CNIM Exam (Multiple Choice) With All Correct & 100%
Verified Answers |Actual Complete Exam |Already
Graded A+
Ipsilateral cranial nerve deficits combined with contralateral motor deficits indicate what site of
lesion?
A- Cortex
B- Cauda equina
C- Brainstem
D- Spinal cord ✔Correct Answer-C
Median Nerve
A- MCA
B- PCA
C- AICA
D- ACA ✔Correct Answer-A
The layers of protective tissue which surround the central nervous system are called:
A- Ventricles
B- Cerebrospinal fluidd
C- Skull
D- Meninges ✔Correct Answer-D
The interconnecting blood vessels at the base of the brain make up:
A- Carotid exchange
B- Blood circle
C- Circle of Milford
D- Circle of Willis ✔Correct Answer-D
Upper extremity SEPs transmit through which spinal cord tract?
A- Fasciculus gracilis
B- Lateral corticospinal tract
C- Spinothalamic tract
D- Fasciculus cuneatus ✔Correct Answer-D
Transcranial Motor Evoked Potentials transmit primarily through which spinal cord tract?
A- The lateral corticospinal tract
B- The fasciculus gracilis
C- The fasciculus cuneatus
D- The spinothalamic tract ✔Correct Answer-A
,Which muscle is innervated by L5 nerve root?
A- Iliopsoas
B- Gracilis
C- Tibialis Anterior
D- Abductor digiti minimi ✔Correct Answer-C
Which artery would you notice with PTN stimulation?
A- Radial
B- ACA
C- PCA
D- MCA ✔Correct Answer-B
Gracile nucleus
A- Arms
B- Ears
C- Legs
D- Face ✔Correct Answer-C
Which of the following will affect the neurogenic response to spinal cord stimulation the least?
A- shunting of current by irrigation fluid
B- muscle relaxants
C- anesthetic agents
D- insertion of hardware ✔Correct Answer-C
The effect of volatile anesthetic agents on cortical evoked potentials is to
A- decrease amplitudes and decrease latencies
B- prolong latencies and decrease amplitudes
C- increase amplitudes
D- decrease latencies ✔Correct Answer-B
The BIS monitor
A- uses the phase coupling between frequencies in the EEG signal to establish depth of
anesthesia
B- divides the EEG into 8 frequencies in order to determine grades of cortical ischemia
C- squares the EEG power to produce a positive amplitude in the compressed spectral array
D- is used by anesthesia to determine the effect of TCMEP monitoring on the patient's EEG
✔Correct Answer-A
The effects of halogenated agents on the cortical somatosensory evoked potential are:
A- an increase in latencies and an increase in amplitudes
B- minimal compared with the effects on BAEPs
C- negligible
D- an increase in latencies and a decrease in amplitudes ✔Correct Answer-D
,Which one of the following evoked potentials is least changed by anesthesia?
A- somatosensory
B- visual
C- auditory
D- electroencephalography ✔Correct Answer-C
The monitoring modality most likely to be affected by a large bolus of muscle relaxant is the
A- NMEP
B- cortical SSEP
C- BAEP
D- myogenic evoked potential ✔Correct Answer-D
Nitroprusside
A- Increased SEP amplitude
B- Increase Blood Pressure
C- Decreased SEP amplitudes
D- Decrease Blood Pressure ✔Correct Answer-D
Which of the following can increase SEP amplitudes?
A- 1/2 MAC of halothane
B- isoflurane
C- fentanyl
D- etomidate ✔Correct Answer-D
It is required that the monitoring technologist be able to communicate effectively with
A- surgical residents
B- the surgeon only
C- the surgical technologist
D- the anesthesiologist and surgeon ✔Correct Answer-D
Which of the following could cause a false negative in a T10 surgery?
A- Asynchronous MN stimulation
B- Asynchronous peroneal stimulation
C- Synchronous PTN stimulation
D- Asynchronous PTN stimulation ✔Correct Answer-C
Which of the following should be documented during monitoring?
A- Brand of subdermal needle electrodes used
B- Amount of urine collected during the case
C- Blood loss during the case
D- What the surgeon says in response to a report of changes ✔Correct Answer-D
Examples of "surgical manipulation" would include
A- drilling and irrigation
, B- core temperature changes
C- blood pressure and heart rate fluctuations
D- oxygenation and ventilation alterations ✔Correct Answer-A
Both SSEP and BAEP waveforms can be affected by structural manipulation using
A- blood pressure transducers
B- retractors
C- grounding pads
D- suction ✔Correct Answer-B
A drop in the temperature of the patient's legs can cause
A- an increase in the amplitude of the L3S response
B- a prolongation of SSEP peak latencies
C- an increase in the conduction velocity of the tibial nerve
D- a decrease in the amplitude of SSEP waveforms ✔Correct Answer-B
During a spinal instrumentation for scoliosis the surgeon reports that derotation is now being
performed. Which of the following is the most appropriate statement?
A- This is a good time to take a break from monitoring since there is very little risk to the spinal
cord at this time
B- The event should be documented immediately
C- Documentation of the event should be performed at the end of the surgery after monitoring
has been completed
D- Documentation of this event is not important ✔Correct Answer-B
Which of the following will affect the facial nerve EMG?
A- Methohexital
B- Isoflurane
C- Fentanyl
D- Pancuronium ✔Correct Answer-D
Myogenic motor monitoring with spinal cord stimulation is most susceptible to:
A- Halothane
B- Isoflurane
C- Vecuronium
D- Sufentanil ✔Correct Answer-C
Which is the best anesthetic protocol to use for median nerve SSEP monitoring?
