Page 1 of 152
CERTIFIED LONG-TERM MONITORING (CLTM) –
ABRET CERTIFICATION WITH 300 QUESTIONS
AND CORRECT DETAILED SOLUTIONS JUST
RELEASED THIS YEAR
1. What is the PRIMARY indication for long-term EEG monitoring in an epilepsy monitoring unit
(EMU)?
A) Screening for sleep apnea
B) Characterizing and localizing seizures for presurgical evaluation
C) Diagnosing concussion severity
D) Monitoring anesthesia depth during surgery
Answer: B – The primary indication for long-term EEG monitoring in an EMU is to characterize
seizure types, determine seizure frequency, and localize the epileptogenic zone for patients being
evaluated for epilepsy surgery.
2. When preparing a patient for EMU admission, which medication change is MOST commonly
implemented to increase seizure capture?
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A) Increasing the dose of all current antiseizure medications
B) Tapering or reducing antiseizure medications under physician supervision
C) Starting a new antiseizure medication at a high dose
D) Discontinuing all medications immediately without tapering
Answer: B – Antiseizure medication (ASM) tapering or reduction is the most common strategy to
provoke seizures during EMU monitoring. This is done gradually under close physician
supervision with continuous video-EEG and nursing observation.
3. According to the ILAE 2017 classification, a seizure that begins in one hemisphere with
preserved awareness is classified as which type?
A) Generalized onset tonic-clonic
B) Focal onset aware
C) Absence seizure
D) Unknown onset tonic-clonic
Answer: B – The ILAE 2017 classification categorizes seizures beginning in one hemisphere with
preserved awareness as focal onset aware seizures.
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4. What type of resection is associated with medial temporal sclerosis?
A) Frontal lobectomy
B) Temporal lobectomy
C) Occipital lobectomy
D) Parietal lobectomy
Answer: B – Medial temporal sclerosis is the most common pathology associated with temporal
lobe epilepsy, and temporal lobectomy is the standard surgical treatment.
5. Temporal lobe epilepsy accounts for what percentage of all adult patients with epilepsy?
A) 20%
B) 40%
C) 60%
D) 80%
Answer: C – Temporal lobe epilepsy accounts for approximately 60% of all adult patients with
epilepsy, making it the most common focal epilepsy syndrome.
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6. The safest antiepileptic drug (AED) for pregnant women is:
A) Phenytoin
B) Valproate
C) Lamotrigine (Lamictal)
D) Carbamazepine
Answer: C – Lamotrigine (Lamictal) is considered the safest AED for pregnant women due to its
lower teratogenic risk compared to other antiepileptic medications.
7. Hypsarrhythmia is a pattern most often associated with:
A) Lennox-Gastaut syndrome
B) Infantile spasms (West syndrome)
C) Juvenile myoclonic epilepsy
D) Benign rolandic epilepsy
Answer: B – Hypsarrhythmia is a chaotic, high-voltage EEG pattern most often associated with
infantile spasms (West syndrome).
4
SUCCESS!
CERTIFIED LONG-TERM MONITORING (CLTM) –
ABRET CERTIFICATION WITH 300 QUESTIONS
AND CORRECT DETAILED SOLUTIONS JUST
RELEASED THIS YEAR
1. What is the PRIMARY indication for long-term EEG monitoring in an epilepsy monitoring unit
(EMU)?
A) Screening for sleep apnea
B) Characterizing and localizing seizures for presurgical evaluation
C) Diagnosing concussion severity
D) Monitoring anesthesia depth during surgery
Answer: B – The primary indication for long-term EEG monitoring in an EMU is to characterize
seizure types, determine seizure frequency, and localize the epileptogenic zone for patients being
evaluated for epilepsy surgery.
2. When preparing a patient for EMU admission, which medication change is MOST commonly
implemented to increase seizure capture?
1
SUCCESS!
,Page 2 of 152
A) Increasing the dose of all current antiseizure medications
B) Tapering or reducing antiseizure medications under physician supervision
C) Starting a new antiseizure medication at a high dose
D) Discontinuing all medications immediately without tapering
Answer: B – Antiseizure medication (ASM) tapering or reduction is the most common strategy to
provoke seizures during EMU monitoring. This is done gradually under close physician
supervision with continuous video-EEG and nursing observation.
3. According to the ILAE 2017 classification, a seizure that begins in one hemisphere with
preserved awareness is classified as which type?
A) Generalized onset tonic-clonic
B) Focal onset aware
C) Absence seizure
D) Unknown onset tonic-clonic
Answer: B – The ILAE 2017 classification categorizes seizures beginning in one hemisphere with
preserved awareness as focal onset aware seizures.
2
SUCCESS!
,Page 3 of 152
4. What type of resection is associated with medial temporal sclerosis?
A) Frontal lobectomy
B) Temporal lobectomy
C) Occipital lobectomy
D) Parietal lobectomy
Answer: B – Medial temporal sclerosis is the most common pathology associated with temporal
lobe epilepsy, and temporal lobectomy is the standard surgical treatment.
5. Temporal lobe epilepsy accounts for what percentage of all adult patients with epilepsy?
A) 20%
B) 40%
C) 60%
D) 80%
Answer: C – Temporal lobe epilepsy accounts for approximately 60% of all adult patients with
epilepsy, making it the most common focal epilepsy syndrome.
3
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, Page 4 of 152
6. The safest antiepileptic drug (AED) for pregnant women is:
A) Phenytoin
B) Valproate
C) Lamotrigine (Lamictal)
D) Carbamazepine
Answer: C – Lamotrigine (Lamictal) is considered the safest AED for pregnant women due to its
lower teratogenic risk compared to other antiepileptic medications.
7. Hypsarrhythmia is a pattern most often associated with:
A) Lennox-Gastaut syndrome
B) Infantile spasms (West syndrome)
C) Juvenile myoclonic epilepsy
D) Benign rolandic epilepsy
Answer: B – Hypsarrhythmia is a chaotic, high-voltage EEG pattern most often associated with
infantile spasms (West syndrome).
4
SUCCESS!
