EEG BOARD PAPER LATEST QUESTIONS AND
ANSWERS SET A+
✔✔What are the different parameters of an EEG? - ✔✔-Frequency or period
-Amplitude
-Phase relations
-Quantity
-Morphology
-Topography
-Reactivity
-Variability
✔✔Seven Criteria used to evaluate an EEG - ✔✔-Amplitude
-Frequency
-Waveform (Morphology) and Rhythmicity
-Transients and Bursts
-Temporal and Spatial Factors
-Symmetry and Synchrony
-Reactivity (Board Study Guide Slide 76)
✔✔Amplitude - ✔✔Are the waves similar in size
✔✔Frequency - ✔✔What is the posterior rhythm
✔✔Morphology - ✔✔Are the waves similarly shaped
✔✔Transients and Bursts - ✔✔Are there any sudden interruptions in the pattern
✔✔Temporal and Spatial - ✔✔When and where does the activity occur
✔✔Symmetry and Synchrony - ✔✔Are there any asymmetries between homologous
electrodes
,✔✔Reactivity - ✔✔Does the EEG change when a stimulus is introduced
✔✔What are the 5 parts of a Neurologic Examination? - ✔✔1. Mental Status
2. Motor Function and Baance
3. Sensory Exam
4. Reflexes
5. Cranial Nerves
✔✔Mental Status - ✔✔-The patient's level of awareness and interaction with the
environment.
-Conversing with the patient and seeing if they are oriented to person, place and time
✔✔Motor Function and Balance - ✔✔-Tested by having the patient push and pull
against the examiners hands with their arms and legs
-Assessing the patient as they stand and walk check balance
✔✔Sensory Exam - ✔✔-Different instruments can be used to evaluate a patient's ability
to feel, such as tuning forks, dull needles, or alcohol swabs.
-By touching arms and legs, the patient identifies the sensation (hot/cold, sharp/dull)
✔✔Reflexes: Newborn and Infants - ✔✔-Blinking: closing eyes in response to light
-Babinski reflex: as the toe is stroked, the toes will extend upward
-Crawling: if the infant is placed on their stomach they will make crawling motions
-Startle reflex: a quick change in position will cause the infant to throw arms outward,
open the hands, and throw back the head
-Palmar/plantar grasp: the infants fingers or toes will curl around a finger placed in the
area
✔✔Reflexes: Older Child and Adult - ✔✔Usually examined with use of a reflex hammer
on different points on the body
✔✔Cranial Nerves: I Olfactory - ✔✔Patient may be asked to identify different smells
✔✔Cranial Nerves: II Optic - ✔✔Examiner can evaluate visual acuity, visual fields, and
using an ophthalmoscope, check the anatomy of the eye
✔✔Cranial Nerves: III Oculomotor - ✔✔Examine pupil size and responses
✔✔Cranial Nerves: IV Trochlear - ✔✔also is evaluated with CN III
✔✔Cranial Nerves: V Trigeminal - ✔✔Touch the face, observe how the patient bites
down
, ✔✔Cranial Nerves: VI Abducens - ✔✔The patient may be asked to follow a light or
finger using their eyes
✔✔Cranial Nerves: VII Facial - ✔✔The patient may be asked to smile, show their teeth,
or taste things
✔✔Cranial Nerves: VIII Acoustic - ✔✔Can be evaluated by snapping near the patient's
ear and asking if it is coming from the right or left
✔✔Cranial Nerves: IX Glossopharyngeal - ✔✔The gag reflex may be tested or different
tastes on the back of the tongue
✔✔Cranial Nerves: X Vagus - ✔✔The patient may be asked to swallow and a tongue
blade may be used to elicit the gag reflex
✔✔Cranial Nerves: XI Accessory - ✔✔The patient may be asked to shrug their
shoulders or turn their head from side to side against resistance
✔✔Cranial Nerves: XII Hypoglossal - ✔✔Can be evaluated by having the patient stick
out their tongue and speak
✔✔Ativan - ✔✔Generic Name: Lorazepam
Common Use: Extended Seizures, Status Epilepticus
Other Facts: First choice for relieving status epilepticus, increases beta
✔✔Banzel - ✔✔Generic Name: Rufinamide
Common Uses: LGS
✔✔Carbatrol/Tegretol - ✔✔Generic Name: Carbamazepine
Common Uses: Complex Partial, Simple Partial, GTC
Other Facts: May make absence and myoclonic seizures worse; may show mild alpha
slowing
✔✔Cerebyx - ✔✔Generic Name: Fosphenytoin
Common Uses: Used as a short term AED in ICU, status, and surgery
✔✔Depakote/Depakene - ✔✔Generic Name: Valporic Acid
Common Uses: Complex Partial, Simple Partial, Myoclonic, Absence, GTC
Other Facts: Depakote may also be used for migraines
✔✔Diastat - ✔✔Generic Name: Diazepam
Common Uses: Extended Seizures, Status Epilepticus
Other Facts: Rescue drug, used mostly in children in form of rectal gel
ANSWERS SET A+
✔✔What are the different parameters of an EEG? - ✔✔-Frequency or period
-Amplitude
-Phase relations
-Quantity
-Morphology
-Topography
-Reactivity
-Variability
✔✔Seven Criteria used to evaluate an EEG - ✔✔-Amplitude
-Frequency
-Waveform (Morphology) and Rhythmicity
-Transients and Bursts
-Temporal and Spatial Factors
-Symmetry and Synchrony
-Reactivity (Board Study Guide Slide 76)
✔✔Amplitude - ✔✔Are the waves similar in size
✔✔Frequency - ✔✔What is the posterior rhythm
✔✔Morphology - ✔✔Are the waves similarly shaped
✔✔Transients and Bursts - ✔✔Are there any sudden interruptions in the pattern
✔✔Temporal and Spatial - ✔✔When and where does the activity occur
✔✔Symmetry and Synchrony - ✔✔Are there any asymmetries between homologous
electrodes
,✔✔Reactivity - ✔✔Does the EEG change when a stimulus is introduced
✔✔What are the 5 parts of a Neurologic Examination? - ✔✔1. Mental Status
2. Motor Function and Baance
3. Sensory Exam
4. Reflexes
5. Cranial Nerves
✔✔Mental Status - ✔✔-The patient's level of awareness and interaction with the
environment.
