1|Page
CLTM ASAP (Advanced Supervision and Assessment
Protocol) Board Exam 2025 – Comprehensive Study Guide,
Practice Test & Certification Review
Prepare for the CLTM ASAP (Advanced Supervision and Assessment Protocol) Board
Exam 2025 with this in-depth study guide, practice test, and certification review. Learn key
neurodiagnostic concepts, supervision protocols, patient assessment standards, and expert test-
taking strategies to ensure certification success.
• CLTM ASAP Board Exam 2025
• CLTM Advanced Supervision and Assessment Protocol
• CLTM certification exam
• CLTM ASAP study guide
Electrode that consist of a row of disks embedded in silastic, or a bundle of fine wires, each tip of which
is a recording point known as: - ANSWER-Strip
Cortical responses recorded over the supplementary motor cortex to median nerve SSEPs is: - ANSWER-
Positive near field responses
What is the m most common spacing of electrode disks on a 4 point intracranial strip? - ANSWER-1 cm
Subdural electrodes in long term monitoring are used to record activity from: - ANSWER-Cerebral cortex
Sphenoidal electrodes are associated with: - ANSWER-anterior tip of temporal lobe
,2|Page
An electrode application technique considered the only method that will insure a stable long term scalp
recording is: - ANSWER-Collodion
Which electrodes are MRI conditional for intracranial monitoring? - ANSWER-Platinum
For stimulation of median nerve somatosensory evoked potentials, utilizing a pair of stimulating
electrodes the cathode is placed: - ANSWER-Proximal
What type of material is favored for Stereo EEG electrodes due to its MRI compatible properties? -
ANSWER-Nickel-Cromium composite
In patient with intracranial grids, excessive widespread polymorphic slowing with attenuated waveforms
raises the question of: - ANSWER-Cerebral edema under the grid
An appropriate anesthetic regimen for language mapping: - ANSWER-Awake with local
Relative to P7, the P9 electrode placement is placed: - ANSWER-10% lateral to P7
T1 and T2 electrode placement: - ANSWER-1 cm superior to 1/3 of the distance from the external eye
canthus and the tragus (third closet to tragus)
Which electrode from he 10-10 system would be useful on a patient with suspected benign rolandic
epilepsy - ANSWER-CP1
EEG changes can be seen when cerebral blood flow falls below: - ANSWER-25-30ml/100g/minute
In the proposed 10-10 system what is the designation of the intermediate chain between the fronto
polar and frontal leads? - ANSWER-Anterior frontal (AF)
Strip electrodes are usually inserted through a - ANSWER-Burr hole
, 3|Page
Risks associated with foramen ovale electrodes include: - ANSWER-Facial numbness
Which electrodes are used to record from the amygdala, hippocampus, or areas of cortical dysplasia? -
ANSWER-Depth
Subdural electrodes are commonly composed of: - ANSWER-platinum
Depth electrodes are used primarily in patients with: - ANSWER-Medial temporal lobe epilepsy
The homunculus is a: - ANSWER-Representation of motor and sensory cortex of the brain
Strip and grid electrodes are composed of: - ANSWER-Stainless steel or platinum
Strip and grid electrodes contacts are typically separated by inter-electrode distances of: - ANSWER-0.5
cm to 1 cm
In the 10-20 international electrode system, which electrode is placed halfway between Fp2 and O2
when measuring the circumference? - ANSWER-T8
The most feared complication of intracranial electrode placement - ANSWER-Hemorrhage
Per ACNS guidelines, what is the m minimum number of EEG channels required for LTME equipment
capability? - ANSWER-32-64 channels
According to the international League Against Epilepsy (ILAE) 2015 guidelines for Status Epilepticus (SE)
SE can result in neuronal injury and function deficits are likely after: - ANSWER-30 Minutes
**ACNS Guidelines recommends that the reference electrode for localization of sensorimotor cortex
should be placed - ANSWER-Contralateral scalp or ear
CLTM ASAP (Advanced Supervision and Assessment
Protocol) Board Exam 2025 – Comprehensive Study Guide,
Practice Test & Certification Review
Prepare for the CLTM ASAP (Advanced Supervision and Assessment Protocol) Board
Exam 2025 with this in-depth study guide, practice test, and certification review. Learn key
neurodiagnostic concepts, supervision protocols, patient assessment standards, and expert test-
taking strategies to ensure certification success.
