CLTM Board Prep - The basics and more actual exam questions and answers

Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy? 60% The majority of seizures in the intensive care unit are: non convulsive What type of resection is associated with medial temporal sclerosis? Temporal lobectomy The safest AED for pregnant women Lamictal Hypsarrhythmia is a pattern most often associated with Infantile spasms Expressive speech Broca's area Vagus nerve stimulators are approved for use in patients with partial seizures Phenobarbital shows what activity? Beta Which medication is appropriate for treating status epilepticus? Lorazepam Keto diet consists of high fat, low carbohydrates, adequate protein Bolus of Propofol will cause: burst suppression How often should Stimulation assessment be made on patients monitored in the ICU? Daily The greatest utility of CEEG is in the ICU patients with: Unexplained "spells" such as variations in vital signs or twitching WADA testing, also known as intracarotid amobarbitol procedure is performed for: Language and memory lateralization What less invasive test for language and memory has decreased the number of WADA tests that are being conducted? fMRI PET hypometabolism The intracarotid ambarbital test is used to determine cerebral dominance for: language and memory function WADA is associated with: language function What does PET stand for? Positron Emission Tomography Cerebral angiography prior to intracarotid amobarbital testing is necessary to assess arterial blood flow SPECT stands for: Single Photon Emitted Computed Tomography Which type of procedure is involved during the preoperative diagnostic WADA test? Angiography PET studies in a child with Rasmussen's encephalitis will most likely demonstrate: Widespread hemispheric hypometabolism As part of the pre-surgical work-up, this magnetic source localization is used for spatial and temporal functional mapping of interictal epileptiform discharges MEG **PET studies in a patient with left temporal lobe epilepsy will most likely show Decreased glucose uptake Intracarotid injection of Amobarbital procedures are associated with: ipsilateral hemispheric dysfunction and transient contralateral paralysis The interictal SPECT may show focal Hypoperfusion The goal of cortical stimulation during functional mapping is to: identify eloquent cortex during a WADA test activities on one side of the brain are suspended for approximately 4-8 minutes The best imaging study for assessing hippocampal sclerosis MRI WADA is associated with what memory? Short term memory At what postmenstrual age (PMA) do delta brushes start to appear? 30 weeks What is the postmenstrual age (PMA) of a neonate born at 36 weeks gestation who is now 2 weeks old? 38 weeks A neonates EEG pattern is evaluated based on: postmenstural age (PMA) Which childhood epileptic syndrome has the best prognosis? Panayiotopoulous syndrome At what age would a posterior dominant rhythm be seen? 3-4 months Aphasia is the characteristic clinical sign of: Landau-Kleffner Which of the following blood vessels is most frequently involved in cerebrovascular accidents (CVA)? Internal carotid artery How many hours is the typical therapeutic hypothermia period for neonates with hypoxic ischemic encephalopathy? 72 hours A subarachnoid hemorrhage occurs: Between the first and second layer of meninges Juvenile Myoclonic Epilepsy has seizures that occur: during the first hour of waking This type of surgical treatment is most beneficial for patients who have epileptic zones arising from or overlapping with eloquent cortex Multiple Subpial Transection Hyothalamic Hamartomas are associated with: Gelastic seizures Which type of epilepsy may be confused with psychogenic non epileptic seizures? Frontal lobe epilepsy Lennox- Gastaut Syndrome is associated with what type of seizures? Atypical Absence An effectively known treatment option for Hypothalamic Hamartomas is: Gamma Knife Landau-Kleffner syndrome is associated with what type of symptom? Aphasia The main difference between simple partial and complex partial is: Preservation of consciousness