A- Fentanyl bolus injections
B- Fentanyl infusion
C- Midazolam infusion
D- Midazolam bolus injections ✔Correct Answer-B
Verified Answers |Actual Complete Exam |Already
Graded A+
Ipsilateral cranial nerve deficits combined with contralateral motor deficits indicate what site of
lesion?
A- Cortex
B- Cauda equina
C- Brainstem
D- Spinal cord ✔Correct Answer-C
Median Nerve
A- MCA
B- PCA
C- AICA
D- ACA ✔Correct Answer-A
The layers of protective tissue which surround the central nervous system are called:
A- Ventricles
B- Cerebrospinal fluidd
C- Skull
D- Meninges ✔Correct Answer-D
The interconnecting blood vessels at the base of the brain make up:
A- Carotid exchange
B- Blood circle
C- Circle of Milford
D- Circle of Willis ✔Correct Answer-D
Upper extremity SEPs transmit through which spinal cord tract?
A- Fasciculus gracilis
B- Lateral corticospinal tract
C- Spinothalamic tract
D- Fasciculus cuneatus ✔Correct Answer-D
Transcranial Motor Evoked Potentials transmit primarily through which spinal cord tract?
A- The lateral corticospinal tract
B- The fasciculus gracilis
C- The fasciculus cuneatus
D- The spinothalamic tract ✔Correct Answer-A
,Which muscle is innervated by L5 nerve root?
A- Iliopsoas
B- Gracilis
C- Tibialis Anterior
D- Abductor digiti minimi ✔Correct Answer-C
Which artery would you notice with PTN stimulation?
A- Radial
B- ACA
C- PCA
D- MCA ✔Correct Answer-B
Gracile nucleus
A- Arms
B- Ears
C- Legs
D- Face ✔Correct Answer-C
Which of the following will affect the neurogenic response to spinal cord stimulation the least?
A- shunting of current by irrigation fluid
B- muscle relaxants
C- anesthetic agents
D- insertion of hardware ✔Correct Answer-C
The effect of volatile anesthetic agents on cortical evoked potentials is to
A- decrease amplitudes and decrease latencies
B- prolong latencies and decrease amplitudes
C- increase amplitudes
D- decrease latencies ✔Correct Answer-B
The BIS monitor
A- uses the phase coupling between frequencies in the EEG signal to establish depth of
anesthesia
B- divides the EEG into 8 frequencies in order to determine grades of cortical ischemia
C- squares the EEG power to produce a positive amplitude in the compressed spectral array
D- is used by anesthesia to determine the effect of TCMEP monitoring on the patient's EEG
✔Correct Answer-A
The effects of halogenated agents on the cortical somatosensory evoked potential are:
A- an increase in latencies and an increase in amplitudes
B- minimal compared with the effects on BAEPs
C- negligible
D- an increase in latencies and a decrease in amplitudes ✔Correct Answer-D
,Which one of the following evoked potentials is least changed by anesthesia?
A- somatosensory
B- visual
C- auditory
D- electroencephalography ✔Correct Answer-C
The monitoring modality most likely to be affected by a large bolus of muscle relaxant is the
A- NMEP
B- cortical SSEP
C- BAEP
D- myogenic evoked potential ✔Correct Answer-D
Nitroprusside
A- Increased SEP amplitude
B- Increase Blood Pressure
C- Decreased SEP amplitudes
D- Decrease Blood Pressure ✔Correct Answer-D
Which of the following can increase SEP amplitudes?
A- 1/2 MAC of halothane
B- isoflurane
C- fentanyl
D- etomidate ✔Correct Answer-D
It is required that the monitoring technologist be able to communicate effectively with
A- surgical residents
B- the surgeon only
C- the surgical technologist
D- the anesthesiologist and surgeon ✔Correct Answer-D
Which of the following could cause a false negative in a T10 surgery?
A- Asynchronous MN stimulation
B- Asynchronous peroneal stimulation
C- Synchronous PTN stimulation
D- Asynchronous PTN stimulation ✔Correct Answer-C
Which of the following should be documented during monitoring?
A- Brand of subdermal needle electrodes used
B- Amount of urine collected during the case
C- Blood loss during the case
D- What the surgeon says in response to a report of changes ✔Correct Answer-D
Examples of "surgical manipulation" would include
A- drilling and irrigation
, B- core temperature changes
C- blood pressure and heart rate fluctuations
D- oxygenation and ventilation alterations ✔Correct Answer-A
Both SSEP and BAEP waveforms can be affected by structural manipulation using
A- blood pressure transducers
B- retractors
C- grounding pads
D- suction ✔Correct Answer-B
A drop in the temperature of the patient's legs can cause
A- an increase in the amplitude of the L3S response
B- a prolongation of SSEP peak latencies
C- an increase in the conduction velocity of the tibial nerve
D- a decrease in the amplitude of SSEP waveforms ✔Correct Answer-B
During a spinal instrumentation for scoliosis the surgeon reports that derotation is now being
performed. Which of the following is the most appropriate statement?
A- This is a good time to take a break from monitoring since there is very little risk to the spinal
cord at this time
B- The event should be documented immediately
C- Documentation of the event should be performed at the end of the surgery after monitoring
has been completed
D- Documentation of this event is not important ✔Correct Answer-B
Which of the following will affect the facial nerve EMG?
A- Methohexital
B- Isoflurane
C- Fentanyl
D- Pancuronium ✔Correct Answer-D
Myogenic motor monitoring with spinal cord stimulation is most susceptible to:
A- Halothane
B- Isoflurane
C- Vecuronium
D- Sufentanil ✔Correct Answer-C
Which is the best anesthetic protocol to use for median nerve SSEP monitoring?
A- Fentanyl bolus injections
B- Fentanyl infusion
C- Midazolam infusion
D- Midazolam bolus injections ✔Correct Answer-B
