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CNIM Clinical ACNS Guidelines -latest update

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When is calibrations performs? - ANSWER: At the start of each recording session What amplifier and averager conditions should be impletmented when performing calibration? - ANSWER: Amplifier and recording paramters should replicate those of the first recording session Define the waveform re...

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  • June 23, 2024
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  • 2023/2024
  • Exam (elaborations)
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CNIM Clinical ACNS Guidelines -latest
update

When is calibrations performs? - ANSWER: ✔✔At the start of each recording session



What amplifier and averager conditions should be impletmented when performing calibration? -
ANSWER: ✔✔Amplifier and recording paramters should replicate those of the first recording session



Define the waveform replication criteria for latency and amplitude - ANSWER: ✔✔Latency replication
within 1% of the total sweep time

Amplitude replication within 15% of the peak to peak amplitude



Reference normative data may be utilized if two conditions are met. What are they? - ANSWER: ✔✔1.
Stimulus, recording and other conditions to reference lab

2. At least 20- normal subjects are studied and fall within the normal values



Define recommended system set up changes which are recommended for FF- PR-VEP when a marked
delay or absent recording is present - ANSWER: ✔✔1. Increase analysis time up to 500 ms.

2. Slower reversal rate of 2/sec or less 400 or more averages



List the 3 components which occur in the first 1.5 milliseconds after click stimulation at the ear -
ANSWER: ✔✔1. CM- Cochlear Microphonic

2. SP- Summating potential

3. AP- Action potential of the 8th Cranial Nerve



Name the generator of the first 2 components which occur in the first 1.5 milliseconds after click
stimulation - ANSWER: ✔✔Receptor potentials of the Cochlear hair cells



Define the label for the obligate peak recommended when recording. THe main component of the
auditory nerve action potential of the electrocephleagram - ANSWER: ✔✔N1

, Define the recording parameter which radically changes the CM of the BAEP and how it changes the
potential - ANSWER: ✔✔1. Alternating Click Polarity

2. Zeroes of cancels this potential



Define the most common clinical disease which changes this peak of the BAEP (first) and describe the
most common change seen - ANSWER: ✔✔- Summating potentials

- Menieres Disease

- SP Increases in Amplitude



Define the recording montage for auditory evoked potentials - ANSWER: ✔✔+ Input/ - Input

Cz/ A1

Cz/ A2

A2/ A1



What is the generator of the N1 of the ECOG? - ANSWER: ✔✔Distal portion of the 8th Cranial Nerve



What is the generator of the W1 of the BAEP? - ANSWER: ✔✔Distal portion of the 8th Nerve



What is the active electrode when recording the W1 of the BAEP? - ANSWER: ✔✔A1 or the electrode
ipsilateral to surgery



What is the polarity of wave 1 of the BAEP? - ANSWER: ✔✔Ear-Canal negative



What type of stimuli is recommended for BAEP? - ANSWER: ✔✔Broad band clicks in the 1,000-4,000 Hz
range



What is the recommended duration of the stimulis of BAEP? - ANSWER: ✔✔100 usec rectangular pulse

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