ABRET R EEG T
Which is most important to document in the history of your EEG?
A. Skull defects
B. Neuropathy
C. Last surgery
D. Presence of sleep apnea - answerA. Skull defects
2. A patient with a right hemiparesis most likely has a lesion of the let:
A. Superior temporal gyrus
B. Parietal lobe
C. Frontal lobe
D. Cerebellum - answerC. Frontal lobe
3. Which of the following begins with the head and eyes turning to the side?
A. Absence seizure
B. Focal sensory seizure
C. Adversive seizure
D. Myoclonic seizure - answerC. Aversive seizure
Absence seizure- starring
Focal sensory seizure-numbness, tingling, crawling sensation, "pins and needles"
feeling, and rarely, as pain or thermal sensations
Myoclonic seizure- involves muscle movements (usually in teens)
Which is most important to document in the history of your EEG patient?
A. Cardiac history
B. Head circumference
C. Psychiatric history
D. Last seizure - answerD. Last seizure
What is most prominent clinical feature of Dilantin toxicity?
A. Weakness
B. Ataxia
C. Postural tremor
D. Behavior changes - answerB. Ataxia
6. Which of the following should be documented in the history ?
A. The patient had dialysis this morning
B. The patient did not sleep during the recording
C. The patient is nauseated
D. The patient donated blood prior to the EEG - answerA. The patient had dialysis this
morning
,In evaluating abnormal EEG discharges it is most important to document:
A. Heart rate and blood pressure
B. Last meal and handedness
C. Level of consciousness and movements
D. Current medications and dosages - answerC. Level of consciousness and
movements
Which of the following test will assist in determining cerebral hemisphere language
dominance?
A. Ictal-Interictal SPECT Scan
B. Somatosensory Evoked Potentials
C. Computerized axial tomography
D. Intracarotid sodium amytal(WADA) - answerD. Intracarotid sodium amytal(WADA)
Ictal-Interictal SPECT Scan- Used to localize site of seizure onset by looking for area of
hyperperfusion
Somatosensory Evoked Potentials-measure the time it takes for the brain to respond to
sensory stimulation either through sight, sound, or touch
Computerized axial tomography- computer controls the motion of the X-ray source and
detectors, processes the data, and produces the image.
Ictal:
A. During
B. After
C. Before
D. In between - answerA. During
SCOTOMA:
A. Retina inflammation
B. Increase in intraocular pressure
C. Scieral tumor
D. Area of visual loss - answerD. Area of visual loss
Retina inflammation- uveitis
Increase in intraocular pressure- Ocular hypertension
Scieral tumor- Conjunctival melanomas
ICTAL EEG:
A. Time during the event
B. Time following an event
C. Time before the event
,D. Time in between events - answerA. Time during the event
DIPLOPIA:
A. Decreased vision in both eyes
B. Blurred vision
C. Drooping eyelids
D. Double vision - answerD. Double vision
Used to localize site of seizure onset by looking for area of hyperperfusion:
A. Interictal PET
B. Ictal SPECT
C. CT
D. MRI - answerB. Ictal SPECT
Interictal PET- uses a radionuclide to investigate the metabolic profile of the whole
brain; areas of focal epilepsy exhibit reduced metabolism that can be visually identified.
CT- detailed images
MRI -three dimensional detailed anatomical images
Hypsarrhythmia is pattern most often associated with:
A. Infantile spasms
B. Gelastic seizures
C. Atonic seizures
D. Absence seizures - answerA. Infantile spasms (AKA salaam, jackknife...)
Gelastic seizures- deep in brain (originated from the hypothalamic hamartomas) not
usually seen in regular eegs
Atonic seizures - rhythmic spike-and-wave complexes varying from slow, 1- to 2-Hz, to
more rapid, irregular spikes or multiple spike-and-wave activity
Absence seizures- 3 hz s/w
fMRI:
A. flouriscopic MRI
B. filtered MRI
C. functional MRI
D. focused MRI - answerC. functional MRI
DYSARTHRIA:
A . Inability to formulate ideas
B. Impaired speech
C. Painful joints
D. Shortness of breath - answerB. Impaired speech
, Which rapidly increasing dosage, which of the following medications will have the most
sedative effect on the patient?
A. Benzodiazepines
B. Barbiturates
C. Phenothiazines
D. Antipsychotics - answerB. Barbiturates
Which of the following is an effect of phenobarbital on the EEG:
A. Increases paroxysmal activity
B. Slows alpha rhythm
C. Increases beta activity
D. Decreases theta activity - answerC. Increases beta activity
Treatment for Infantile Spasms:
A. Lamotrigine
B. Adrenocorticotrophic hormone(ACTH)
C. Acetylcholine(Ach)
D. Phenytoin - answerB. Adrenocorticotrophic hormone(ACTH)
Used in treatment of infantile spasms:
A. Lamictal
B. Valium
C. Topamax
D. ACTH - answerD. ACTH
Vagal nerve stimulators are used to treat:
A. Seizures and depression
B. Pain syndromes
C. Headaches
D. Tumors - answerA. Seizures and depression
Used in treatment for only generalized seizures, commonly in absence epilepsy
treatment:
A. Phenobarbital
B. Ethosuximide
C. Dilantin
D. ACTH - answerB. Ethosuximide
ACTH:
A. Absence seizures
B. Infantile spasms
C. Complex partial seizures
D. Status epilepticus - answerB. Infantile spasms
Which is most important to document in the history of your EEG?
