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Exam (elaborations)

CNIM TEST with solutions.

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In BAEP's, cochlear nucleus lesion causes? - ANSWER: Increased III-V, increased I-V Which modality is most useful in monitoring the integrity of the corticospinal tracts during resection of an intramedullary spinal cord tumor? - ANSWER: D-Waves The stimulus used in a brainstem auditory evok...

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  • June 23, 2024
  • 22
  • 2023/2024
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CNIM TEST with solutions

In BAEP's, cochlear nucleus lesion causes? - ANSWER: ✔✔Increased III-V, increased I-V



Which modality is most useful in monitoring the integrity of the corticospinal tracts during resection of
an intramedullary spinal cord tumor? - ANSWER: ✔✔D-Waves



The stimulus used in a brainstem auditory evoked potential study is a click with a peak acoustic power in
the range of - ANSWER: ✔✔2000 to 4000Hz



Which of the following tibial nerve responses is not a near field response? - ANSWER: ✔✔N31



How many amperes of current will flow in a circuit containing a 2V battery and 10 ohms of resistance? -
ANSWER: ✔✔0.2 amps



In BAEP's blood, betadine or irrigation fluid in tubing causes: - ANSWER: ✔✔Increase in absolute
latency, normal inter-peak latencies



In averaging, the period of analysis is called _______ or ________. - ANSWER: ✔✔Epoch, sweep length



While monitoring BAEP, there was a prolongation of wave I through V by more than 2 msec. Which of the
following choices is NOT a possible cause? - ANSWER: ✔✔Increase of isoflurane anesthesia



Involuntary movement - ANSWER: ✔✔Ataxia



Smaller surface of stimulating electrodes: - ANSWER: ✔✔Higher Current Density



During posterior fossa surgery, when BAEPs are used for monitoring brainstem function, it is most
important to: - ANSWER: ✔✔Stimulate and record from the contralateral side

,P100 of a VEP will have the highest amplitude in which derivation? - ANSWER: ✔✔MO-Fz



Cranial nerve VII must be monitored concurrently with BAERs. - ANSWER: ✔✔True



Nerves of the body, such as median, ulnar, and femoral are formed from the: - ANSWER: ✔✔Dorsal and
ventral rami



Upper motor neuron extends from: - ANSWER: ✔✔Precentral gyrus to ventral horn



Increasing the stimulus rate of BAEPs - ANSWER: ✔✔Decreases amplitude and increases latency



Which of the following is the normal interocular latency difference of P100? - ANSWER: ✔✔Less than 15
msec



An amplifier sensitivity setting that produces a vertical deflection of 1cm with an input of 10mV is: -
ANSWER: ✔✔1mV/mm



When identifying wave IV and V of a BAEP, which of the following would be most helpful? - ANSWER:
✔✔Cz-Contra ear montage



The maximum leakage current should be - ANSWER: ✔✔100 uA



Wave V is usually the most prominent peak after - ANSWER: ✔✔5.5 msec



Which of the following montages will best demonstrate waves I through V of the BAEP? - ANSWER:
✔✔Cz-ipsilateral ear



P13 Generator - ANSWER: ✔✔Spinomedullary junction



An electrode recording from Erb's point is placed - ANSWER: ✔✔2-3 cm above the clavicle

, In BAEP's, perforated or hardened tympanic membrane causes: - ANSWER: ✔✔Increase in absolute
latency, normal inter-peak latencies



Which of the following temperatures should be annotated as being hypothermic? - ANSWER: ✔✔34
degrees C



Dyskinesia: - ANSWER: ✔✔Abnormal Movement



Sensory supply of the posterior 1/3rd of the tongue is from which nerve? - ANSWER:
✔✔Glossopharyngeal



What is the best montage for distinguishing a IV/V complex? - ANSWER: ✔✔Cz-Contra Ear



Loss of a unilateral waveform is never a concern as long as wave V is present on the other ear. -
ANSWER: ✔✔False



Which of the following are thalamic nuclei for the somatosensory pathway? - ANSWER: ✔✔VPL nucleus



What does an increased N13-N20 central conduction time with normal N9-N20 conduction time and a
normal nerve conduction velocity indicate? - ANSWER: ✔✔Defect above the lower medulla at or below
the somatosensory cortex



The effect of hypotension on the evoked potential is: - ANSWER: ✔✔Decreased amplitude, increased
latency



Using an amplification factor of 500,000, a 1uV brainstem auditory evoked potential waveform will be
amplified to - ANSWER: ✔✔0.50v



Which of the following monitoring modes is LEAST useful for skull base surgery? - ANSWER: ✔✔Tibial
nerve SSEP

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