CLTM EXAM 4 2026 COMPLETE LOGISTICS
AND TRANSPORT MANAGEMENT EXAM
PREPARATION MATERIALS
◉ Catamenial Epilepsy - What is it?
Answer: Includes women whose seizures are exacerbated by their
menstrual cycle.
Women with catamenial epilepsy are unusually sensitive to
endogenous hormonal changes. This seizure exacerbation has a
statistically significant positive correlation to serum
estradiol/estrogen levels and ratios.
◉ GAMMA
A gamma wave is a pattern of neural oscillation in humans with a
frequency between ___ and ___ Hz, though ___ Hz is typical.
(Related to depth of anesthesia (patient state index)
Answer: A gamma wave is a pattern of neural oscillation in humans
with a frequency between *25* and *100* Hz, though *40* is typical.
◉ What is the most common artery that infarction, emboli, ischemia,
thrombosis, etc., may be seen at?
Answer: Middle Cerebral Artery (MCA)
,◉ What are the most common symptoms of Middle Cerebral Artery
cerebral infarction?
Answer: Contralateral face and arm/hand paralysis
◉ C3 & C4
Arm/Hand Paralysis?
Face Paralysis?
Answer: Arm/Hand Paralysis
◉ T3 & T4
Arm/Hand Paralysis?
Face Paralysis?
Answer: Face Paralysis
◉ What is Compressed Spectral Array (CSA)?
Answer: Three dimensional display of EEG power spectral lines.
◉ What is Spectral Edge Frequency (SEF)?
Answer: Highest significant frequency present in the recorded EEG
spectrum for each epoch.
,◉ On the CSA, the Y Axis displays EEG as:
Frequency in Hz OR Power as a function (amplitude or mV)
Answer: Power as a function (amplitude or mV)
◉ On the CSA, the X Axis displays EEG as:
Frequency in Hz OR Power as a function (amplitude or mV)
Answer: Frequency in Hz
◉ Where does the burst-suppression pattern come from in the
brain?
Answer: Brainstem
◉ Only patients with what types of seizures qualify to have epilepsy
surgery?
Answer: Partial or Focal Epilepsies
◉ The WADA is also known as:
Answer: Sodium Amobarbital Test
◉ The Sodium Amobarbital Test is hemisphere dominant for
__________ & _____ _____ ____ assessment.
Answer: Language & Short Term Memory
, NOT LONG TERM MEMORY OR SPEECH
◉ What does the WADA process begin with?
Answer: It begins with selective angiography
◉ What is Angiography?
Answer: Assesses arterial blood flow
Selective Angiography is a procedure in which visualization is
improved by concentrating the contrast media in the region to be
studied by injection through a catheter.
◉ The Ambobarbital Sodium is injected via an arterial catheter
which is located at the ______________.
Proximal Internal Carotid Artery OR Proximal External Carotid
Artery
Answer: Proximal Internal Carotid Artery
◉ What kind of EEG activity would you see during a WADA?
Answer: Slow activity (delta) in the hemisphere ipsilateral to the
injection.
AND TRANSPORT MANAGEMENT EXAM
PREPARATION MATERIALS
◉ Catamenial Epilepsy - What is it?
Answer: Includes women whose seizures are exacerbated by their
menstrual cycle.
Women with catamenial epilepsy are unusually sensitive to
endogenous hormonal changes. This seizure exacerbation has a
statistically significant positive correlation to serum
estradiol/estrogen levels and ratios.
◉ GAMMA
A gamma wave is a pattern of neural oscillation in humans with a
frequency between ___ and ___ Hz, though ___ Hz is typical.
(Related to depth of anesthesia (patient state index)
Answer: A gamma wave is a pattern of neural oscillation in humans
with a frequency between *25* and *100* Hz, though *40* is typical.
◉ What is the most common artery that infarction, emboli, ischemia,
thrombosis, etc., may be seen at?
Answer: Middle Cerebral Artery (MCA)
,◉ What are the most common symptoms of Middle Cerebral Artery
cerebral infarction?
Answer: Contralateral face and arm/hand paralysis
◉ C3 & C4
Arm/Hand Paralysis?
Face Paralysis?
Answer: Arm/Hand Paralysis
◉ T3 & T4
Arm/Hand Paralysis?
Face Paralysis?
Answer: Face Paralysis
◉ What is Compressed Spectral Array (CSA)?
Answer: Three dimensional display of EEG power spectral lines.
◉ What is Spectral Edge Frequency (SEF)?
Answer: Highest significant frequency present in the recorded EEG
spectrum for each epoch.
,◉ On the CSA, the Y Axis displays EEG as:
Frequency in Hz OR Power as a function (amplitude or mV)
Answer: Power as a function (amplitude or mV)
◉ On the CSA, the X Axis displays EEG as:
Frequency in Hz OR Power as a function (amplitude or mV)
Answer: Frequency in Hz
◉ Where does the burst-suppression pattern come from in the
brain?
Answer: Brainstem
◉ Only patients with what types of seizures qualify to have epilepsy
surgery?
Answer: Partial or Focal Epilepsies
◉ The WADA is also known as:
Answer: Sodium Amobarbital Test
◉ The Sodium Amobarbital Test is hemisphere dominant for
__________ & _____ _____ ____ assessment.
Answer: Language & Short Term Memory
, NOT LONG TERM MEMORY OR SPEECH
◉ What does the WADA process begin with?
Answer: It begins with selective angiography
◉ What is Angiography?
Answer: Assesses arterial blood flow
Selective Angiography is a procedure in which visualization is
improved by concentrating the contrast media in the region to be
studied by injection through a catheter.
◉ The Ambobarbital Sodium is injected via an arterial catheter
which is located at the ______________.
Proximal Internal Carotid Artery OR Proximal External Carotid
Artery
Answer: Proximal Internal Carotid Artery
◉ What kind of EEG activity would you see during a WADA?
Answer: Slow activity (delta) in the hemisphere ipsilateral to the
injection.
