CLTM Study Exam Questions And Answers
Verified 100% Correct
The recommended duration of cEEG monitoring for the comatose TBI patient is at
least - ANSWER -7 days after injury
a ___ sz is characterized by sustained msuclar contraction causing the body to
assume rigid position or a stereotyped posture is - ANSWER -tonic
in the bipole of the eye - ANSWER -the cornea is positive with respect to the
retina
the incidence of early post traumatic clinical sz is between - ANSWER -2.8-10%
an artifact that can mimic frontal slowing even with eye lead monitors in place is -
ANSWER -glossokinetic
a condition characterized by areas of malformed cerebral cortex attributed to an
interruption of the neuronal migration or maturation process - ANSWER -cortical
dysplasia
SIRPIDS are an area of active research but currently treated with - ANSWER -anti
epileptic medication
The most frequent secondary insults that occur in TBI are - ANSWER -pyrexia
raised ICP and hypotention
Lack of acceptable sz control despite adequate trials of appropriate drugs at doses
or levels that produce no side effects or acceptable side effects - ANSWER -
refractory or intractable epilepsy
The most common form of NCSE in hospitalized patients and critically ill ICU
patients is - ANSWER -secondary generalized NCSE
,Local networks that are geographically isolated - ANSWER -do not allow data to
be viewed remotely, are like most EMU designs, and are the least expensive of
network designs
One coma pattern with a relatively good prognostic import is a - ANSWER -
spindle coma
storing all EEG data and video requires - ANSWER -20 GB/Day
What type of EEG software is helpful for quantifying sz in ICU and cEEG -
ANSWER -trending
patients should be stimulated - ANSWER -at least twice a day
PNES has been reported in up to what percentage of patients admitted to ICU's
with a diagnosis of SE - ANSWER -20%
What is one common side effect of treating ICU patients with sz medication -
ANSWER -hypotension
the frequency of electrographic sz in ICU patients with acute neurological
conditions has been reported as between - ANSWER -19-50%
After the treatment of SE patients even if sz free should be kept on EEG until -
ANSWER -all continuous IV anti epileptic meds are withdrawn and the patient is
on appropriate maintenance anti epileptic drugs
in children what percentage of sz were detected in the first hour? 24 hours? -
ANSWER -50% and 80%
ceeg is crucial after - ANSWER -convulsive sz
,optimal therapeutic hypothermia is defined as controlling cooling of the body -
ANSWER -to 32-34 degrees c for 12-24 hours with a controlled rewarming period
of 12-24 hours
When phenobarb is used to manage increased ICP in traumatic brain injury
patients, cEEG is a key tool to help monitor - ANSWER -depth of sedation
therapeutic hypothermia allows more time - ANSWER -for cardiac surgical
intervention while minimizing cerebral risk
SIRPIDS are an active area of research but currently are treated with - ANSWER -
anti epileptic medication
Name the signs of brain trauma - ANSWER -scalp wound with swelling bruising
LOC nasal discharge and stiff neck
Widely distributed sharp waves that occur every second and appear bilaterally and
synchronously are referred to as - ANSWER -GPEDS
GPEDS, PEDS, BIPEDS, AND PLEDS - ANSWER -increase the risk of clinical
sz
hemorrhagic stroke are caused by a rupture of what - ANSWER -blood vessles
what is the number one predictor of sz detected on cEEG in the ICU - ANSWER -
coma
Following cardiac arrest the neurological exam in combination with the following
can aid in determining prognosis - ANSWER -EEG and SEP
EEG patterns seen with drug effect include - ANSWER -super imposed fast
activity and generalized slowing
Cooling below 32 degrees poses the risk of - ANSWER -infection
increased focal cerebral deficits
, arrhythmia
coagulopathy
the most frequent secondary insults that occur in TBI are - ANSWER -
hypotension, pyrexia, raised ICP
What is the leading cause of serious long term disability in the US - ANSWER -
stroke
One coma pattern with a relatively good prognosis - ANSWER -spindle coma
Copressed spectrial arrays - ANSWER -may help less experienced staff to
correlate events, assist in highlighting trends, do not sub for review of the original
eeg file
Sz cause the following cerebral response - ANSWER -increase neuronal stress
increase ICP and increase glutamate to neurotoxic levels
NCSE lasting over 20 hours likely to result in - ANSWER -death
tech documentation should include - ANSWER -med changes and skin breakdown
some essential and guidelines for doing neonatal EEG - ANSWER -knowledge of
GA
obtain 1 hour of recordings
LFF of .3-.6 and paper speed of 15mm/sec
min 9 scalp electrodes
no collodion use
benefits of digital EEG - ANSWER -data can be electronically analyzed and
treded, data can be read remotely, more data can be recorded
v lan network - ANSWER -if routed can view data remotely access to the internet,
requires IT support to configure and manage
