CLTM ASAP (ADVANCED SUPERVISION AND
ASSESSMENT PROTOCOL) BOARD EXAM QUESTIONS
AND VERIFIED CORRECT ANSWERS LATEST 2026-
2027 NEW VERSION
What is the MAXIMUM allowable instrument leakage current when recording from a
patient with invasive monitoring electrodes?
a) 10 microamps
b) 1 microamp
c) 1, 000 microamps
d) 100 microamps - answer>>>A. 10 microamps
Which of the following precautions should be taken to prevent SUDEP?
a) Pad floor mats
b) Lower bed closer to floor
c) Pad bedside rails
d) Monitor cardiac and oxygen saturation - answer>>>D. Monitor cardiac and oxygen
saturation
Uncommon and non-traumatic death that occurs suddenly and unexpectedly with
epilepsy who were otherwise previously healthy?
a) SIRPIDS
b) SUDEP
c) ECoG
d) ESES - answer>>>B. SUDEP
An appropriate time base for sensory- motor localization would be
a) 20 msec
b) 500 msec
c) 50 msec
d) 200 msec - answer>>>C. 50 msec
,-
What type of seizure often consists of early and prominent motor activity?
a) Mesial temporal lobe
b) Frontal lobe
c) Parietal lobe
d) Occipital lobe - answer>>>B. Frontal lobe
Thrombosis of the anterior cerebral artery is most likely to cause
a) Aphasia
b) Nystagmus
c) Contralateral lower extremity weakness
d) Contralateral facial weakness - answer>>>C. Contralateral lower extremity weakness
The following can be used to map the central sulcus
a) Grid or strip electrodes
b) Foramen ovale electrodes
c) Nasopharyngeal electrodes
d) Sphenoidal electrodes - answer>>>A. Grid or strip electrodes
The tracts connecting the right and left hemispheres are collectively called the
a) Hemispheric association fibers
b) Inter-hemispheric association fibers
c) Internal capsule
d) Corpus callosum - answer>>>D. Corpus callosum
What function has the lowest risk of being affected if a temporal lobectomy is performed
in the dominant hemisphere?
a) Language deficits
b) Visual deficits
c) Memory deficits
,d) Supplementary motor deficits - answer>>>D. Supplementary motor deficits
Cortical responses recorded over the primary somatosensory cortex to median SSEPs are
a) Negative nearfield responses
b) Positive farfield responses
c) Negative farfield responses
d) Positive nearfield responses - answer>>>A. Negative nearfield responses
Identify the lateralizing sign that occurs contralateral to the seizure onset
a) The extended arm used in the "sign of four" posture
b) Hand used for post-ictal nose wiping
c) The raised arm used in the fencing (m2e) position
d) The flexed elbow used in the "sign of four" position - answer>>>A. The extended arm
used in the "Sign of four" posture
The physiologic substrate of clinical seizure activity is
a) Excessive GABAergic activity
b) Hyperactive glial potentials
c) Abnormal neuronal discharge
d) Repeated disturbances in cerebral blood flow - answer>>>C. Abnormal neuronal
discharge
Wernicke's area lies in the
a) Posterior part of the parietal lobe
b) Posterior part of the inferior frontal gyrus
c) Posterior part of the superior temporal gyrus
d) Posterior part of the inferior temporal gyrus - answer>>>C. Posterior part of the
superior temporal gyrus
Damage to Broca's area may result in
a) Anoxia
b) Ataxia
c) Receptive aphasia
, -
d) Expressive aphasia - answer>>>D. Expressive aphasia
Which subzone of the epileptogenic zone is considered the gold standard for localization?
a) Irritative
b) Symptomatogenic
c) Ictal onset
d) Lesional - answer>>>C. Ictal onset
The central sulcus divides what areas in the cortex?
a) Frontal and temporal lobes
b) Frontal and parietal lobes
c) Left and right hemisphere
d) Parietal and temporal lobes - answer>>>B. Frontal and parietal lobes
Cervical myelopathy may inhibit
a) Language mapping
b) Sensorimotor localization
c) cEEG
d) ECoG - answer>>>B. Sensorimotor localization
Cortical potentials for median nerve somatosensory evoked potentials (SSEPs) are
recorded from
a) Ipsilateral parietal lobe
b) Ipsilateral midline
c) Contralateral parietal lobe
d) Contralateral midline - answer>>>C. Contralateral parietal lobe
The common goal of functional mapping is to identify
a) Evoke epileptic foci
b) Cranial nerves
ASSESSMENT PROTOCOL) BOARD EXAM QUESTIONS
AND VERIFIED CORRECT ANSWERS LATEST 2026-
2027 NEW VERSION
What is the MAXIMUM allowable instrument leakage current when recording from a
patient with invasive monitoring electrodes?
