March 25
CLTM Exam Complete Questions and Correct Detailed Answers
(Verified Answers)
1. PET
a. Hypometabolism
b. Hypoperfusion
c. Hypothyroid
d. Hypoglycemia
Ans: Hypometabolism
2. SPECT
a. Hypometabolism
b. Hypoperfusion
c. Hypothyroid
d. Hypoglycemia
Ans: 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
pg. 1
, March 25
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
Ans: 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
Ans: 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
pg. 2
, March 25
c. MEG
d. WADA
Ans: MEG
6. Intraoperative cortical mapping is performed for identification of
a. Tumor classification
b. Eloquent cortex
c. Hypometabolism
d. Epileptic foci
Ans: 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
Ans: Subdural electrodes are placed for intracranial monitoring
8. The main difference between simple partial and complex partial is:
a. Focal motor activity
pg. 3
, March 25
b. Preservation of consciousness
c. Autonomic activity
d. Anatomic location
Ans: 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
Ans: 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
Ans: Identify eloquent cortex (ADs)
11. Wernicke's area lies in the:
pg. 4
CLTM Exam Complete Questions and Correct Detailed Answers
(Verified Answers)
1. PET
a. Hypometabolism
b. Hypoperfusion
c. Hypothyroid
d. Hypoglycemia
Ans: Hypometabolism
2. SPECT
a. Hypometabolism
b. Hypoperfusion
c. Hypothyroid
d. Hypoglycemia
Ans: 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
pg. 1
, March 25
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
Ans: 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
Ans: 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
pg. 2
, March 25
c. MEG
d. WADA
Ans: MEG
6. Intraoperative cortical mapping is performed for identification of
a. Tumor classification
b. Eloquent cortex
c. Hypometabolism
d. Epileptic foci
Ans: 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
Ans: Subdural electrodes are placed for intracranial monitoring
8. The main difference between simple partial and complex partial is:
a. Focal motor activity
pg. 3
, March 25
b. Preservation of consciousness
c. Autonomic activity
d. Anatomic location
Ans: 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
Ans: 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
Ans: Identify eloquent cortex (ADs)
11. Wernicke's area lies in the:
pg. 4