A. Skull defects
B. Neuropathy
C. Last surgery
D. Presence of sleep apnea - answerA. Skull defects
2. A patient with a right hemiparesis most likely has a lesion of the let:
A. Superior temporal gyrus
B. Parietal lobe
C. Frontal lobe
D. Cerebellum - answerC. Frontal lobe
3. Which of the following begins with the head and eyes turning to the side?
A. Absence seizure
B. Focal sensory seizure
C. Adversive seizure
D. Myoclonic seizure - answerC. Aversive seizure
Absence seizure- starring
Focal sensory seizure-numbness, tingling, crawling sensation, "pins and needles"
feeling, and rarely, as pain or thermal sensations
Myoclonic seizure- involves muscle movements (usually in teens)
Which is most important to document in the history of your EEG patient?
A. Cardiac history
B. Head circumference
C. Psychiatric history
D. Last seizure - answerD. Last seizure
What is most prominent clinical feature of Dilantin toxicity?
A. Weakness
B. Ataxia
C. Postural tremor
D. Behavior changes - answerB. Ataxia
6. Which of the following should be documented in the history ?
A. The patient had dialysis this morning
B. The patient did not sleep during the recording
C. The patient is nauseated
D. The patient donated blood prior to the EEG - answerA. The patient had dialysis this
morning
,In evaluating abnormal EEG discharges it is most important to document:
A. Heart rate and blood pressure
B. Last meal and handedness
C. Level of consciousness and movements
D. Current medications and dosages - answerC. Level of consciousness and
movements
Which of the following test will assist in determining cerebral hemisphere language
dominance?
A. Ictal-Interictal SPECT Scan
B. Somatosensory Evoked Potentials
C. Computerized axial tomography
D. Intracarotid sodium amytal(WADA) - answerD. Intracarotid sodium amytal(WADA)
Ictal-Interictal SPECT Scan- Used to localize site of seizure onset by looking for area of
hyperperfusion
Somatosensory Evoked Potentials-measure the time it takes for the brain to respond to
sensory stimulation either through sight, sound, or touch
Computerized axial tomography- computer controls the motion of the X-ray source and
detectors, processes the data, and produces the image.
Ictal:
A. During
B. After
C. Before
D. In between - answerA. During
SCOTOMA:
A. Retina inflammation
B. Increase in intraocular pressure
C. Scieral tumor
D. Area of visual loss - answerD. Area of visual loss
Retina inflammation- uveitis
Increase in intraocular pressure- Ocular hypertension
Scieral tumor- Conjunctival melanomas
ICTAL EEG:
A. Time during the event
B. Time following an event
C. Time before the event
,D. Time in between events - answerA. Time during the event
DIPLOPIA:
A. Decreased vision in both eyes
B. Blurred vision
C. Drooping eyelids
D. Double vision - answerD. Double vision
Used to localize site of seizure onset by looking for area of hyperperfusion:
A. Interictal PET
B. Ictal SPECT
C. CT
D. MRI - answerB. Ictal SPECT
Interictal PET- uses a radionuclide to investigate the metabolic profile of the whole
brain; areas of focal epilepsy exhibit reduced metabolism that can be visually identified.
CT- detailed images
MRI -three dimensional detailed anatomical images
Hypsarrhythmia is pattern most often associated with:
A. Infantile spasms
B. Gelastic seizures
C. Atonic seizures
D. Absence seizures - answerA. Infantile spasms (AKA salaam, jackknife...)
Gelastic seizures- deep in brain (originated from the hypothalamic hamartomas) not
usually seen in regular eegs
Atonic seizures - rhythmic spike-and-wave complexes varying from slow, 1- to 2-Hz, to
more rapid, irregular spikes or multiple spike-and-wave activity
Absence seizures- 3 hz s/w
fMRI:
A. flouriscopic MRI
B. filtered MRI
C. functional MRI
D. focused MRI - answerC. functional MRI
DYSARTHRIA:
A . Inability to formulate ideas
B. Impaired speech
C. Painful joints
D. Shortness of breath - answerB. Impaired speech
, Which rapidly increasing dosage, which of the following medications will have the most
sedative effect on the patient?
A. Benzodiazepines
B. Barbiturates
C. Phenothiazines
D. Antipsychotics - answerB. Barbiturates
Which of the following is an effect of phenobarbital on the EEG:
A. Increases paroxysmal activity
B. Slows alpha rhythm
C. Increases beta activity
D. Decreases theta activity - answerC. Increases beta activity
Treatment for Infantile Spasms:
A. Lamotrigine
B. Adrenocorticotrophic hormone(ACTH)
C. Acetylcholine(Ach)
D. Phenytoin - answerB. Adrenocorticotrophic hormone(ACTH)
Used in treatment of infantile spasms:
A. Lamictal
B. Valium
C. Topamax
D. ACTH - answerD. ACTH
Vagal nerve stimulators are used to treat:
A. Seizures and depression
B. Pain syndromes
C. Headaches
D. Tumors - answerA. Seizures and depression
Used in treatment for only generalized seizures, commonly in absence epilepsy
treatment:
A. Phenobarbital
B. Ethosuximide
C. Dilantin
D. ACTH - answerB. Ethosuximide
ACTH:
A. Absence seizures
B. Infantile spasms
C. Complex partial seizures
D. Status epilepticus - answerB. Infantile spasms
