Page 1 of 154
# TABLE OF CONTENTS
| **Domain** | **Weight** | **Questions** |
| **Domain I: Preparation (Pre-Study Procedures)** | 10% | 50 Questions |
| *A. Plan Recording Strategy* | | Q1-Q25 |
| *B. Communicate Monitoring Plan* | | Q26-Q50 |
| **Domain II: Performing the Study** | 49% | 120 Questions |
| *A. Equipment Selection* | | Q51-Q70 |
| *B. Electrode Application* | | Q71-Q90 |
| *C. Montages & Recording Parameters* | | Q91-Q110 |
| *D. Calibration & Impedance Checks* | | Q111-Q130 |
| *E. Study Integrity & Documentation* | | Q131-Q150 |
| *F. Modifying Recording Strategy* | | Q151-Q170 |
| **Domain III: Post-Study Procedures** | 15% | 35 Questions |
| *A. Data Analysis & Classification* | | Q171-Q195
| *B. Reporting & Communication* | | Q196-Q205 |
| **Domain IV: Data & Equipment Management** | 9% | 22 Questions |
| *A. Digital Instrument Concepts* | | Q206-Q217 |
| *B. Data Management & Storage* | | Q218-Q227 |
| **Domain V: Ethics & Safety Issues** | 17% | 40 Questions |
| *A. Patient Safety* | | Q228-Q247 |
| *B. Regulatory Compliance* | | Q248-Q267 |
,Page 2 of 154
# DOMAIN I: PREPARATION (PRE-STUDY PROCEDURES)
## 10% of Examination | 50 Questions
### A. Plan Recording Strategy (Questions 1-25)
**Question 1**
A long-term monitoring (LTM) order is received for a 45-year-old patient with a history of
refractory focal epilepsy. The technologist's FIRST step in planning the recording strategy should
be:
A. Applying electrodes immediately to maximize recording time
B. Reviewing the LTM order and extracting relevant patient health information from the medical
record
C. Contacting the manufacturer to verify equipment specifications
D. Performing a routine 20-minute EEG before initiating LTM
**Correct Answer: B**
**Rationale:** The first step in planning a recording strategy is to review the LTM orders and
extract relevant patient health information from the medical records. This ensures the
technologist understands the clinical question, seizure history, current medications, and any
specific monitoring requirements. Option A is incorrect because electrode application should
only occur after proper planning. Option C is unnecessary as equipment should already be
verified. Option D is not a standard prerequisite for LTM.
---
**Question 2**
,Page 3 of 154
A technologist is preparing for an LTM study on a patient with suspected non-epileptic events.
Which of the following is the MOST appropriate approach to obtain additional clinical
information?
A. Rely solely on the information provided in the written order
B. Obtain additional information from the patient, family, and bedside caregivers to avoid
adverse effects
C. Proceed with monitoring without additional information to avoid bias
D. Contact the referring physician only if technical issues arise
**Correct Answer: B**
**Rationale:** Obtaining additional information from the patient, family, and bedside caregivers
is essential to avoid adverse effects and ensure a comprehensive understanding of the patient's
condition. Option A is insufficient as written orders may not capture all relevant clinical nuances.
Option C is unsafe and may lead to missed diagnoses. Option D delays critical communication.
---
**Question 3**
Which of the following patient history elements is MOST critical to review prior to initiating
long-term EEG monitoring in an epilepsy monitoring unit (EMU)?
A. Patient's dietary preferences
B. Current antiseizure medication regimen and recent changes
C. Patient's occupation and work history
D. Family history of diabetes
**Correct Answer: B**
, Page 4 of 154
**Rationale:** Current antiseizure medication regimen and recent changes are critical to review
because medication adjustments are commonly used to provoke seizures during EMU
monitoring. Understanding the medication history helps anticipate withdrawal effects and seizure
patterns. Dietary preferences, occupation, and family history of diabetes are not directly relevant
to seizure monitoring.
---
**Question 4**
A technologist is planning an LTM study for a patient with a skull defect from previous
craniotomy. What should the technologist document prior to electrode application?
A. The patient's social security number
B. The presence of skull defects and/or modifications to electrode placement
C. The patient's insurance information
D. The name of the hospital administrator
**Correct Answer: B**
**Rationale:** Documentation of potential sources of effects on EEG, including skull defects
and/or modifications to electrode placement, is essential for accurate interpretation. Skull defects
can create significant EEG artifacts or alter signal propagation. Social security number, insurance
information, and administrator names are not clinically relevant to the recording.
---
**Question 5**
According to the 2026 ABRET CLTM Handbook, what is the minimum experience required to
sit for the CLTM examination?
