ANSWERS WITH DETAILED RATIONALES COVERING THE RECENT
TAKEN QUESTIONS GUARANTEE HIGH PASS MARK
1. The international 10–20 system is based on measurements taken from:
A. The ears to the nose
B. The nasion and inion and between preauricular points
C. The top of the head to the chin
D. The vertex to the mastoids
Rationale: The 10–20 system divides the nasion–inion and preauricular points distances into
10% and 20% intervals for electrode placement.
2. In the 10–20 system, Fp1 is located:
A. Midline frontal
B. Left frontal polar region
C. Right frontal region
D. Central midline
Rationale: “Fp” = frontal polar; odd numbers = left hemisphere, even numbers = right.
3. The normal adult alpha rhythm frequency range is:
A. 2–4 Hz
B. 4–7 Hz
C. 8–13 Hz
D. 13–30 Hz
Rationale: Alpha rhythm (8–13 Hz) is dominant in posterior head regions during relaxed
wakefulness with eyes closed.
4. Alpha rhythm is most prominent when:
A. Eyes are open
B. The patient is hyperventilating
C. Eyes are closed and the patient is relaxed
D. The patient is sleeping
,Rationale: Alpha attenuates with eye opening and mental effort, strongest in relaxed
wakefulness.
5. The calibration pulse of 50 µV should produce a deflection of:
A. 5 mm
B. 7 mm
C. 10 mm
D. 15 mm
Rationale: Sensitivity 10 µV/mm → 50 µV signal = 5 mm × 2 = 10 mm deflection.
6. A low-frequency filter of 1 Hz will:
A. Attenuate slow waves
B. Enhance slow activity
C. Eliminate fast frequencies
D. Eliminate muscle artifact
Rationale: Low-frequency (high-pass) filters attenuate frequencies below the cutoff, reducing
slow activity.
7. The main effect of increasing sensitivity is:
A. Waves appear smaller
B. Waves appear larger
C. Time base slows down
D. Filters change
Rationale: Higher sensitivity value (e.g., 10 µV/mm) means less deflection — waves look
smaller.
8. The best way to identify 60 Hz artifact is:
A. Fast, low-amplitude, rhythmic activity
B. High amplitude, slow waves
C. Sharp transients
D. Irregular muscle bursts
,Rationale: 60 Hz interference appears as regular, fine, high-frequency activity across all
channels.
9. Hyperventilation is contraindicated in patients with:
A. Epilepsy
B. Stroke or recent intracranial hemorrhage
C. Absence seizures
D. Sleep disorders
Rationale: Hyperventilation reduces cerebral blood flow, which can worsen ischemic injury.
10. Photic stimulation should be performed:
A. Only with eyes closed
B. Only at 10 Hz
C. At varying frequencies from 1–30 Hz
D. During sleep
Rationale: 1–30 Hz flash frequencies assess for photoparoxysmal response and reactivity.
11. The central sulcus separates:
A. Frontal and parietal lobes
B. Parietal and occipital lobes
C. Temporal and frontal lobes
D. Parietal and temporal lobes
Rationale: The central sulcus (Rolandic fissure) divides motor (frontal) and sensory (parietal)
cortex.
12. Beta activity is typically found:
A. Posteriorly
B. Centrally and anteriorly
C. Temporally only
D. Diffusely during deep sleep
Rationale: Beta (13–30 Hz) predominates frontocentrally, often enhanced by benzodiazepines.
, 13. A breach rhythm occurs over:
A. Skull defect site
B. Tumor
C. Hemorrhage
D. Sleep spindles
Rationale: Loss of skull attenuation enhances cortical potentials → high-amplitude, fast breach
rhythm.
14. Muscle artifact primarily affects which frequency range?
A. 0.1–4 Hz
B. 4–7 Hz
C. 13–30 Hz
D. 20–80 Hz
Rationale: EMG artifact = fast, irregular, high-frequency activity (20–80 Hz).
15. What is the most common sleep EEG pattern in stage II sleep?
A. Alpha rhythm
B. K complexes and sleep spindles
C. Vertex waves
D. Delta activity
Rationale: Stage II sleep shows K complexes and spindles (12–14 Hz).
16. Electrode impedance should be:
A. < 10,000 ohms and equal between electrodes
B. > 10,000 ohms
C. 50,000 ohms
D. Not important
Rationale: Balanced impedances under 10 kΩ prevent artifact and improve signal fidelity.
17. Which waveform is normal in infants but abnormal in adults?
A. Delta
B. Lambda