CLTM ASAP (ADVANCED SUPERVISION AND ASSESSMENT
PROTOCOL) BOARD EXAM 2025/2026 BANK ACCURATE
CURRENTLY TESTING EXAM WITH 400 ACTUAL QUESTIONS
AND DETAILED ANSWERS WITH A STUDY GUIDE
The majority of seizures in the ICU are:
a) Complex partial
b) Absence
c) Nonconvulsive
d) Non-epileptic - answer-:C. Nonconvulsive
Which polarity and electrode signal generates signal generates from the motor cortex when
doing phase reversal monitoring?
a) Positive polarity, N20
b) Negative polarity, N20
c) Negative polarity, P22
d) Positive polarity, P22 - answer-:D. Positive polarity, P22
ORIDA is MOST commonly seen in
a) Sleep
b) Elderly
c) Children
d) Adults - answer-:C. Children
,Per ACNS Guidelines, an important aspect of montage design for LTME is to clearly separate
activity from the
a) Occipital and midline derivations
b) Basal temporal and 10/20 cortical derivations
c) Temporal and occipital derivations
d) Frontal and temporal derivations - answer-:B. Basal temporal and 10/20 cortical derivations
Risks of video EEG monitoring related to medication withdrawal includes
a) Status
b) Seizure related falls
c) Off video events
d) All are correct - answer-:D. All are correct
Which of the following is a criterion for sudden unexpected death in epilepsy (SUDEP)?
a) No explained cause
b) Status epilepticus
c) History of single seizure
d) Head trauma - answer-:A. No explained cause
Based on the 2015 American Red Cross Guidelines for CPR, compression to breaths to ratio for
adults is
a) 30 to 2
b) 60 to 2
c) 10 to 2
d) 15 to 2 - answer-:A. 30 to 2
Based on the 2015 American Red Cross Guidelines for CPR, compression rate for adults is
,a) 200/min
b) 30/min
c) 100/min
d) 60/min - answer-:C. 100/min
Based on the 2015 American Red Cross Guidelines for CPR, compression depth for adults is
a) At least 2"
b) At least 1"
c) At least 1.5"
d) At least 3" - answer-:A. At least 2"
Hypsarrhythmia is a pattern most often associated with
a) Atonic seizures
b) Gelastic seizures
c) Infantile Spasms
d) Absence seizures - answer-:C. Infantile spasms
Ictal weeping and pelvic thrusting may indicate
a) Complex partial seizures
b) Nonepileptic events
c) Frontal lobe seizures
d) None of the above - answer-:B. Nonepileptic events
A patient who experiences epigastric rising followed by a 10 second oral and/or manual
automatisms, is unable to respond to verbal commands, and has postictal confusion for several
minutes most likely indicates
a) Primary generalized
, b) Simple partial
c) Complex partial
d) Secondary generalized - answer-:C. Complex partial
Complex automatisms
a) Mesial temporal
b) Parieto-occipital
c) Frontal/orbital frontal
d) Posterior temporal - answer-:A. Mesial temporal
The main difference between simple partial and complex partial is
a) Autonomic activity
b) Anatomic location
c) Preservation of consciousness
d) Focal motor activity - answer-:C. Preservation of consciousness
Which of the following is the most common sign of temporal lobe seizures
a) Tonic rigidity
b) Contralateral dystonia
c) Pelvic thrusting
d) Gelastic events - answer-:B. Contralateral dystonia
Patient with microcephaly presents with flapping hand movements, frequency laughing or
unusual smiling and an unusual happy demeanor
a) Sturge weber
b) Hypothalamic hamartoma
PROTOCOL) BOARD EXAM 2025/2026 BANK ACCURATE
CURRENTLY TESTING EXAM WITH 400 ACTUAL QUESTIONS
AND DETAILED ANSWERS WITH A STUDY GUIDE
The majority of seizures in the ICU are:
a) Complex partial
b) Absence
c) Nonconvulsive
d) Non-epileptic - answer-:C. Nonconvulsive
Which polarity and electrode signal generates signal generates from the motor cortex when
doing phase reversal monitoring?
a) Positive polarity, N20
b) Negative polarity, N20
c) Negative polarity, P22
d) Positive polarity, P22 - answer-:D. Positive polarity, P22
ORIDA is MOST commonly seen in
a) Sleep
b) Elderly
c) Children
d) Adults - answer-:C. Children
,Per ACNS Guidelines, an important aspect of montage design for LTME is to clearly separate
activity from the
a) Occipital and midline derivations
b) Basal temporal and 10/20 cortical derivations
c) Temporal and occipital derivations
d) Frontal and temporal derivations - answer-:B. Basal temporal and 10/20 cortical derivations
Risks of video EEG monitoring related to medication withdrawal includes
a) Status
b) Seizure related falls
c) Off video events
d) All are correct - answer-:D. All are correct
Which of the following is a criterion for sudden unexpected death in epilepsy (SUDEP)?
a) No explained cause
b) Status epilepticus
c) History of single seizure
d) Head trauma - answer-:A. No explained cause
Based on the 2015 American Red Cross Guidelines for CPR, compression to breaths to ratio for
adults is
a) 30 to 2
b) 60 to 2
c) 10 to 2
d) 15 to 2 - answer-:A. 30 to 2
Based on the 2015 American Red Cross Guidelines for CPR, compression rate for adults is
,a) 200/min
b) 30/min
c) 100/min
d) 60/min - answer-:C. 100/min
Based on the 2015 American Red Cross Guidelines for CPR, compression depth for adults is
a) At least 2"
b) At least 1"
c) At least 1.5"
d) At least 3" - answer-:A. At least 2"
Hypsarrhythmia is a pattern most often associated with
a) Atonic seizures
b) Gelastic seizures
c) Infantile Spasms
d) Absence seizures - answer-:C. Infantile spasms
Ictal weeping and pelvic thrusting may indicate
a) Complex partial seizures
b) Nonepileptic events
c) Frontal lobe seizures
d) None of the above - answer-:B. Nonepileptic events
A patient who experiences epigastric rising followed by a 10 second oral and/or manual
automatisms, is unable to respond to verbal commands, and has postictal confusion for several
minutes most likely indicates
a) Primary generalized
, b) Simple partial
c) Complex partial
d) Secondary generalized - answer-:C. Complex partial
Complex automatisms
a) Mesial temporal
b) Parieto-occipital
c) Frontal/orbital frontal
d) Posterior temporal - answer-:A. Mesial temporal
The main difference between simple partial and complex partial is
a) Autonomic activity
b) Anatomic location
c) Preservation of consciousness
d) Focal motor activity - answer-:C. Preservation of consciousness
Which of the following is the most common sign of temporal lobe seizures
a) Tonic rigidity
b) Contralateral dystonia
c) Pelvic thrusting
d) Gelastic events - answer-:B. Contralateral dystonia
Patient with microcephaly presents with flapping hand movements, frequency laughing or
unusual smiling and an unusual happy demeanor
a) Sturge weber
b) Hypothalamic hamartoma
