CLTM Exam pack with Questions and
Answers
The drug used in wada testing is known to lay persons as "truth serum" - Answer-True
Respiration, pulse, EKG, muscle activity, tremors, eye mvmts, and nystagmus are considered - Answer-
useful physiological artifacts
Artifacts in the ICU/c EEG recording include - Answer-Oscillating bed artifact, facial twitching that
mimics szs, respiratory artifact, rhythmic chest percussions
In the bipole of the - Answer-the cornea is positive with respect to the retina
Lack of acceptable sz control despite adequate trials of appropriate drugs at doses or levels that produce
no side effects or acceptable side affects are known as - Answer-refractory (intractable) epilepsy
From the standpoint of the technologist and interpreting neurologist, an artifact is any recorded signal
not originating from the brain - Answer-true
What makes up the characteristic triad of childhood absence epilepsy - Answer-normal intelligence and
development, bilateral synchronous symmetrical 3 hz spike and wave discharges with normal
background EEG, very frequent brief sz
,Who is in charge of keeping the pt in camera at all times - Answer-LTM tech
technologist documentation should include - Answer-skin breakdowns, LOC, medication changes hour
to hour
Idiopathic describes cases of epilepsy where the cause is unknown but lesion and distinct pathogenesis
are presumed - Answer-true
Medication effects seen after injection with Amytal for wada testing are - Answer-ipsilateral delta and
some contralateral frontal delta
cEEG are used for - Answer-management of burst-suppression in anesthetic coma, assessment of level
of sedation and following trends, detection of ischemia and prognostication, fluctuation or alteration of
mental status, evaluation of brain injury w/ AMS, detection of subclinical szs and characterization of
spells
A distinctive, high voltage interictal EEG pattern associated with infants with West syndrome is called -
Answer-hypsarrhythmia
EEG pattern seen with Ohtahara syndrome - Answer-burst suppression
The goal of neuroprotection is - Answer-to decrease speed in reperfusion injury, decrease cerebral
metabolism to cool vital organs to a point where metabolism is slower and requires less oxygen and
reduction of risk for ischemic injury
Clinical events that can mimic seizures in ICU patients include - Answer-Nystagmus, apnea, chewing, ICU
psychosis
Seizures in the critically ill with encephalopathy tend to be - Answer-slower in fz, less clearly defined
onset, and have different evolution and onset than szs in awake patients
,Partial seizures are associated with cardia arrhythmias - Answer-in 39% of cases
EEG patterns commonly seen from drug effects include - Answer-generalized slowing, superimposed
generalized fast activity
What electrodes are used from "invasive monitoring" in LTM - Answer-foramen ovale, depth, peg,
subdural strips and grids
Combining MEG coherence imaging and DTI can lead to better understanding of epileptic networks and
their connectivity - Answer-true
Damage to this area causes contralateral hemiparesis/hemiplegia - Answer-precentral gyrus
A seizure that is a result of metabolic changes or related to drug use is called - Answer-provoked seizure
Broca's area is located in what lobe - Answer-frontal
cEEG is useful to identify clinically silent neurological events in ICU patients - Answer-true
prolonged video EEG w/ simultaneous clinical behavior and electrographic activity either from surface or
intracranial electrodes is abbreviated - Answer-vEEG
electrical safety for invasive recording includes - Answer-unplug bed, only battery operated computer
and video games or IV, single ground
bezodiazepines - Answer-cause increase in rhythmic fast (25 to 35hz) and decreased alpha
, Topiramate (Topamax) - Answer-causes decreased alpha and increased theta and delta
Carbamazepine (Tegretol) - Answer-causes mild alpha slowing and random theta
Auras can be described as - Answer-auditory, psychic, abdominal, autonomic, visual, gustatory,
olfactory, somatosensory
Made up of myelinated axonal tracts - Answer-white matter
therapeutic hypothermia allows more time - Answer-for cardiac surgical intervention while minimizing
cerebral risk
PLEDS - Answer-lateralized complexes occurring every 1-2 seconds, often but not always consisting of
sharp waves or spikes that may be followed by a slow wave
GPEDS - Answer-these generalized complexes can be seen in a variety of settings including post anoxic
coma, after convulsive status epilepticus, in CDJ, during hashimoto encephalopathy, medication toxicity
and in end stage alzheimers
BIPLEDS - Answer-less common than PLEDS these bilateral discharges are associated with worse mental
status and a worse outcome for the pt, highly associated with seizures during acute illness
SIRPEDS - Answer-focal or generalized discharges these stimulus induced periodic rhythmic or ictal
discharges have been noticed during continuous EEG during alerting stimuli such as suctioning, noise or
pain
Triphasic waves - Answer-Generalized periodic discharges initially described in hepatic encephalopathy
but can occur in any toxic or metabolic encephalopathy. Appearance of a blunt spike and wave and tend
