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CLTM (Certified in Long-Term Monitoring) Exam
2025 – Complete Study Guide, Practice Questions, and
Certification Review
Prepare for the CLTM (Certified in Long-Term Monitoring) Exam 2025 with our
comprehensive study guide, practice test, and review materials. Learn key topics in EEG
monitoring, patient safety, neurodiagnostic procedures, and data analysis to earn your CLTM
certification and advance your career in neurodiagnostics.
• CLTM (Certified in Long-Term Monitoring) Exam
• CLTM exam study guide 2025
• CLTM practice test questions
When doing cEEG in the ICU, the physician should be sent a communication when: - ANSWER--when the
patient seizes
-when there is an abrupt change in the background
Benzodiazepines such as Ativan (Lorazepam), at therapeutic levels can cause: - ANSWER-Frontal central
beta
A brief period of transient paralysis following a seizure: - ANSWER-Todd's Paralysis
A longer time constant results in: - ANSWER-more slow frequencies recorded
A clinical sign of meningitis: - ANSWER-nuchal rigidity
,2|Page
Which of the following statements is correct in describing a potential hazard of a peer-to-peer network?
- ANSWER-
During the diagnostic process_________________ - ANSWER-uncertainty about the nature of the
problem is reduced
Wernicke's Area - ANSWER-Parietal Lobe
When phenobarbital is used to manage increased intracranial pressure in traumatic brain injury patients,
cEEG is a key tool to help monitor: - ANSWER-Depth of sedation
Which of the following does not attenuate alpha rhythm? - ANSWER-eye closing
A young women with several previous episodes of shifting areas of numbness and tingling, dizziness and
difficulty with vision awakens one morning unable to move her legs. A reasonable diagnosis would be? -
ANSWER-Multiple Sclerosis
In ischemia, as the cerebral blood flow decreases, the EEG changes. What are the steps of EEG changes
as cerebral blood flow decreases? - ANSWER-1. Subtle loss of faster frequencies- beta, alpha, sleep
spindles
2. Slowing appears
3. Excess Theta
4. Excess Delta- but still reversible
Suppression of all frequencies with irreversible neuronal death (infarction)
What are the components of the Glasgow Coma Scale? - ANSWER-Eyes best motor response and best
verbal response
Compressed spectral arrays - ANSWER-*Assist in highlighting trends or changes over prolonged periods
and
*do not substitute for review of the original EEG file
,3|Page
Specific EEG patterns seen with this disease (CJD) are "virtually diagnostic" - ANSWER-Burst of biphasic
or triphasic sharp complexes occurring about once per second
Which of the following could be a function of a network administrator or "super- user"? - ANSWER--
changing critical network settings
-altering key system files
-resetting passwords for users
-starting new user accounts
Most seizures are? - ANSWER-Idiopathic- cause is unknown
The interdisciplinary team can be encouraged to: - ANSWER--Document medication changes
-Notify technologist of ancillary testing
-Adjust and zoom camera as needed
If possible your LTM patient be admitted to a private room: - ANSWER-True
The central vertex electrode is: - ANSWER-CZ
__________________is a white matter disease with long tract sign including spasticity, hyperreflexia,
and Babinski's Sign, optic atrophy, cortical blindness or deafness and seizures occurring late in the
course. - ANSWER-Leukoencephalopathies
Alzheimer's disease is a term for___________________ - ANSWER-Dementia with amyloid plaques and
neuronal tangles
A seizure characterized by a stare with no post-ictal confusion is a/an_________________________ -
ANSWER-Absence Seizure
, 4|Page
De-identified health information neither identifies nor provides a reasonable basis to identify an
individual. - ANSWER-True
Artifacts are not always undesirable. From the list pick the physiological artifacts that can provide useful
information: - ANSWER--muscle activity: tremors and movements
-respiration, pulse, and EKG
-eye movements and nystagmus
Which of the following are identified limitations of a local area network (LAN)? - ANSWER--There is a
limited distance between the computers
-There is a lack of outside access to the network
Runs of notched theta in the 6 Hz range, appearing focally in the mid-temporals over one or both
hemispheres during drowsiness and light sleep. - ANSWER-This is a normal variant called RMTD, or
Rhythmic Mid-temporal Theta Discharge.
Stroke is the leading cause of serious long term disability in the U.S - ANSWER-True
Most seizures are______________________ - ANSWER-Idiopathic
Depth electrodes, grids, and strips provide: - ANSWER-Detailed information about the location within
the brain of seizure onset or focus
The term deja vu refers to: - ANSWER-A false sense of familiarity with the current situation
The olfactory Aura preceding a major seizure is____________ - ANSWER-The hallucination of a smell
When recording with indwelling electrodes, only runs of spikes and/ or sharp waves represent ictal
patterns. - ANSWER-False
When symptoms include high fever, stiff neck and terrible headache, what would the diagnosis likely be?
