CLTM COMPREHENSIVE EXAM 2026/2027 QUESTIONS
AND SOLUTIONS RATED A+
✔✔The recommended duration for cEEG in a non-comatose patient suspected of
having non-conclusive seizures is - ✔✔24 hours
✔✔Vagus nerve stimulators are approved for use in patients with - ✔✔partial seizures
✔✔Cortical stimulation near the inferior frontal gyrus will most likely result in -
✔✔Expressive aphasia
✔✔**Which of the following is primarily limited to selected catastrophic infant and early
childhood epilepsies - ✔✔Hemispherectomy
✔✔**Which of the following is the most appropriate initial response to a significant
acetone spill - ✔✔Evacuate and ventilate the area
✔✔Pentobarbital Coma - ✔✔Burst-suppression
✔✔**How many hours is the typical therapeutic hypothermia period for neonates with
hypoxic ischemic encephalopathy - ✔✔72
✔✔WADA testing, also known as itracarotid amobarbital procedure is performed for -
✔✔language and memory lateralization
✔✔Ohtahara Syndrome - ✔✔Burst-suppression
✔✔**Which of the following electrodes can best record a focal discharge in Sturge-
Weber syndrome - ✔✔Suboccipital
✔✔**PET studies in a patient with left temporal lobe epilepsy will most likely show -
✔✔Decrease glucose uptake
✔✔**In patients with intracranial grids, excessive widespread polymorphic slowing with
attenuated waveforms raises the question of - ✔✔cerebral edema under the grid
✔✔A three year old with a history of complex partial seizures and frontal congenital
dysplasia is admitted for a VEEG for spell classification. The sample below shows -
✔✔Ictal activity
✔✔Patient's with Rasmussen's Encephalitis will most likely present with -
✔✔Hemiparesis
, ✔✔Cortical responses recorded over the primary somatosensory cortex to median
SSEPs are - ✔✔Negative nearfield responses
✔✔**An appropriate anesthetic regimen for language mapping - ✔✔Awake with local
✔✔Personal Protective Equipment (PPE) standards are set forth by - ✔✔OSHA
✔✔Damage to Broca's area may result in - ✔✔Expressive aphasia
✔✔68 year old presents with confusion after recently being diagnosed with cancer.
What pattern is seen in this baseline EEG - ✔✔BIPLEDS
✔✔**The physiologic substrate of clinical seizure activity is - ✔✔Abnormal neuronal
discharge
✔✔**Which of the following electrodes is MRI conditional for intracranial monitoring -
✔✔Platinum
✔✔What should always be monitored to access the presence of afterdischarges (ADs) -
✔✔ECoG
✔✔Risks associated with invasive subdural grid electrodes include - ✔✔All are correct
✔✔Evaluating the sample EEG given, which of the following would be most likely
utilized for accurate presurgical evaluation - ✔✔Bi-temporal depth electrodes
✔✔**Rapid removal of which of the following anticonvulsants is most likely to elicit a
generalized seizure - ✔✔Phenobarbital
✔✔What is the MAXIMUM allowable instrument leakage current when recording from a
patient with invasive monitoring electrodes - ✔✔10 microamps
✔✔WADA - ✔✔Language function
✔✔Which of the following precautions should be taken to prevent SUDEP - ✔✔Monitor
cardiac and oxygen saturation
✔✔One way to differentiate rhythmic epileptic seizure from that of rhythmic biologic
artifacts is - ✔✔Identification of postictal slowing
✔✔The main difference between simple partial and complex partial is - ✔✔Preservation
of consciousness
AND SOLUTIONS RATED A+
✔✔The recommended duration for cEEG in a non-comatose patient suspected of
having non-conclusive seizures is - ✔✔24 hours
✔✔Vagus nerve stimulators are approved for use in patients with - ✔✔partial seizures
✔✔Cortical stimulation near the inferior frontal gyrus will most likely result in -
✔✔Expressive aphasia
✔✔**Which of the following is primarily limited to selected catastrophic infant and early
childhood epilepsies - ✔✔Hemispherectomy
✔✔**Which of the following is the most appropriate initial response to a significant
acetone spill - ✔✔Evacuate and ventilate the area
✔✔Pentobarbital Coma - ✔✔Burst-suppression
✔✔**How many hours is the typical therapeutic hypothermia period for neonates with
hypoxic ischemic encephalopathy - ✔✔72
✔✔WADA testing, also known as itracarotid amobarbital procedure is performed for -
✔✔language and memory lateralization
✔✔Ohtahara Syndrome - ✔✔Burst-suppression
✔✔**Which of the following electrodes can best record a focal discharge in Sturge-
Weber syndrome - ✔✔Suboccipital
✔✔**PET studies in a patient with left temporal lobe epilepsy will most likely show -
✔✔Decrease glucose uptake
✔✔**In patients with intracranial grids, excessive widespread polymorphic slowing with
attenuated waveforms raises the question of - ✔✔cerebral edema under the grid
✔✔A three year old with a history of complex partial seizures and frontal congenital
dysplasia is admitted for a VEEG for spell classification. The sample below shows -
✔✔Ictal activity
✔✔Patient's with Rasmussen's Encephalitis will most likely present with -
✔✔Hemiparesis
, ✔✔Cortical responses recorded over the primary somatosensory cortex to median
SSEPs are - ✔✔Negative nearfield responses
✔✔**An appropriate anesthetic regimen for language mapping - ✔✔Awake with local
✔✔Personal Protective Equipment (PPE) standards are set forth by - ✔✔OSHA
✔✔Damage to Broca's area may result in - ✔✔Expressive aphasia
✔✔68 year old presents with confusion after recently being diagnosed with cancer.
What pattern is seen in this baseline EEG - ✔✔BIPLEDS
✔✔**The physiologic substrate of clinical seizure activity is - ✔✔Abnormal neuronal
discharge
✔✔**Which of the following electrodes is MRI conditional for intracranial monitoring -
✔✔Platinum
✔✔What should always be monitored to access the presence of afterdischarges (ADs) -
✔✔ECoG
✔✔Risks associated with invasive subdural grid electrodes include - ✔✔All are correct
✔✔Evaluating the sample EEG given, which of the following would be most likely
utilized for accurate presurgical evaluation - ✔✔Bi-temporal depth electrodes
✔✔**Rapid removal of which of the following anticonvulsants is most likely to elicit a
generalized seizure - ✔✔Phenobarbital
✔✔What is the MAXIMUM allowable instrument leakage current when recording from a
patient with invasive monitoring electrodes - ✔✔10 microamps
✔✔WADA - ✔✔Language function
✔✔Which of the following precautions should be taken to prevent SUDEP - ✔✔Monitor
cardiac and oxygen saturation
✔✔One way to differentiate rhythmic epileptic seizure from that of rhythmic biologic
artifacts is - ✔✔Identification of postictal slowing
✔✔The main difference between simple partial and complex partial is - ✔✔Preservation
of consciousness