a) 10 microamps
b) 1 microamp
c) 1, 000 microamps
d) 100 microamps - answer>>>A. 10 microamps
Which of the following precautions should be taken to prevent SUDEP?
a) Pad floor mats
b) Lower bed closer to floor
c) Pad bedside rails
d) Monitor cardiac and oxygen saturation - answer>>>D. Monitor cardiac and oxygen
saturation
Uncommon and non-traumatic death that occurs suddenly and unexpectedly with
epilepsy who were otherwise previously healthy?
a) SIRPIDS
b) SUDEP
c) ECoG
d) ESES - answer>>>B. SUDEP
An appropriate time base for sensory- motor localization would be
a) 20 msec
b) 500 msec
c) 50 msec
d) 200 msec - answer>>>C. 50 msec
,-
What type of seizure often consists of early and prominent motor activity?
a) Mesial temporal lobe
b) Frontal lobe
c) Parietal lobe
d) Occipital lobe - answer>>>B. Frontal lobe
Thrombosis of the anterior cerebral artery is most likely to cause
a) Aphasia
b) Nystagmus
c) Contralateral lower extremity weakness
d) Contralateral facial weakness - answer>>>C. Contralateral lower extremity weakness
The following can be used to map the central sulcus
a) Grid or strip electrodes
b) Foramen ovale electrodes
c) Nasopharyngeal electrodes
d) Sphenoidal electrodes - answer>>>A. Grid or strip electrodes
The tracts connecting the right and left hemispheres are collectively called the
a) Hemispheric association fibers
b) Inter-hemispheric association fibers
c) Internal capsule
d) Corpus callosum - answer>>>D. Corpus callosum
What function has the lowest risk of being affected if a temporal lobectomy is performed
in the dominant hemisphere?
a) Language deficits
b) Visual deficits
c) Memory deficits
,d) Supplementary motor deficits - answer>>>D. Supplementary motor deficits
Cortical responses recorded over the primary somatosensory cortex to median SSEPs are
a) Negative nearfield responses
b) Positive farfield responses
c) Negative farfield responses
d) Positive nearfield responses - answer>>>A. Negative nearfield responses
Identify the lateralizing sign that occurs contralateral to the seizure onset
a) The extended arm used in the "sign of four" posture
b) Hand used for post-ictal nose wiping
c) The raised arm used in the fencing (m2e) position
d) The flexed elbow used in the "sign of four" position - answer>>>A. The extended arm
used in the "Sign of four" posture
The physiologic substrate of clinical seizure activity is
a) Excessive GABAergic activity
b) Hyperactive glial potentials
c) Abnormal neuronal discharge
d) Repeated disturbances in cerebral blood flow - answer>>>C. Abnormal neuronal
discharge
Wernicke's area lies in the
a) Posterior part of the parietal lobe
b) Posterior part of the inferior frontal gyrus
c) Posterior part of the superior temporal gyrus
d) Posterior part of the inferior temporal gyrus - answer>>>C. Posterior part of the
superior temporal gyrus
Damage to Broca's area may result in
a) Anoxia
b) Ataxia
c) Receptive aphasia
, -
d) Expressive aphasia - answer>>>D. Expressive aphasia
Which subzone of the epileptogenic zone is considered the gold standard for localization?
a) Irritative
b) Symptomatogenic
c) Ictal onset
d) Lesional - answer>>>C. Ictal onset
The central sulcus divides what areas in the cortex?
a) Frontal and temporal lobes
b) Frontal and parietal lobes
c) Left and right hemisphere
d) Parietal and temporal lobes - answer>>>B. Frontal and parietal lobes
Cervical myelopathy may inhibit
a) Language mapping
b) Sensorimotor localization
c) cEEG
d) ECoG - answer>>>B. Sensorimotor localization
Cortical potentials for median nerve somatosensory evoked potentials (SSEPs) are
recorded from
a) Ipsilateral parietal lobe
b) Ipsilateral midline
c) Contralateral parietal lobe
d) Contralateral midline - answer>>>C. Contralateral parietal lobe
The common goal of functional mapping is to identify
a) Evoke epileptic foci
b) Cranial nerves