- ANSWER-Meningitis
CLTM (Certified in Long-Term Monitoring) Exam
2025 – Complete Study Guide, Practice Questions, and
Certification Review
Prepare for the CLTM (Certified in Long-Term Monitoring) Exam 2025 with our
comprehensive study guide, practice test, and review materials. Learn key topics in EEG
monitoring, patient safety, neurodiagnostic procedures, and data analysis to earn your CLTM
certification and advance your career in neurodiagnostics.
• CLTM (Certified in Long-Term Monitoring) Exam
• CLTM exam study guide 2025
• CLTM practice test questions
When doing cEEG in the ICU, the physician should be sent a communication when: - ANSWER--when the
patient seizes
-when there is an abrupt change in the background
Benzodiazepines such as Ativan (Lorazepam), at therapeutic levels can cause: - ANSWER-Frontal central
beta
A brief period of transient paralysis following a seizure: - ANSWER-Todd's Paralysis
A longer time constant results in: - ANSWER-more slow frequencies recorded
A clinical sign of meningitis: - ANSWER-nuchal rigidity
,2|Page
Which of the following statements is correct in describing a potential hazard of a peer-to-peer network?
- ANSWER-
During the diagnostic process_________________ - ANSWER-uncertainty about the nature of the
problem is reduced
Wernicke's Area - ANSWER-Parietal Lobe
When phenobarbital is used to manage increased intracranial pressure in traumatic brain injury patients,
cEEG is a key tool to help monitor: - ANSWER-Depth of sedation
Which of the following does not attenuate alpha rhythm? - ANSWER-eye closing
A young women with several previous episodes of shifting areas of numbness and tingling, dizziness and
difficulty with vision awakens one morning unable to move her legs. A reasonable diagnosis would be? -
ANSWER-Multiple Sclerosis
In ischemia, as the cerebral blood flow decreases, the EEG changes. What are the steps of EEG changes
as cerebral blood flow decreases? - ANSWER-1. Subtle loss of faster frequencies- beta, alpha, sleep
spindles
2. Slowing appears
3. Excess Theta
4. Excess Delta- but still reversible
Suppression of all frequencies with irreversible neuronal death (infarction)
What are the components of the Glasgow Coma Scale? - ANSWER-Eyes best motor response and best
verbal response
Compressed spectral arrays - ANSWER-*Assist in highlighting trends or changes over prolonged periods
and
*do not substitute for review of the original EEG file
,3|Page
Specific EEG patterns seen with this disease (CJD) are "virtually diagnostic" - ANSWER-Burst of biphasic
or triphasic sharp complexes occurring about once per second
Which of the following could be a function of a network administrator or "super- user"? - ANSWER--
changing critical network settings
-altering key system files
-resetting passwords for users
-starting new user accounts
Most seizures are? - ANSWER-Idiopathic- cause is unknown
The interdisciplinary team can be encouraged to: - ANSWER--Document medication changes
-Notify technologist of ancillary testing
-Adjust and zoom camera as needed
If possible your LTM patient be admitted to a private room: - ANSWER-True
The central vertex electrode is: - ANSWER-CZ
__________________is a white matter disease with long tract sign including spasticity, hyperreflexia,
and Babinski's Sign, optic atrophy, cortical blindness or deafness and seizures occurring late in the
course. - ANSWER-Leukoencephalopathies
Alzheimer's disease is a term for___________________ - ANSWER-Dementia with amyloid plaques and
neuronal tangles
A seizure characterized by a stare with no post-ictal confusion is a/an_________________________ -
ANSWER-Absence Seizure
, 4|Page
De-identified health information neither identifies nor provides a reasonable basis to identify an
individual. - ANSWER-True
Artifacts are not always undesirable. From the list pick the physiological artifacts that can provide useful
information: - ANSWER--muscle activity: tremors and movements
-respiration, pulse, and EKG
-eye movements and nystagmus
Which of the following are identified limitations of a local area network (LAN)? - ANSWER--There is a
limited distance between the computers
-There is a lack of outside access to the network
Runs of notched theta in the 6 Hz range, appearing focally in the mid-temporals over one or both
hemispheres during drowsiness and light sleep. - ANSWER-This is a normal variant called RMTD, or
Rhythmic Mid-temporal Theta Discharge.
Stroke is the leading cause of serious long term disability in the U.S - ANSWER-True
Most seizures are______________________ - ANSWER-Idiopathic
Depth electrodes, grids, and strips provide: - ANSWER-Detailed information about the location within
the brain of seizure onset or focus
The term deja vu refers to: - ANSWER-A false sense of familiarity with the current situation
The olfactory Aura preceding a major seizure is____________ - ANSWER-The hallucination of a smell
When recording with indwelling electrodes, only runs of spikes and/ or sharp waves represent ictal
patterns. - ANSWER-False
When symptoms include high fever, stiff neck and terrible headache, what would the diagnosis likely be?
- ANSWER-Meningitis