• CLTM ASAP Board Exam 2025
• CLTM Advanced Supervision and Assessment Protocol
• CLTM certification exam
• CLTM ASAP study guide
Electrode that consist of a row of disks embedded in silastic, or a bundle of fine wires, each tip of which
is a recording point known as: - ANSWER-Strip
Cortical responses recorded over the supplementary motor cortex to median nerve SSEPs is: - ANSWER-
Positive near field responses
What is the m most common spacing of electrode disks on a 4 point intracranial strip? - ANSWER-1 cm
Subdural electrodes in long term monitoring are used to record activity from: - ANSWER-Cerebral cortex
Sphenoidal electrodes are associated with: - ANSWER-anterior tip of temporal lobe
,2|Page
An electrode application technique considered the only method that will insure a stable long term scalp
recording is: - ANSWER-Collodion
Which electrodes are MRI conditional for intracranial monitoring? - ANSWER-Platinum
For stimulation of median nerve somatosensory evoked potentials, utilizing a pair of stimulating
electrodes the cathode is placed: - ANSWER-Proximal
What type of material is favored for Stereo EEG electrodes due to its MRI compatible properties? -
ANSWER-Nickel-Cromium composite
In patient with intracranial grids, excessive widespread polymorphic slowing with attenuated waveforms
raises the question of: - ANSWER-Cerebral edema under the grid
An appropriate anesthetic regimen for language mapping: - ANSWER-Awake with local
Relative to P7, the P9 electrode placement is placed: - ANSWER-10% lateral to P7
T1 and T2 electrode placement: - ANSWER-1 cm superior to 1/3 of the distance from the external eye
canthus and the tragus (third closet to tragus)
Which electrode from he 10-10 system would be useful on a patient with suspected benign rolandic
epilepsy - ANSWER-CP1
EEG changes can be seen when cerebral blood flow falls below: - ANSWER-25-30ml/100g/minute
In the proposed 10-10 system what is the designation of the intermediate chain between the fronto
polar and frontal leads? - ANSWER-Anterior frontal (AF)
Strip electrodes are usually inserted through a - ANSWER-Burr hole
, 3|Page
Risks associated with foramen ovale electrodes include: - ANSWER-Facial numbness
Which electrodes are used to record from the amygdala, hippocampus, or areas of cortical dysplasia? -
ANSWER-Depth
Subdural electrodes are commonly composed of: - ANSWER-platinum
Depth electrodes are used primarily in patients with: - ANSWER-Medial temporal lobe epilepsy
The homunculus is a: - ANSWER-Representation of motor and sensory cortex of the brain
Strip and grid electrodes are composed of: - ANSWER-Stainless steel or platinum
Strip and grid electrodes contacts are typically separated by inter-electrode distances of: - ANSWER-0.5
cm to 1 cm
In the 10-20 international electrode system, which electrode is placed halfway between Fp2 and O2
when measuring the circumference? - ANSWER-T8
The most feared complication of intracranial electrode placement - ANSWER-Hemorrhage
Per ACNS guidelines, what is the m minimum number of EEG channels required for LTME equipment
capability? - ANSWER-32-64 channels
According to the international League Against Epilepsy (ILAE) 2015 guidelines for Status Epilepticus (SE)
SE can result in neuronal injury and function deficits are likely after: - ANSWER-30 Minutes
**ACNS Guidelines recommends that the reference electrode for localization of sensorimotor cortex
should be placed - ANSWER-Contralateral scalp or ear
