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

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This document contains CNIM exam questions and answers designed to support certification exam preparation. It covers key concepts related to intraoperative neurophysiological monitoring, neurophysiology, and essential CNIM examination topics. The material is intended for review and practice before the exam.

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CNIM EXAM QUESTIONS AND ANSWERS


1. What is Coulomb's Law?: Like charges repel and unlike charges attract each other
2. What are examples of good conductors?: Silver, copper, and gold
3. What are examples of good insulators?: Glass, Plastic, Rubber
4. What is a unit of measure of resistance?: Ohms
5. What is resistance?: The opposition of flow of direct current (DC)
6. What does impedance measure?: The opposition of flow of alternating current
(AC)
7. AC is used when checking electrode impedance to:: Avoid electrode
polarization
8. Ohm's law is?: V=IxR
9. If an electrical circuit has a resistance (R) of 1000 ohms and a
voltage (E) of 10 volts, the current (I) will be?: E=IxR 10= ? x 1000 =10/1000=?
10/1000= 0.01 Answer is I= 0.01amps
10. The ability of a capacitor to store an electrical charge is?: Capacitance
11. What is inductance?: Opposition to change in current flow
12. What are the basic structural unit of the nervous system?: Neurons
13. The dendrites extend from what part of the neuron?: The cell body
14. Axons conduct nerve impulses in what direction?: Away from the cell body
towards the nerve terminals and synapses
15. The resting membrane potential is?: -70 mV


,16. Sodium (Na+) has a higher concentration inside or outside the
cell mem-brane?: Outside the cell membrane
EPSP (excitatory) or IPSP (inhibitory)
17. Postsynaptic Potentials are?:
18. Name an Excitatory Neurotransmitter: Glutamate
19. Name an Inhibitory Neurotransmitter: GABA and Glycine
20. Where is the anatomic location of the Primary Somatosensory
Cortex?: Post-central gyrus of the parietal lobe just posterior to the primary motor
cotex.
21. What are the three regions of the brainstem?: Midbrain, Pons, and
Medulla
22. What part of the Central Nervous System (CNS) controls vital life
support systems (BP, respiration, cardiovascular control)?: The
brainstem
23. The Medulla contains which cranial nerves?: VIII, IX, X, XI, XII
24. At what level of the brianstem does the medial leminiscus cross
over (de-cussate)?: Medulla
25. Is the medial lemniscal tract a sensory or motor tract?: Sensory






,26. Nucleus Gracilis receives sensory information from the upper o r lower

27. What are the synapses of the dorsal column pathway (medial
lemniscal tract) on the way to the sensory cortex?: Peripheral nerves ascend to
spinal cord via dorsal root, synapse at medulla in the nucleus gracilis (lower) and
nucleus cuneatus (upper) nerve impulses decussates as it leaves medulla, a synapse occurs
at the thalamus and goes to sensory cortex
28. How many cervical vertebrae are there?: 7
29. Is the lateral corticospinal tract a sensory or a motor tract?: Motor
30. Name the major arterial supply to the brain:: 2 internal carotid arteries (ICA)
and 2 vertebral arteries
31. ICA divides into?: Anterior Cerebral Artery (ACA) and Middle Cerebral Artery (MCA)
32. Does the ACA or the MCA supply the upper extremities?: MCA
33. What is the major arterial supply to the brainstem?: Vertebrobasilar
distribution lternate routes for
34. What is the function of the Circle of Willis?: The Circle of Willis
provides a blood to reach the brain in the event of an occluded carotid or
vertebral artery


35. What is the blood supply to the spinal cord?: Branches of vertebral arteries:
posterior and anterior spinal arteries and the radicular arteries.
anterior spinal
36. What is the Artery of Adamkiewicz?: The largest radicular artery rtery.
that joins the artery between T8-T12. It is the major blood supply to the
lower two-thirds of the anterior spinal a
37. Which cranial nerve innervates the extrocular muscles?: CN VI
Abducens


, 38. What two cranial nerves are typically monitored during a vestibular
schwan-noma?: CN VIII (vestibulocochlear) and CN VII (facial)
39. What muscles are typically recorded from to monitor the facial nerve
EMG?-
: Orbicularis oculi and orbicularis oris
40. Direct stimulation of cranial nerve V will result in:: Jaw movement from
masseter muscles
41. What cranial nerves are typically monitored during a Microvascular
Decom-pression of CN VII?: Typically CN VII and CN VIII. Hearing loss is a common
complication of the surgery
42. Dorsal roots contain sensory or motor fibers?: Sensory
43. How many spinal nerves are there?: 31 pairs

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