# TABLE OF CONTENTS
| **Domain** | **Weight** | **Questions** |
| **Domain I: Preparation (Pre-Study Procedures)** | 10% | 50 Questions |
| *A. Plan Recording Strategy* | | Q1-Q25 |
| *B. Communicate Monitoring Plan* | | Q26-Q50 |
| **Domain II: Performing the Study** | 49% | 120 Questions |
| *A. Equipment Selection* | | Q51-Q70 |
| *B. Electrode Application* | | Q71-Q90 |
| *C. Montages & Recording Parameters* | | Q91-Q110 |
| *D. Calibration & Impedance Checks* | | Q111-Q130 |
| *E. Study Integrity & Documentation* | | Q131-Q150 |
| *F. Modifying Recording Strategy* | | Q151-Q170 |
| **Domain III: Post-Study Procedures** | 15% | 35 Questions |
| *A. Data Analysis & Classification* | | Q171-Q195
| *B. Reporting & Communication* | | Q196-Q205 |
| **Domain IV: Data & Equipment Management** | 9% | 22 Questions |
| *A. Digital Instrument Concepts* | | Q206-Q217 |
| *B. Data Management & Storage* | | Q218-Q227 |
| **Domain V: Ethics & Safety Issues** | 17% | 40 Questions |
| *A. Patient Safety* | | Q228-Q247 |
| *B. Regulatory Compliance* | | Q248-Q267 |
,Page 2 of 154
# DOMAIN I: PREPARATION (PRE-STUDY PROCEDURES)
## 10% of Examination | 50 Questions
### A. Plan Recording Strategy (Questions 1-25)
**Question 1**
A long-term monitoring (LTM) order is received for a 45-year-old patient with a history of
refractory focal epilepsy. The technologist's FIRST step in planning the recording strategy should
be:
A. Applying electrodes immediately to maximize recording time
B. Reviewing the LTM order and extracting relevant patient health information from the medical
record
C. Contacting the manufacturer to verify equipment specifications
D. Performing a routine 20-minute EEG before initiating LTM
**Correct Answer: B**
**Rationale:** The first step in planning a recording strategy is to review the LTM orders and
extract relevant patient health information from the medical records. This ensures the
technologist understands the clinical question, seizure history, current medications, and any
specific monitoring requirements. Option A is incorrect because electrode application should
only occur after proper planning. Option C is unnecessary as equipment should already be
verified. Option D is not a standard prerequisite for LTM.
---
**Question 2**
,Page 3 of 154
A technologist is preparing for an LTM study on a patient with suspected non-epileptic events.
Which of the following is the MOST appropriate approach to obtain additional clinical
information?
A. Rely solely on the information provided in the written order
B. Obtain additional information from the patient, family, and bedside caregivers to avoid
adverse effects
C. Proceed with monitoring without additional information to avoid bias
D. Contact the referring physician only if technical issues arise
**Correct Answer: B**
**Rationale:** Obtaining additional information from the patient, family, and bedside caregivers
is essential to avoid adverse effects and ensure a comprehensive understanding of the patient's
condition. Option A is insufficient as written orders may not capture all relevant clinical nuances.
Option C is unsafe and may lead to missed diagnoses. Option D delays critical communication.
---
**Question 3**
Which of the following patient history elements is MOST critical to review prior to initiating
long-term EEG monitoring in an epilepsy monitoring unit (EMU)?
A. Patient's dietary preferences
B. Current antiseizure medication regimen and recent changes
C. Patient's occupation and work history
D. Family history of diabetes
**Correct Answer: B**
, Page 4 of 154
**Rationale:** Current antiseizure medication regimen and recent changes are critical to review
because medication adjustments are commonly used to provoke seizures during EMU
monitoring. Understanding the medication history helps anticipate withdrawal effects and seizure
patterns. Dietary preferences, occupation, and family history of diabetes are not directly relevant
to seizure monitoring.
---
**Question 4**
A technologist is planning an LTM study for a patient with a skull defect from previous
craniotomy. What should the technologist document prior to electrode application?
A. The patient's social security number
B. The presence of skull defects and/or modifications to electrode placement
C. The patient's insurance information
D. The name of the hospital administrator
**Correct Answer: B**
**Rationale:** Documentation of potential sources of effects on EEG, including skull defects
and/or modifications to electrode placement, is essential for accurate interpretation. Skull defects
can create significant EEG artifacts or alter signal propagation. Social security number, insurance
information, and administrator names are not clinically relevant to the recording.
---
**Question 5**
According to the 2026 ABRET CLTM Handbook, what is the minimum experience required to
sit for the CLTM examination?
