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CNIM | 491 Questions and Answers with Complete Solutions | 100% Verified
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CNIM | 491 Questions and Answers with Complete Solutions | 100% Verified
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CNIM | 491 Questions and Answers withComplete Solutions | 100% Verified
Tibial Near Field Response - ANSWER P37, LP
Tibial Far Field Response - ANSWER N34, P31
Agnosia - ANSWER Loss of ability to recognize
objects,Shapes,Persons,Sounds or Smells. While the specific sense is not defective
nor is there any significant memory loss.
Median/Ulnar Response Near Field - ANSWER N20, N13, EP
Median/Ulnar Response Far Field - ANSWER N18, P14
Apraxia - ANSWER Is a form of motor (Body) agnosia. Involving the
nurological loss of ability to map out PHYSICAL ACTIONS in order to repeat them
in functional activities.
Porous Acousticus( Internal Acoustic Meatus) - ANSWER Boney Canal in the
Temporal bone. Where Facial Nerve and Auditory nerve reside..
Superior Orbital Fissure(4) CN's - ANSWER CN 3,CN 4,CN5,CN6
Isoelectric EEG - ANSWER Sensitivity at 2 µV/mm
(No activity above 4 µV)
,Also called :
ECI( Electrocerebral inactivity)
Electrocerebral Silence
Spondylosis - ANSWER Degenerative Spine Disease
Parasthesia - ANSWER Tingling; associated with PERIPHEAL NERVE
DAMAGE
Cranial Nerve Monitoring Spontaneous EMG
Low -
High- - ANSWER Low 10-30 Hz
High 16,000Hz
Cranial Nerve Monitoring CMAP Recording Evoked Potentials
Low
High - ANSWER LOW 1-250 Hz
HIGH 1,500 Hz
Glossopharyngeal Neuralgia - ANSWER An Irration of the 9th CN, Causing
pain at the back of the throat.
* Bears are done
* Hearing at Risk
,Trigeminal Neuralgia ; Tic Douloureux(French) - ANSWER An Irration of the
5th CN. Causing severe ain that usually affect one side of the face.
Normally Forehead,Jaw, Cheek, and Teeth.
MultiModality Testing: (4) - ANSWER Upper SSEP,Lower ssep, VEP,BEAP
When you deal with a patient who has SYSTEMIC DISEASES, Huntinton C, Fredricks
A and CMT. Gentic diseases. Will all systems be effected? - ANSWER YES. All
SENSORY systems are effected. So they order all testing. Upper SSEP,Lower SSEP,
VEP, BEAP.
What is the Function for Multimodality Testing ? - ANSWER Utilized to ID
Multiple Lesions or SYSTEMIC Diseases. CLINICAL TESTING.
Multiple Sclerosis(UPPER SSEP)
Increased EP-N
Increased EP- n
Prolonged ___ Velocity
Central ___ Time - ANSWER Increased EP-N13
Increased EP-N20
Prolonged CONDUCTION Velocity
Central CONDUCTION TIME.
Multiple Sclerosis - ANSWER Immune System attacks Central Nervous
System =demyelination.
Disorder that effects the SPINAL CORD ITSELF
, Multiple Sclerosis Lower SSEP - ANSWER Problem in Lower SEP.
Can be Unilateral or Bilateral
Abnormal due to lesions at Spinal or Supraspinal levels.
** INCREASE IN LATENCY= DECREASE IN CONDUCTION VELOCITY LP-P37
(Increase in Lumbar to cortical LP-P37 conduction time Decrease in central
conduction Velocity)
Charcot - Marie Tooth
1)VEP
2) SEP - ANSWER 1)Can be delayed even without Optic Nerve Lesions
2)is delayed with Central Prolongation(Cortical delay) in Lower SSEP.
* lower SSEP CENTRAL PROLONGATION; cORTICAL DELAYS
Freidreicks Ataxia - ANSWER Patient has Muscle weakness
Loss of sensation
Typically Normal SSEP
Huntingtons Chorea - ANSWER ** Cortical Delay; CNS problem
Characterized after onset by uncoordinated, Jerky body movements; hereditary
disease(Chromosome 4)
**** CORTICAL RESPONSE MAY HAVE LOW AMPLITUDE AND DELAYED LATENCY.
Spondylolisthesis - ANSWER Forward Slippage of one Vertebra on another
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