Answers
The drug used in wada testing is known to lay persons as "truth serum" - Answer-True
Respiration, pulse, EKG, muscle activity, tremors, eye mvmts, and nystagmus are considered - Answer-
useful physiological artifacts
Artifacts in the ICU/c EEG recording include - Answer-Oscillating bed artifact, facial twitching that
mimics szs, respiratory artifact, rhythmic chest percussions
In the bipole of the - Answer-the cornea is positive with respect to the retina
Lack of acceptable sz control despite adequate trials of appropriate drugs at doses or levels that produce
no side effects or acceptable side affects are known as - Answer-refractory (intractable) epilepsy
From the standpoint of the technologist and interpreting neurologist, an artifact is any recorded signal
not originating from the brain - Answer-true
What makes up the characteristic triad of childhood absence epilepsy - Answer-normal intelligence and
development, bilateral synchronous symmetrical 3 hz spike and wave discharges with normal
background EEG, very frequent brief sz
,Who is in charge of keeping the pt in camera at all times - Answer-LTM tech
technologist documentation should include - Answer-skin breakdowns, LOC, medication changes hour
to hour
Idiopathic describes cases of epilepsy where the cause is unknown but lesion and distinct pathogenesis
are presumed - Answer-true
Medication effects seen after injection with Amytal for wada testing are - Answer-ipsilateral delta and
some contralateral frontal delta
cEEG are used for - Answer-management of burst-suppression in anesthetic coma, assessment of level
of sedation and following trends, detection of ischemia and prognostication, fluctuation or alteration of
mental status, evaluation of brain injury w/ AMS, detection of subclinical szs and characterization of
spells
A distinctive, high voltage interictal EEG pattern associated with infants with West syndrome is called -
Answer-hypsarrhythmia
EEG pattern seen with Ohtahara syndrome - Answer-burst suppression
The goal of neuroprotection is - Answer-to decrease speed in reperfusion injury, decrease cerebral
metabolism to cool vital organs to a point where metabolism is slower and requires less oxygen and
reduction of risk for ischemic injury
Clinical events that can mimic seizures in ICU patients include - Answer-Nystagmus, apnea, chewing, ICU
psychosis
Seizures in the critically ill with encephalopathy tend to be - Answer-slower in fz, less clearly defined
onset, and have different evolution and onset than szs in awake patients
,Partial seizures are associated with cardia arrhythmias - Answer-in 39% of cases
EEG patterns commonly seen from drug effects include - Answer-generalized slowing, superimposed
generalized fast activity
What electrodes are used from "invasive monitoring" in LTM - Answer-foramen ovale, depth, peg,
subdural strips and grids
Combining MEG coherence imaging and DTI can lead to better understanding of epileptic networks and
their connectivity - Answer-true
Damage to this area causes contralateral hemiparesis/hemiplegia - Answer-precentral gyrus
A seizure that is a result of metabolic changes or related to drug use is called - Answer-provoked seizure
Broca's area is located in what lobe - Answer-frontal
cEEG is useful to identify clinically silent neurological events in ICU patients - Answer-true
prolonged video EEG w/ simultaneous clinical behavior and electrographic activity either from surface or
intracranial electrodes is abbreviated - Answer-vEEG
electrical safety for invasive recording includes - Answer-unplug bed, only battery operated computer
and video games or IV, single ground
bezodiazepines - Answer-cause increase in rhythmic fast (25 to 35hz) and decreased alpha
, Topiramate (Topamax) - Answer-causes decreased alpha and increased theta and delta
Carbamazepine (Tegretol) - Answer-causes mild alpha slowing and random theta
Auras can be described as - Answer-auditory, psychic, abdominal, autonomic, visual, gustatory,
olfactory, somatosensory
Made up of myelinated axonal tracts - Answer-white matter
therapeutic hypothermia allows more time - Answer-for cardiac surgical intervention while minimizing
cerebral risk
PLEDS - Answer-lateralized complexes occurring every 1-2 seconds, often but not always consisting of
sharp waves or spikes that may be followed by a slow wave
GPEDS - Answer-these generalized complexes can be seen in a variety of settings including post anoxic
coma, after convulsive status epilepticus, in CDJ, during hashimoto encephalopathy, medication toxicity
and in end stage alzheimers
BIPLEDS - Answer-less common than PLEDS these bilateral discharges are associated with worse mental
status and a worse outcome for the pt, highly associated with seizures during acute illness
SIRPEDS - Answer-focal or generalized discharges these stimulus induced periodic rhythmic or ictal
discharges have been noticed during continuous EEG during alerting stimuli such as suctioning, noise or
pain
Triphasic waves - Answer-Generalized periodic discharges initially described in hepatic encephalopathy
but can occur in any toxic or metabolic encephalopathy. Appearance of a blunt spike and wave and tend
