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CLTM Exam – Questions With Solutions
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CLTM Exam – Questions With Solutions1. PET
a. Hypometabolism
b. Hypoperfusion
c. Hypothyroid
d. Hypoglycemia ✔️Ans - Hypometabolism
2. SPECT
a. Hypometabolism
b. Hypoperfusion
c. Hypothyroid
d. Hypoglycemia ✔️Ans - Hypoperfusion
3. Choose the correct order for surgical evaluation for epilepsy surgery.
a. Seizure, placement of subdural electrodes, epilepsy diagnosis, medication
trials, surgical resection, imaging for pathology, EMU
b. Seizure, epilepsy diagnosis, medication trials, imaging for pathology,
craniotomy, placement of subdural electrodes, EMU, surgical resection
c. EMU, seizure, epilepsy diagnosis, placement of subdural electrodes,
craniotomy, medication trials, surgical resection, imaging for pathology
d. EMU, medication trails, seizure, epilepsy diagnosis, imaging for pathology,
surgical resection, craniotomy, placement of subdural electrodes ✔️Ans -
Seizure, epilepsy diagnosis, medication trials, imaging for pathology,
craniotomy, placement of subdural electrodes, EMU, surgical resection
4. fMRI
a. Detects spatial focal changes in blood flow and oxygenation
b. Can be used for sensory and language mapping
c. Is part of the pre-surgical planning
d. All of the above ✔️Ans - all of the above
5. As part the presurgical work-up, this magnetic source localization is used
for spatial and temporal functional mapping of interictal epileptiform
discharges
a. fMRI
b. PET
c. MEG
,d. WADA ✔️Ans - MEG
6. Intraoperative cortical mapping is performed for identification of
a. Tumor classification
b. Eloquent cortex
c. Hypometabolism
d. Epileptic foci ✔️Ans - Eloquent cortex
7. Phase II of epilepsy surgery
a. Subdural electrodes are placed for intracranial monitoring
b. Intracarotid amobarbital procedure is performed
c. Functional imaging for hypometabolism is performed
d. Functional hemispherectomy is performed ✔️Ans - Subdural electrodes
are placed for intracranial monitoring
8. The main difference between simple partial and complex partial is:
a. Focal motor activity
b. Preservation of consciousness
c. Autonomic activity
d. Anatomic location ✔️Ans - Preservation of consciousness
9. Cortical stimulation near the inferior frontal gyrus will most likely result in:
a. Leg movements
b. Auditory sensations
c. Expressive aphasia
d. Receptive aphasia ✔️Ans - Expressive aphasia
10. The goal of Cortical Stimulation during functional mapping is to:
a. Provoke epileptic seizures
b. Cause after discharges (ADs)
c. Identify eloquent cortex
d. Prevent schwann cell damage ✔️Ans - Identify eloquent cortex (ADs)
11. Wernicke's area lies in the:
a. Posterior part of the parietal lobe
b. Posterior part of the inferior temporal gyrus
c. Posterior part of the inferior frontal gyrus
d. Posterior part of the superior temporal gyrus ✔️Ans - Posterior part of
the superior temporal gyrus
, 12. Broca's area lies in the:
a. Posterior part of the parietal lobe
b. Posterior part of the inferior temporal gyrus
c. Posterior part of the inferior frontal gyrus
d. Posterior part of the superior temporal gyrus ✔️Ans - Posterior part of
the inferior frontal gyrus
13. Damage to Wernicke's area may result in:
a. Ataxia
b. Anoxia
c. Expressive aphasia
d. Receptive aphasia ✔️Ans - Receptive aphasia
14. Damage to Broca's area may result in:
a. Ataxiz
b. Anoxia
c. Expressive aphasia
d. Receptive aphasia ✔️Ans - Expressive aphasia
15. Risks of video-EEG monitoring related to medication withdrawal includes:
a. Seizure-related falls
b. Vertebral compression fractures
c. Skull fractures
d. All of the above ✔️Ans - all of the above
16. A patient who experiences epigastric rising followed by a 10 second oral
and/or manual automatisms, is unable to respond to verbal commands, and
has postictal confusion for several minutes has most likely indicates:
a. Simple partial
b. Complex partial
c. Secondary generalized
d. Primary generalized ✔️Ans -
17. The purpose of bilateral mesial temporal depth electrodes is to:
a. Identify the dominate hemisphere
b. Eloquent cortex
c. Record after discharges (ADs)
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