-Conversing with the patient and seeing if they are oriented to person, place and time
✔✔Motor Function and Balance - ✔✔-Tested by having the patient push and pull
against the examiners hands with their arms and legs
-Assessing the patient as they stand and walk check balance
✔✔Sensory Exam - ✔✔-Different instruments can be used to evaluate a patient's ability
to feel, such as tuning forks, dull needles, or alcohol swabs.
-By touching arms and legs, the patient identifies the sensation (hot/cold, sharp/dull)
✔✔Reflexes: Newborn and Infants - ✔✔-Blinking: closing eyes in response to light
-Babinski reflex: as the toe is stroked, the toes will extend upward
-Crawling: if the infant is placed on their stomach they will make crawling motions
-Startle reflex: a quick change in position will cause the infant to throw arms outward,
open the hands, and throw back the head
-Palmar/plantar grasp: the infants fingers or toes will curl around a finger placed in the
area
✔✔Reflexes: Older Child and Adult - ✔✔Usually examined with use of a reflex hammer
on different points on the body
✔✔Cranial Nerves: I Olfactory - ✔✔Patient may be asked to identify different smells
✔✔Cranial Nerves: II Optic - ✔✔Examiner can evaluate visual acuity, visual fields, and
using an ophthalmoscope, check the anatomy of the eye
✔✔Cranial Nerves: III Oculomotor - ✔✔Examine pupil size and responses
✔✔Cranial Nerves: IV Trochlear - ✔✔also is evaluated with CN III
✔✔Cranial Nerves: V Trigeminal - ✔✔Touch the face, observe how the patient bites
down
, ✔✔Cranial Nerves: VI Abducens - ✔✔The patient may be asked to follow a light or
finger using their eyes
✔✔Cranial Nerves: VII Facial - ✔✔The patient may be asked to smile, show their teeth,
or taste things
✔✔Cranial Nerves: VIII Acoustic - ✔✔Can be evaluated by snapping near the patient's
ear and asking if it is coming from the right or left
✔✔Cranial Nerves: IX Glossopharyngeal - ✔✔The gag reflex may be tested or different
tastes on the back of the tongue
✔✔Cranial Nerves: X Vagus - ✔✔The patient may be asked to swallow and a tongue
blade may be used to elicit the gag reflex
✔✔Cranial Nerves: XI Accessory - ✔✔The patient may be asked to shrug their
shoulders or turn their head from side to side against resistance
✔✔Cranial Nerves: XII Hypoglossal - ✔✔Can be evaluated by having the patient stick
out their tongue and speak
✔✔Ativan - ✔✔Generic Name: Lorazepam
Common Use: Extended Seizures, Status Epilepticus
Other Facts: First choice for relieving status epilepticus, increases beta
✔✔Banzel - ✔✔Generic Name: Rufinamide
Common Uses: LGS
✔✔Carbatrol/Tegretol - ✔✔Generic Name: Carbamazepine
Common Uses: Complex Partial, Simple Partial, GTC
Other Facts: May make absence and myoclonic seizures worse; may show mild alpha
slowing
✔✔Cerebyx - ✔✔Generic Name: Fosphenytoin
Common Uses: Used as a short term AED in ICU, status, and surgery
✔✔Depakote/Depakene - ✔✔Generic Name: Valporic Acid
Common Uses: Complex Partial, Simple Partial, Myoclonic, Absence, GTC
Other Facts: Depakote may also be used for migraines
✔✔Diastat - ✔✔Generic Name: Diazepam
Common Uses: Extended Seizures, Status Epilepticus
Other Facts: Rescue drug, used mostly in children in form of rectal gel