risks of video-EEG monitoring related to medication withdrawal includes: a. Seizure-related falls b. Vertebral compression fractures c. Skull fractures d. All of the above all of the above 16. A patient who experiences epigastric rising followed by a 10 second oral and/or manual automatisms, is unable to respond to verbal commands, and has postictal confusion for several minutes has most likely indicates: a. Simple partial b. Complex partial c. Secondary generalized d. Primary generalized 17. The purpose of bilateral mesial temporal depth electrodes is to: a. Identify the dominate hemisphere b. Eloquent cortex c. Record after discharges (ADs) d. To lateralize hippocampal seizure focus To lateralize hippocampal seizure focus 18. PET studies in a child with Rasmussen encephalitis will most likely demonstrate a. Diffuse hypometabolism b. Diffuse hypermetabolism c. Widespread hemispheric hypometabolism d. Widespread hemispheric hypermetabolism Widespread hemispheric hypometabolism 19. PET studies in a patient with left temporal lobe epilepsy will most likely show a. Increased perfusion b. Decreased perfusion c. Increased glucose uptake d. Decreased glucose uptake Decreased glucose uptake 20. MEG is helpful in detection of epileptiform activity in patients with a. Cortical dysplasia b. Tuberous sclerosis c. Gliomas d. All of the above all of the above 21. WADA testing, also known as intracarotid amobarbitol procedure is performed for a. Identification of epileptic foci b. Language and memory lateralization c. Identification of language disabilities d. Lateralization of the hippocampus Language and memory lateralization 22. Functional mapping of eloquent cortex includes a. Motor b. Sensory c. Language d. Motor, sensory and language Motor, sensory and language 23. The most effectively known treatment for Rasmussen encephalitis is a. Focal lesion resection b. Functional hemispherectomy c. Multilobar resections d. Gamma knife Functional hemispherectomy 24. A surgical treatment for Lennox-Gastaut a. Multiple Subpial Transection b. Corpus Callosotomy c. Multilobar resections d. Gamma Knife Corpus Callosotomy 25. A surgical treatment for Landau-Kleffner Syndrome a. Multiple Subpial Transection b. Corpus Callosotomy c. Multilobar resections d. Gamma Knife Multiple Subpial Transection