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ABRET CNIM Exam Questions and Answers, Academic Year 2026, exam questions with answers

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This document contains ABRET CNIM exam questions and answers designed to support preparation for the CNIM certification examination. It covers key concepts relevant to intraoperative neurophysiological monitoring and provides study material for reviewing exam topics and assessing readiness.

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ABRET CNIM EXAM QUESTIONS AND ANSWERS GRADED A+



1. What type of actions potentials contribute to the popliteal fossa: both
orthodromic and antidromic
2. What is the neurological deficit related to the compression of
the spinal cord: Myelopathy
3. When evaluating for special considerations/contraindication for
MEP mon-itoring, what is the most appropriate step to be taken
when identifying a pt with a previous medical history of SZs that
have been well controlled with medication: discuss the risk with surgeon and
anesthesiologist and proceed as they wish
4. Creutzfeldt-Jakob disease is caused by: Prion proteins
5. Which of the following is an analog to N34: N18
6. Which of the following is NOT required to be part of an IONM record:
patients medication history
7. The most frequent source of a patient infection in the OR is derived
from: -
Patients own endogenous flora
8. Which nerve is at greatest risk when debulking a tumor larger than
3cm in diameter during CPA surgeries: Facial
9. If an evoked potential has a voltage of 10uV and the associated
noise has a voltage of 50uV, what is the signal-tonoiseratio after 100


,averaged respons-es?: 2:1
10. Which of the following is within the scope of practice for a CNIM:
obtain physiological data from central and peripheral nervous systems
11. What is the MINIMUM sampling rate for the Nyquist frequency: More
than double the fastest frequency of the waveform
12. What is the most appropriate filter bandpass setting for recording
the short latency median nerve SSEP: 30 to 3000 Hz
13. What modalities are ideal to run on a Chiari malformation
decompression-
: TCeMEPs
SSEPs
BAEPs
14. The Nyquist frequency is based on: sampling rate and frequency of
components
15. MRI conditional electrodes are made from which of the following?:
Nickel titanium






,16. What is the segmental motor innervation of the peroneus longus: L4,L5
and S1
17. Subdermal needles placed in the epidural space should be placed by
the: -
surgeon
18. This cranial nerve's function is to transfer visual information form
the retina to the brain: optic
19. Impedance is the opposition to: alternating current flow
20. Which of the following is a positively charged electrode: anode
21. D waves are recorded from which of the following electrodes: epidural
electrodes over the spinal cord
22. Motor nerve: Cranial nerve 3
23. What neurotransmitter is released at the neuromuscular junction?:
acetyl-choline
24. what cranial nerve is purely motor: Oculomotor
25. If 100 trials are required to achieve a signal-to-noise ratio of 2:1,
how many trials must be theorectically averaged to increase the
signal-to-noise ratio to 20:1?: 10,000
26. What is the most frequent mode of infection transmission, which
can be either direct or indirect: Contact
27. During CEA, what SSEP modality is recommended for monitoring
cerebral function: median
28. The use of IONM during scoliosis surgery may replace the: Stagnara
test
29. What is likely to result from a positional compression of the brachial
plexus-
: thoracic outlet syndrome


, 30. the flexion of the 4th and 5th digits of the hand would represent
stimulation of the following nerve: ulnar nerve
31. Saddle area sensory loss suggest a lesion in which area: cauda equina
32. what modalities should you monito for CEA surgery: Ipsilateral EEG,
Contralateral SSEP
33. Ratio of amplifier output voltage to input voltage: Recording gain
34. Which of the following cranial nerves is most appropriate to
monitor during resection of a 4cm vestibular schwannoma: facial
35. items that contact mucous membranes or non-intact skin are
semi-critical and require what level of disinfection: high level

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