CLTM ASAP Board Prep Exam Questions and
Answers UPDATED 2025
Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy? -
Correct Answer ✔60%
The majority of seizures in the intensive care unit are: -Correct Answer ✔non
convulsive
What type of resection is associated with medial temporal sclerosis? -Correct
Answer ✔Temporal lobectomy
The safest AED for pregnant women -Correct Answer ✔Lamictal
Hypsarrhythmia is a pattern most often associated with -Correct Answer ✔Infantile
spasms
Expressive speech -Correct Answer ✔Broca's area
Vagus nerve stimulators are approved for use in patients with -Correct Answer
✔partial seizures
Phenobarbital shows what activity? -Correct Answer ✔Beta
Which medication is appropriate for treating status epilepticus? -Correct Answer
✔Lorazepam
Keto diet consists of -Correct Answer ✔high fat, low carbohydrates, adequate
protein
Bolus of Propofol will cause: -Correct Answer ✔burst suppression
How often should Stimulation assessment be made on patients monitored in the
ICU? -Correct Answer ✔Daily
CLTM
,CLTM
The greatest utility of CEEG is in the ICU patients with: -Correct Answer
✔Unexplained "spells" such as variations in vital signs or twitching
WADA testing, also known as intracarotid amobarbitol procedure is performed for:
-Correct Answer ✔Language and memory lateralization
What less invasive test for language and memory has decreased the number of
WADA tests that are being conducted? -Correct Answer ✔fMRI
PET -Correct Answer ✔hypometabolism
The intracarotid ambarbital test is used to determine cerebral dominance for: -
Correct Answer ✔language and memory function
WADA is associated with: -Correct Answer ✔language function
What does PET stand for? -Correct Answer ✔Positron Emission Tomography
Cerebral angiography prior to intracarotid amobarbital testing is necessary to
assess -Correct Answer ✔arterial blood flow
SPECT stands for: -Correct Answer ✔Single Photon Emitted Computed
Tomography
Which type of procedure is involved during the preoperative diagnostic WADA
test? -Correct Answer ✔Angiography
PET studies in a child with Rasmussen's encephalitis will most likely demonstrate:
-Correct Answer ✔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 -
Correct Answer ✔MEG
**PET studies in a patient with left temporal lobe epilepsy will most likely show -
Correct Answer ✔Decreased glucose uptake
CLTM
, CLTM
Intracarotid injection of Amobarbital procedures are associated with: -Correct
Answer ✔ipsilateral hemispheric dysfunction and transient contralateral paralysis
The interictal SPECT may show focal -Correct Answer ✔Hypoperfusion
The goal of cortical stimulation during functional mapping is to: -Correct Answer
✔identify eloquent cortex
during a WADA test activities on one side of the brain are suspended for
approximately -Correct Answer ✔4-8 minutes
The best imaging study for assessing hippocampal sclerosis -Correct Answer
✔MRI
WADA is associated with what memory? -Correct Answer ✔Short term memory
At what postmenstrual age (PMA) do delta brushes start to appear? -Correct
Answer ✔30 weeks
What is the postmenstrual age (PMA) of a neonate born at 36 weeks gestation who
is now 2 weeks old? -Correct Answer ✔38 weeks
A neonates EEG pattern is evaluated based on: -Correct Answer ✔postmenstural
age (PMA)
Which childhood epileptic syndrome has the best prognosis? -Correct Answer
✔Panayiotopoulous syndrome
At what age would a posterior dominant rhythm be seen? -Correct Answer ✔3-4
months
Aphasia is the characteristic clinical sign of: -Correct Answer ✔Landau-Kleffner
Which of the following blood vessels is most frequently involved in
cerebrovascular accidents (CVA)? -Correct Answer ✔Internal carotid artery
How many hours is the typical therapeutic hypothermia period for neonates with
hypoxic ischemic encephalopathy? -Correct Answer ✔72 hours
CLTM