CLTM EXAM 4 2026 FLEET MANAGEMENT
AND SAFETY OPERATIONS REVIEW GUIDE FOR
CERTIFICATION READINESS
◉ Wernicke's area lies in the:
a. Posterior part of the superior temporal gyrus
b. Posterior part of the inferior frontal gyrus
c. Posterior part of the inferior temporal gyrus
d. Posterior part of the parietal lobe
Answer: a. Posterior part of the superior temporal gyrus
◉ An appropriate time base for sensory-motor localization would be
a. 500 msec
b. 200 msec
c. 20 msec
d. 50 msec
Answer: d. 50 msec
◉ The physiologic substrate of clinical activity is:
a. Hyperactive glial potentials
b. Abnormal neuronal discharge
,c. Excessive GABAergic activity
d. Repeated disturbances in cerebral blood flow
Answer: b. Abnormal neuronal discharge
◉ Intracranial electrodes (what phase is this)
a. Phase II/III
b. Phase V
c. Phase IV
d. Phase I
Answer: a. Phase II/III
◉ The Rolandic fissure separates the
a. Parietal lobe from the occipital lobe
b. Precentral and postcentral gyrus
c. Left and right hemispheres
d. Frontal lobe and the parietal lobe from the temporal lobe
Answer: b. Precentral and postcentral gyrus
◉ What is the gold standard test for identifying the motor cortex?
a. Direct cortical stimulation
b. WADA
c. SPECT
,d. Phase reversal monitoring
Answer: a. Direct cortical stimulation
◉ What function has the lowest risk of being affected if a temporal
lobectomy is performed in the dominant hemisphere?
a. Language deficits
b. Supplementary motor deficits
c. Visual deficits
d. Memory deficits
Answer: b. Supplementary motor deficits
◉ Damage to Broca's area may result in:
a. Expressive aphasia
b. Anoxia
c. Ataxia
d. Receptive aphasia
Answer: a. Expressive aphasia
◉ Identify the lateralizing sign that occurs contralaterally to the
seizure onset?
a. The flexed elbow used in the "sign of four" position
b. The raised arm used in the fencing (M2e) position
, c. The extended arm used in the "sign of four" posture
d. Hand used for post-ictal nose wiping
Answer: c. The extended arm used in the "sign of four" posture
◉ Which subzone of the epileptogenic zone is considered the gold
standard for localization?
a. Ictal onset
b. Lesional
c. Symptomatogenic
d. Irritative
Answer: a. Ictal onset
◉ Depth electrodes are best for recording from the:
a. Hippocampal area
b. Wernicke's area
c. Broca's area
d. Neocortex
Answer: a. Hippocampal area
◉ Broca's area lies in the:
a. Posterior part of the superior temporal gyrus
b. Posterior part of the inferior temporal gyrus
AND SAFETY OPERATIONS REVIEW GUIDE FOR
CERTIFICATION READINESS
◉ Wernicke's area lies in the:
a. Posterior part of the superior temporal gyrus
b. Posterior part of the inferior frontal gyrus
c. Posterior part of the inferior temporal gyrus
d. Posterior part of the parietal lobe
Answer: a. Posterior part of the superior temporal gyrus
◉ An appropriate time base for sensory-motor localization would be
a. 500 msec
b. 200 msec
c. 20 msec
d. 50 msec
Answer: d. 50 msec
◉ The physiologic substrate of clinical activity is:
a. Hyperactive glial potentials
b. Abnormal neuronal discharge
,c. Excessive GABAergic activity
d. Repeated disturbances in cerebral blood flow
Answer: b. Abnormal neuronal discharge
◉ Intracranial electrodes (what phase is this)
a. Phase II/III
b. Phase V
c. Phase IV
d. Phase I
Answer: a. Phase II/III
◉ The Rolandic fissure separates the
a. Parietal lobe from the occipital lobe
b. Precentral and postcentral gyrus
c. Left and right hemispheres
d. Frontal lobe and the parietal lobe from the temporal lobe
Answer: b. Precentral and postcentral gyrus
◉ What is the gold standard test for identifying the motor cortex?
a. Direct cortical stimulation
b. WADA
c. SPECT
,d. Phase reversal monitoring
Answer: a. Direct cortical stimulation
◉ What function has the lowest risk of being affected if a temporal
lobectomy is performed in the dominant hemisphere?
a. Language deficits
b. Supplementary motor deficits
c. Visual deficits
d. Memory deficits
Answer: b. Supplementary motor deficits
◉ Damage to Broca's area may result in:
a. Expressive aphasia
b. Anoxia
c. Ataxia
d. Receptive aphasia
Answer: a. Expressive aphasia
◉ Identify the lateralizing sign that occurs contralaterally to the
seizure onset?
a. The flexed elbow used in the "sign of four" position
b. The raised arm used in the fencing (M2e) position
, c. The extended arm used in the "sign of four" posture
d. Hand used for post-ictal nose wiping
Answer: c. The extended arm used in the "sign of four" posture
◉ Which subzone of the epileptogenic zone is considered the gold
standard for localization?
a. Ictal onset
b. Lesional
c. Symptomatogenic
d. Irritative
Answer: a. Ictal onset
◉ Depth electrodes are best for recording from the:
a. Hippocampal area
b. Wernicke's area
c. Broca's area
d. Neocortex
Answer: a. Hippocampal area
◉ Broca's area lies in the:
a. Posterior part of the superior temporal gyrus
b. Posterior part of the inferior temporal gyrus
