CLTM EXAM 4 2026 CERTIFIED LEAD
TRANSPORTATION MANAGER
COMPREHENSIVE STUDY GUIDE AND CORE
CONCEPT REVIEW
◉ The majority of seizures in the intensive care unit are:
Answer: non convulsive
◉ What type of resection is associated with medial temporal
sclerosis?
Answer: Temporal lobectomy
◉ The safest AED for pregnant women
Answer: Lamictal
◉ Hypsarrhythmia is a pattern most often associated with
Answer: Infantile spasms
◉ Expressive speech
Answer: Broca's area
,◉ Vagus nerve stimulators are approved for use in patients with
Answer: partial seizures
◉ Phenobarbital shows what activity?
Answer: Beta
◉ Which medication is appropriate for treating status epilepticus?
Answer: Lorazepam
◉ Keto diet consists of
Answer: high fat, low carbohydrates, adequate protein
◉ Bolus of Propofol will cause:
Answer: burst suppression
◉ How often should Stimulation assessment be made on patients
monitored in the ICU?
Answer: Daily
◉ The greatest utility of CEEG is in the ICU patients with:
Answer: Unexplained "spells" such as variations in vital signs or
twitching
,◉ WADA testing, also known as intracarotid amobarbitol procedure
is performed for:
Answer: Language and memory lateralization
◉ What less invasive test for language and memory has decreased
the number of WADA tests that are being conducted?
Answer: fMRI
◉ PET
Answer: hypometabolism
◉ The intracarotid ambarbital test is used to determine cerebral
dominance for:
Answer: language and memory function
◉ WADA is associated with:
Answer: language function
◉ What does PET stand for?
Answer: Positron Emission Tomography
, ◉ Cerebral angiography prior to intracarotid amobarbital testing is
necessary to assess
Answer: arterial blood flow
◉ SPECT stands for:
Answer: Single Photon Emitted Computed Tomography
◉ Which type of procedure is involved during the preoperative
diagnostic WADA test?
Answer: Angiography
◉ PET studies in a child with Rasmussen's encephalitis will most
likely demonstrate:
Answer: Widespread hemispheric hypometabolism
◉ As part of the pre-surgical work-up, this magnetic source
localization is used for spatial and temporal functional mapping of
interictal epileptiform discharges
Answer: MEG
◉ **PET studies in a patient with left temporal lobe epilepsy will
most likely show
Answer: Decreased glucose uptake
TRANSPORTATION MANAGER
COMPREHENSIVE STUDY GUIDE AND CORE
CONCEPT REVIEW
◉ The majority of seizures in the intensive care unit are:
Answer: non convulsive
◉ What type of resection is associated with medial temporal
sclerosis?
Answer: Temporal lobectomy
◉ The safest AED for pregnant women
Answer: Lamictal
◉ Hypsarrhythmia is a pattern most often associated with
Answer: Infantile spasms
◉ Expressive speech
Answer: Broca's area
,◉ Vagus nerve stimulators are approved for use in patients with
Answer: partial seizures
◉ Phenobarbital shows what activity?
Answer: Beta
◉ Which medication is appropriate for treating status epilepticus?
Answer: Lorazepam
◉ Keto diet consists of
Answer: high fat, low carbohydrates, adequate protein
◉ Bolus of Propofol will cause:
Answer: burst suppression
◉ How often should Stimulation assessment be made on patients
monitored in the ICU?
Answer: Daily
◉ The greatest utility of CEEG is in the ICU patients with:
Answer: Unexplained "spells" such as variations in vital signs or
twitching
,◉ WADA testing, also known as intracarotid amobarbitol procedure
is performed for:
Answer: Language and memory lateralization
◉ What less invasive test for language and memory has decreased
the number of WADA tests that are being conducted?
Answer: fMRI
◉ PET
Answer: hypometabolism
◉ The intracarotid ambarbital test is used to determine cerebral
dominance for:
Answer: language and memory function
◉ WADA is associated with:
Answer: language function
◉ What does PET stand for?
Answer: Positron Emission Tomography
, ◉ Cerebral angiography prior to intracarotid amobarbital testing is
necessary to assess
Answer: arterial blood flow
◉ SPECT stands for:
Answer: Single Photon Emitted Computed Tomography
◉ Which type of procedure is involved during the preoperative
diagnostic WADA test?
Answer: Angiography
◉ PET studies in a child with Rasmussen's encephalitis will most
likely demonstrate:
Answer: Widespread hemispheric hypometabolism
◉ As part of the pre-surgical work-up, this magnetic source
localization is used for spatial and temporal functional mapping of
interictal epileptiform discharges
Answer: MEG
◉ **PET studies in a patient with left temporal lobe epilepsy will
most likely show
Answer: Decreased glucose uptake
