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CLTM BOARD TEST EXAM BANK WITH ACTUAL QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES | 2026 Updated

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This comprehensive CLTM Board Test Exam Bank provides a complete set of verified and updated questions with correct answers and detailed rationales for the Certified Long-Term Monitoring (CLTM) exam. It covers essential neurodiagnostic topics, including ECoG, EEG, MEG, IONM, cortical mapping, epilepsy surgery, brainstem monitoring, ACNS standards, and anesthesia considerations. Designed for both review and practice, this document ensures mastery of clinical concepts, procedural safety, and neurophysiologic principles relevant to CLTM certification.

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CLTM BOARD TEST EXAM 2025/2026

BANK WITH ACTUAL QUESTIONS AND

VERIFIED ANSWERS WITH RATIONALES


What new imaging techniques help in the placement of

ECoG electrodes?

a. Ultrasound and standard X-Rays

b. Contrast MRI and CT scans

c. Digital photographs and MEG

d. Fusion of functional SPECT and PET scans and

structural MRI - ANSWER-d. Fusion of functional SPECT

and PET scans and structural MRI

,How does ECoG activity differ from scalp recorded EEG?

(select all that apply)

-More sharply contoured morphology

-Lower amplitude when recording from the cortex directly

-Higher amplitude

-Onset decrement or attenuation usually not seen on scalp

recordings because it is so low amplitude it is not recorded

through the scalp and skull - ANSWER--More sharply

contoured morphology

-Higher amplitude

-Onset decrement or attenuation usually not seen on scalp

recordings because it is so low amplitude it is not recorded

through the scalp and skull

,During surgery for an aortic arch dissection, the SSEP's

from the lower extremities remain stable, EEG shows no

change but there is a gradual loss of the SSEP and Tc-

MEP from the left arm. What is the most likely etiology?

a. Left side spinal cord injury

b. Right cortical injury

c. Right brainstem injury

d. Occlusion of the left subclavian artery - ANSWER-d.

Occlusion of the left subclavian artery




Which of the following modalities is LEAST useful to

monitor during surgery for a vertebral artery aneurysm?

a. Lower extremity SSEP

b. Brainstem auditory evoked potential

, c. Surface EEG

d. Upper extremity SSEP - ANSWER-c. Surface EEG




In the past many brainstem lesions were considered

inoperable but with modern microsurgical techniques

combined with neurophysiological mapping, many lesions

in this area are now amenable to surgical intervention.

True or False? - ANSWER-True




How are after discharges stopped?

a. IV valium

b. General anesthesia

c. IV antiepileptic drugs

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