Verified 100% Correct
The recommended duration of cEEG monitoring for the comatose TBI patient is at
least - ANSWER -7 days after injury
a ___ sz is characterized by sustained msuclar contraction causing the body to
assume rigid position or a stereotyped posture is - ANSWER -tonic
in the bipole of the eye - ANSWER -the cornea is positive with respect to the
retina
the incidence of early post traumatic clinical sz is between - ANSWER -2.8-10%
an artifact that can mimic frontal slowing even with eye lead monitors in place is -
ANSWER -glossokinetic
a condition characterized by areas of malformed cerebral cortex attributed to an
interruption of the neuronal migration or maturation process - ANSWER -cortical
dysplasia
SIRPIDS are an area of active research but currently treated with - ANSWER -anti
epileptic medication
The most frequent secondary insults that occur in TBI are - ANSWER -pyrexia
raised ICP and hypotention
Lack of acceptable sz control despite adequate trials of appropriate drugs at doses
or levels that produce no side effects or acceptable side effects - ANSWER -
refractory or intractable epilepsy
The most common form of NCSE in hospitalized patients and critically ill ICU
patients is - ANSWER -secondary generalized NCSE
,Local networks that are geographically isolated - ANSWER -do not allow data to
be viewed remotely, are like most EMU designs, and are the least expensive of
network designs
One coma pattern with a relatively good prognostic import is a - ANSWER -
spindle coma
storing all EEG data and video requires - ANSWER -20 GB/Day
What type of EEG software is helpful for quantifying sz in ICU and cEEG -
ANSWER -trending
patients should be stimulated - ANSWER -at least twice a day
PNES has been reported in up to what percentage of patients admitted to ICU's
with a diagnosis of SE - ANSWER -20%
What is one common side effect of treating ICU patients with sz medication -
ANSWER -hypotension
the frequency of electrographic sz in ICU patients with acute neurological
conditions has been reported as between - ANSWER -19-50%
After the treatment of SE patients even if sz free should be kept on EEG until -
ANSWER -all continuous IV anti epileptic meds are withdrawn and the patient is
on appropriate maintenance anti epileptic drugs
in children what percentage of sz were detected in the first hour? 24 hours? -
ANSWER -50% and 80%
ceeg is crucial after - ANSWER -convulsive sz
,optimal therapeutic hypothermia is defined as controlling cooling of the body -
ANSWER -to 32-34 degrees c for 12-24 hours with a controlled rewarming period
of 12-24 hours
When phenobarb is used to manage increased ICP in traumatic brain injury
patients, cEEG is a key tool to help monitor - ANSWER -depth of sedation
therapeutic hypothermia allows more time - ANSWER -for cardiac surgical
intervention while minimizing cerebral risk
SIRPIDS are an active area of research but currently are treated with - ANSWER -
anti epileptic medication
Name the signs of brain trauma - ANSWER -scalp wound with swelling bruising
LOC nasal discharge and stiff neck
Widely distributed sharp waves that occur every second and appear bilaterally and
synchronously are referred to as - ANSWER -GPEDS
GPEDS, PEDS, BIPEDS, AND PLEDS - ANSWER -increase the risk of clinical
sz
hemorrhagic stroke are caused by a rupture of what - ANSWER -blood vessles
what is the number one predictor of sz detected on cEEG in the ICU - ANSWER -
coma
Following cardiac arrest the neurological exam in combination with the following
can aid in determining prognosis - ANSWER -EEG and SEP
EEG patterns seen with drug effect include - ANSWER -super imposed fast
activity and generalized slowing
Cooling below 32 degrees poses the risk of - ANSWER -infection
increased focal cerebral deficits
, arrhythmia
coagulopathy
the most frequent secondary insults that occur in TBI are - ANSWER -
hypotension, pyrexia, raised ICP
What is the leading cause of serious long term disability in the US - ANSWER -
stroke
One coma pattern with a relatively good prognosis - ANSWER -spindle coma
Copressed spectrial arrays - ANSWER -may help less experienced staff to
correlate events, assist in highlighting trends, do not sub for review of the original
eeg file
Sz cause the following cerebral response - ANSWER -increase neuronal stress
increase ICP and increase glutamate to neurotoxic levels
NCSE lasting over 20 hours likely to result in - ANSWER -death
tech documentation should include - ANSWER -med changes and skin breakdown
some essential and guidelines for doing neonatal EEG - ANSWER -knowledge of
GA
obtain 1 hour of recordings
LFF of .3-.6 and paper speed of 15mm/sec
min 9 scalp electrodes
no collodion use
benefits of digital EEG - ANSWER -data can be electronically analyzed and
treded, data can be read remotely, more data can be recorded
v lan network - ANSWER -if routed can view data remotely access to the internet,
requires IT support to configure and manage
