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CNIM ASAP Practice Questions & Answers | CNIM Exam Prep 2026/2027

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Comprehensive CNIM ASAP practice questions designed for focused CNIM certification exam preparation and review. Covers important neurophysiologic intraoperative monitoring concepts and exam-focused topics to help strengthen knowledge, improve test readiness, and support effective study.

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CNIM ASAP Practice Questions & Answers |
CNIM Exam Prep 2026/2027
White matter consists of what type of fiber tracts?
Axon of nerve fibers
In the visual pathway, fibers anterior to the optic chiasm are called
Optic Nerves
If a neurologist suspects nerve damage in a PTs neurological exam, he may order
Nerve conduction/EMG
excitatory neurotransmitter
Glutamate
The trigeminal nerve can be monitored from which muscle?
Masseter
Damage to which structure would most likely result in motor deficits
Lateral cortical spinal tract
When removing a pituitary tumor via the nasal passage, the surgeon must produce a
hole in
Sphenoid
What cranial nerve allows turning the head and lift the shoulders?
Accessory
Which of the following is not part of the Circle of Willis?
Superior Cerebellar Artery
This cranial nerve's function is to transfer visual information from the retina to the brain
Optic
The dorsal column pathways synapse at which location on their way to the sensory
cortex?
Nucleus cuneatus and thalamus
Which type of action potentials contribute to the popliteal fossa response
orthodromic and antidromic
Upper extremity SSEPs are transmitted through which spinal cord tract?
Fasciculus cuneatus
The Zygomatic branch of CN 7 innervates which muscle?
Orbucularis Oculi
Which cranial nerve travels above cerebellopontine space?
Trigeminal
What type of glial cells make up the myelin sheath of the peripheral nervous system?
Schwann
ions are involved in a neuronal action potential
Potassium and Sodium
The Artery of Adamkiewicz originates between:
T8-L1
resting membrane potential of a neuron
-70mV

,What type of glial cells make up the myelin sheath of the central nervous system
Oligidendrocytes
C7 nerve route emerges from the inter-vertebral foramen between
C6 and C7 vertebrae
C8 nerve root exits the spinal cord
Above T1
The anterior spinothalamic tract carries sensory modalities of
Crude touch
During a CEA, collateral perfusion is maintained by
Circle of Willis
The blood supply to the spinal cord is predominantly provided by
ASA
The two vertebral arteries pass through foramen magnum and unite to form
The basilar artery
not one of the branches of the facial nerve
maxillary
What is the segmental motor innervation of the peroneus longus?
L4, L5, S1
Where is the central relay station for sensory information that is located between the
cerebrum and spinal cord?
Thalamus
Upper extremity SSEPs are primarily transmitted through
Fasciculus Cuneatus
Conus medullaris is located at which level in adults?
L1 and L2
The thalamus and hypothalamus make up the
Diencephalon
Cranial Nerve 6
Abducens
Resection of skull base tumors in the cerebellopontine angle may reduce the blood flow
to which of the following vessels?
AICA
What neurotransmitter is released at the neuronal end of the neuromuscular junction?
Acetylcholine
The 3rd ventricle is connected to the 4th ventricle by the
Aqueduct of Sylvius
Which of the following cranial nerve innervates the extraocular muscles?
Abducens
What section of the spinal cord is considered the watershed zone?
Thoracic
Which cranial nerves function focuses on facial touch, temperature, sensation, an
mastication?
Trigeminal
What does the T stand for in TLIF?
Transforaminal
Blood is supplied to the spinal cord by?

, One ASA and two PSA
Which of the following areas of the spinal cord is most likely to have the poorest blood
supply?
Thoracic
What vertebral levels do the fasciculus gracillis carry information from?
T7 and below
Lower motor neurons primarily exit the spinal cord through:
Ventral nerve roots
Which spinal artery is responsible for 1/3 of the spinal cords perfusion?
PSA
What abnormality can defect in lower motor neurons cause?
Flaccid Paralysis
The flexion of the 4th and 5th digits of the hand would represent stimulation of the
following nerve:
Ulnar Nerve
A loss of balance upon closing one's eyes while standing upright indicates a positive:
Romberg's sign
What is a chronic autoimmune disease that affects the myelin sheath of the central
nervous system?
Multiple Sclerosis
Bell's Palsy
Facial Nerve
Brown Sequard Syndrome
Spinal Cord Compression
A dystonic condition which causes the neck to twist to one head and the head to tilt
Torticollis
Myelopathy
Spinal cord compression
Positive Babinski sign
Fanning of toes
clinical indication of a lower motor neuron lesion
Fasciculation
What is an autosomal recessive inherited disease that affects the spinocerebellar tracts,
posterior columns and dorsal root ganglion resulting in ataxia, muscle weakness, loss of
coordination, speech impairment, and curvature of spine?
Friedreich's Ataxia
Which motor and sensory finds are consistent with Brown Sequard Syndrome?
Contralateral loss of pain and temperature sensation, ipsilateral loss of motor function
A 67-year-old patient with long standing history of diabetes mellitus type 2, is scheduled
for surgery with IONM. He also has a left foot drop. Which nerve compression is
responsible for foot drop?
Common peroneal nerve
radiculopathy
Nerve roots
Shortened sternocleidomastoid muscle
Torticollis

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