CLTM CORE EXAM SET 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔ICP monitor - ✔✔catheter inserted through brain into the lateral ventricle to allow
CSF to drain
✔✔what sustained ICP level correlates with burst suppression on EEG - ✔✔>28 mmHg
✔✔neonatal EEG quiet sleep - ✔✔comparable to non-REM sleep
irregular respirations
REM
small and large body movements
low muscle tone
✔✔neonatal EEG active sleep - ✔✔comparable to REM sleep
regular respirations
no REM
minimal body movements
increased muscle tone
✔✔SCN1A mutations - ✔✔Dravet syndrome
✔✔seizure type of Dravet syndrome - ✔✔severe myoclonic epilepsy of infancy (SMEI)
✔✔parameters for direct cortical stimulation - ✔✔intensity range 0-20mA
stim duration .1-.3 ms
stim rate 50 Hz
stim period 1-0 sec
threshold motor cortex 2-5 mA
threshold language 5-15mA
✔✔band pass for localization of sensorimotor cortex - ✔✔1-30 Hz to 250-1500 Hz (-
3dB)
✔✔analysis time median for sensorimotor cortex - ✔✔50 ms
✔✔parameters for localization of sensorimotor cortex - ✔✔band pass 1-30 Hz to 250-
1500 Hz (-3dB)
analysis time 50 ms
number of averages 25-50 reps (at least 2 trials)
amplitude range 20-500 uV
✔✔level 3 epilepsy center - ✔✔not able to perform intracranial evaluations or resective
epilepsy surgery
, ✔✔vessel most frequently involved in CVA - ✔✔ICA
✔✔detects focal change in blood flow/oxygenation can can be used in sensory and
language mapping - ✔✔fMRI
✔✔2 uses of fMRI - ✔✔-detect focal change in blood flow/oxygenation
-used in sensory and language mapping
✔✔delta brushes start to appear at what age - ✔✔30 weeks
✔✔HIE patients typically monitored with cEEG for how long - ✔✔72 hours
✔✔what percentage of epilepsy patients have TLE - ✔✔60%
✔✔what procedure has decreased the use of WADA - ✔✔fMRI
✔✔most common etiology in ischemic stroke - ✔✔LPDS
✔✔LPDS - ✔✔most common etiology in ischemic stroke
associated with viral encephalitis
associated with increase risk for seizure
represents ictal or interictal pattern
✔✔what etiology is associated with viral encephalitis - ✔✔LPDS
✔✔what do anterior temporal spikes in children indicate - ✔✔an identifiable structural
lesion
✔✔PPE standards are set by - ✔✔OSHA
✔✔anterior tongue and lip bites suggest - ✔✔non-epileptic event
✔✔low voltage fast frequency pattern that follows electrical stimulation to the cortex -
✔✔AD (after-discharges)
✔✔confusion, increased blinking, slight intermittent twitches on left side of face might
indicate - ✔✔Left mid-posterior temporal seizures/SE
✔✔use of propfol and remifentanil in IONM - ✔✔wear off after about 10-15 min, allowing
for craniotomy and placement of Mayfield head holder, but not affecting subsequent
IONM
✔✔anesthesia for language mapping - ✔✔awake with local
SOLUTIONS RATED A+
✔✔ICP monitor - ✔✔catheter inserted through brain into the lateral ventricle to allow
CSF to drain
✔✔what sustained ICP level correlates with burst suppression on EEG - ✔✔>28 mmHg
✔✔neonatal EEG quiet sleep - ✔✔comparable to non-REM sleep
irregular respirations
REM
small and large body movements
low muscle tone
✔✔neonatal EEG active sleep - ✔✔comparable to REM sleep
regular respirations
no REM
minimal body movements
increased muscle tone
✔✔SCN1A mutations - ✔✔Dravet syndrome
✔✔seizure type of Dravet syndrome - ✔✔severe myoclonic epilepsy of infancy (SMEI)
✔✔parameters for direct cortical stimulation - ✔✔intensity range 0-20mA
stim duration .1-.3 ms
stim rate 50 Hz
stim period 1-0 sec
threshold motor cortex 2-5 mA
threshold language 5-15mA
✔✔band pass for localization of sensorimotor cortex - ✔✔1-30 Hz to 250-1500 Hz (-
3dB)
✔✔analysis time median for sensorimotor cortex - ✔✔50 ms
✔✔parameters for localization of sensorimotor cortex - ✔✔band pass 1-30 Hz to 250-
1500 Hz (-3dB)
analysis time 50 ms
number of averages 25-50 reps (at least 2 trials)
amplitude range 20-500 uV
✔✔level 3 epilepsy center - ✔✔not able to perform intracranial evaluations or resective
epilepsy surgery
, ✔✔vessel most frequently involved in CVA - ✔✔ICA
✔✔detects focal change in blood flow/oxygenation can can be used in sensory and
language mapping - ✔✔fMRI
✔✔2 uses of fMRI - ✔✔-detect focal change in blood flow/oxygenation
-used in sensory and language mapping
✔✔delta brushes start to appear at what age - ✔✔30 weeks
✔✔HIE patients typically monitored with cEEG for how long - ✔✔72 hours
✔✔what percentage of epilepsy patients have TLE - ✔✔60%
✔✔what procedure has decreased the use of WADA - ✔✔fMRI
✔✔most common etiology in ischemic stroke - ✔✔LPDS
✔✔LPDS - ✔✔most common etiology in ischemic stroke
associated with viral encephalitis
associated with increase risk for seizure
represents ictal or interictal pattern
✔✔what etiology is associated with viral encephalitis - ✔✔LPDS
✔✔what do anterior temporal spikes in children indicate - ✔✔an identifiable structural
lesion
✔✔PPE standards are set by - ✔✔OSHA
✔✔anterior tongue and lip bites suggest - ✔✔non-epileptic event
✔✔low voltage fast frequency pattern that follows electrical stimulation to the cortex -
✔✔AD (after-discharges)
✔✔confusion, increased blinking, slight intermittent twitches on left side of face might
indicate - ✔✔Left mid-posterior temporal seizures/SE
✔✔use of propfol and remifentanil in IONM - ✔✔wear off after about 10-15 min, allowing
for craniotomy and placement of Mayfield head holder, but not affecting subsequent
IONM
✔✔anesthesia for language mapping - ✔✔awake with local
