CLTM ASAP actual exam questions and answers

safest AED for pregnancy Lamictal bolus of propfol burst suppression mediation to treat SE Lorazepam VNS partial seizure RNS neurostimulator -placed under the scalp -used as an adjunctive therapy in adults only -delivers stim when specific patterns are detected MEG useful for cortical dysplasia gliomas tuberous slcerosis length of suspension of brain activity in WADA 4-8 minutes effect of WADA on brain activity transient contralateral paralysis ipsilateral hemispheric dysfunction what diagnostic test is resulting in fewer WADA tests fMRI Panayiotopoulos syndrome Occipital Epilepsy with tonic eye deviation, ictal vomiting, visual seizures good prognosis conceptual age delta brushes appear 30 weeks neonatal EEG pattern is evaluated based on post-menstrual age (PMA) surgical treatment for hypothalamic hamartomas Gamma Knife atypical absence myoclonic jerks, automatisms with the staring spell atypical absence common with LGS treatment for patients with epileptic zones arising from or overlapping with eloquent cortex multiple subpial transection post-ictal impairment of function with a discrete region Todd's paralysis most frequently involved vessel in CVA ICA treatment for Sturge-Weber hemispherectomy max leakage current when recording from patients with invasive monitoring electrodes 10 microamp basal extracranial electrodes for recording mesial temporal or frontal discharges are placed where near foramen ovale sphenoidal electrodes monitor activity from anterior temporal area subzone of epileptogenic zone that is the gold standard for localization ictal zone thrombosis of ACA results in contralateral lower extremity weakness physiologic substrate of clinical seizure activity abnormal neuronal discharge cross communication between blood vessels anastomosis time base for sensory-motor localization 50msec depth electrodes are best for monitoring what area hippocampal area cortical potentials for median nerve SSEP are recorded from ipsilateral parietal lobe cortical responses over the primary somatosensory cortex to median nerve SSEPs negative nearfield lateralizing sign that occurs contralateral to sz onset extended arm used in "sign of 4" posture gold standard for identifying motor cortex direct cortical stimulation what area is the lowest risk of being affected in a temporal lobectomy performed in the dominant hemisphere supplementary motor deficits phase reversal in identifying central sulcus must occur within how long of the original stim in order to prove phase reversal within 2 msec what is the appropriate anesthetic regimen for language mapping awake with local purpose of bilateral mesial temporal depth electrodes to lateralize hippocampal seizure focus stereotactic frames used to place depth electrodes Responsive neurostimulator (RNS) - Small battery powered device implanted into skull - connects to deep brain areas - Records, monitors brain activity and delivers electrical pulses when it detects pre-seizure activity functional mapping of the eloquent cortex includes motor sensory language best electrodes to record focal discharges in Sturge-Weber sub-occipital direct cortical stimulation involves looking for what waveforms N20/P22 with the 10/10 system, what is the intermediate chain between frontopolar and frontal anterior frontal relative to P7, where is the P9 electrode in the 10/10 10% lateral to P7