CLTM STUDY GUIDE 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔(ACNS) montage design for LTME is intended to clearly separate activity from
where - ✔✔the basal temporal and 10/20 cortical derivations
✔✔minimum number of EEG channels for LTME (ACNS) - ✔✔32-64 channels
✔✔filters for LTME (ACNS) - ✔✔LFF .5 Hz- HFF 70 Hz
✔✔treatment for SE should begin after - ✔✔5 minutes
✔✔the reference electrode for localization of the sensorimotor cortex is placed where -
✔✔contralateral scalp or ear
✔✔SE can result in neuronal injury and function deficits after how long - ✔✔30 minutes
✔✔in neonates, when AEDs are given, what happens on vEEG when electroclinical
uncoupling occurs - ✔✔subclinical seizures continue
✔✔basic characterization of epileptic EEG events require - ✔✔18 channels
✔✔what population of neonates are good candidates for LTM - ✔✔those at high risk for
acute brain injury
✔✔LPD + R - ✔✔lateralized periodic discharges plus superimposed rhythmic activity
✔✔SI - ✔✔stimulus induced
✔✔ACNS recommends LTM for neonates in what condition - ✔✔-CNS injury
-post heart surgery
-HIE
✔✔during functional mapping, ADs are more likely to occur with intensities greater than
- ✔✔10mA
✔✔checking the impedance of intracranial electotrodes is dangerous because -
✔✔alternating current is passed through electrodes
✔✔aura - ✔✔simple partial
✔✔delayed cerebral ischemia after SAH aneurysm is that result of - ✔✔vasospasm
, ✔✔total suppression of EEG followed by cardiovascular instability can be caused by -
✔✔barbituates
✔✔West Syndrome - ✔✔infantile spasms
hypsarrhythmia
LGS
✔✔cEEG is more sensitive for seizure detection than routine EEG in what population -
✔✔infants
✔✔migraine aura - ✔✔evolves over several minutes
✔✔hemispherectomies are primarily limited to - ✔✔select catastrophic infant and early
childhood epilepsies
✔✔surgical treatment for TLE - ✔✔focal resection
✔✔treatment for Landau Kleffner - ✔✔multiple subpial transection
✔✔vasospasm - ✔✔arterial vessel constriction
✔✔frontal operculum seizures - ✔✔hypersalivation
oral-facial apraxia
facial clonic activity
✔✔OIRDA - ✔✔associated with absence epilepsy in children aged 6-10 years
✔✔how to correct pulse artifact - ✔✔slightly displace electrode
✔✔SAH effect on EEG - ✔✔slowing
✔✔afterdischarges - ✔✔periodic or continuous epileptic discharges
✔✔best trend for evaluating ischemia - ✔✔alpha variability
✔✔most common sign of temporal lobe seizures - ✔✔contralateral dystonia
✔✔latency for somatosensory cortical potentials to upper extremity stimulation - ✔✔20
msec
✔✔olfactory halluncination comes from - ✔✔orbital frontal cortex
✔✔complex automatisms come from - ✔✔mesial temporal area
SOLUTIONS RATED A+
✔✔(ACNS) montage design for LTME is intended to clearly separate activity from
where - ✔✔the basal temporal and 10/20 cortical derivations
✔✔minimum number of EEG channels for LTME (ACNS) - ✔✔32-64 channels
✔✔filters for LTME (ACNS) - ✔✔LFF .5 Hz- HFF 70 Hz
✔✔treatment for SE should begin after - ✔✔5 minutes
✔✔the reference electrode for localization of the sensorimotor cortex is placed where -
✔✔contralateral scalp or ear
✔✔SE can result in neuronal injury and function deficits after how long - ✔✔30 minutes
✔✔in neonates, when AEDs are given, what happens on vEEG when electroclinical
uncoupling occurs - ✔✔subclinical seizures continue
✔✔basic characterization of epileptic EEG events require - ✔✔18 channels
✔✔what population of neonates are good candidates for LTM - ✔✔those at high risk for
acute brain injury
✔✔LPD + R - ✔✔lateralized periodic discharges plus superimposed rhythmic activity
✔✔SI - ✔✔stimulus induced
✔✔ACNS recommends LTM for neonates in what condition - ✔✔-CNS injury
-post heart surgery
-HIE
✔✔during functional mapping, ADs are more likely to occur with intensities greater than
- ✔✔10mA
✔✔checking the impedance of intracranial electotrodes is dangerous because -
✔✔alternating current is passed through electrodes
✔✔aura - ✔✔simple partial
✔✔delayed cerebral ischemia after SAH aneurysm is that result of - ✔✔vasospasm
, ✔✔total suppression of EEG followed by cardiovascular instability can be caused by -
✔✔barbituates
✔✔West Syndrome - ✔✔infantile spasms
hypsarrhythmia
LGS
✔✔cEEG is more sensitive for seizure detection than routine EEG in what population -
✔✔infants
✔✔migraine aura - ✔✔evolves over several minutes
✔✔hemispherectomies are primarily limited to - ✔✔select catastrophic infant and early
childhood epilepsies
✔✔surgical treatment for TLE - ✔✔focal resection
✔✔treatment for Landau Kleffner - ✔✔multiple subpial transection
✔✔vasospasm - ✔✔arterial vessel constriction
✔✔frontal operculum seizures - ✔✔hypersalivation
oral-facial apraxia
facial clonic activity
✔✔OIRDA - ✔✔associated with absence epilepsy in children aged 6-10 years
✔✔how to correct pulse artifact - ✔✔slightly displace electrode
✔✔SAH effect on EEG - ✔✔slowing
✔✔afterdischarges - ✔✔periodic or continuous epileptic discharges
✔✔best trend for evaluating ischemia - ✔✔alpha variability
✔✔most common sign of temporal lobe seizures - ✔✔contralateral dystonia
✔✔latency for somatosensory cortical potentials to upper extremity stimulation - ✔✔20
msec
✔✔olfactory halluncination comes from - ✔✔orbital frontal cortex
✔✔complex automatisms come from - ✔✔mesial temporal area
