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CLTM ASAP Board Prep – Questions And Answers
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CLTM ASAP Board Prep – Questions And AnswersTemporal lobe epilepsy accounts for what % of all adult patients with
epilepsy? ✔️Ans - 60%
The majority of seizures in the intensive care unit are: ✔️Ans - non
convulsive
What type of resection is associated with medial temporal sclerosis?
✔️Ans - Temporal lobectomy
The safest AED for pregnant women ✔️Ans - Lamictal
Hypsarrhythmia is a pattern most often associated with ✔️Ans - Infantile
spasms
Expressive speech ✔️Ans - Broca's area
Vagus nerve stimulators are approved for use in patients with ✔️Ans -
partial seizures
Phenobarbital shows what activity? ✔️Ans - Beta
Which medication is appropriate for treating status epilepticus? ✔️Ans -
Lorazepam
Keto diet consists of ✔️Ans - high fat, low carbohydrates, adequate
protein
Bolus of Propofol will cause: ✔️Ans - burst suppression
How often should Stimulation assessment be made on patients monitored in
the ICU? ✔️Ans - Daily
The greatest utility of CEEG is in the ICU patients with: ✔️Ans -
Unexplained "spells" such as variations in vital signs or twitching
,WADA testing, also known as intracarotid amobarbitol procedure is
performed for: ✔️Ans - Language and memory lateralization
What less invasive test for language and memory has decreased the number of
WADA tests that are being conducted? ✔️Ans - fMRI
PET ✔️Ans - hypometabolism
The intracarotid ambarbital test is used to determine cerebral dominance for:
✔️Ans - language and memory function
WADA is associated with: ✔️Ans - language function
What does PET stand for? ✔️Ans - Positron Emission Tomography
Cerebral angiography prior to intracarotid amobarbital testing is necessary to
assess ✔️Ans - arterial blood flow
SPECT stands for: ✔️Ans - Single Photon Emitted Computed Tomography
Which type of procedure is involved during the preoperative diagnostic
WADA test? ✔️Ans - Angiography
PET studies in a child with Rasmussen's encephalitis will most likely
demonstrate: ✔️Ans - 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 ✔️Ans - MEG
**PET studies in a patient with left temporal lobe epilepsy will most likely
show ✔️Ans - Decreased glucose uptake
Intracarotid injection of Amobarbital procedures are associated with:
✔️Ans - ipsilateral hemispheric dysfunction and transient contralateral
paralysis
The interictal SPECT may show focal ✔️Ans - Hypoperfusion
, The goal of cortical stimulation during functional mapping is to: ✔️Ans -
identify eloquent cortex
during a WADA test activities on one side of the brain are suspended for
approximately ✔️Ans - 4-8 minutes
The best imaging study for assessing hippocampal sclerosis ✔️Ans - MRI
WADA is associated with what memory? ✔️Ans - Short term memory
At what postmenstrual age (PMA) do delta brushes start to appear? ✔️Ans
- 30 weeks
What is the postmenstrual age (PMA) of a neonate born at 36 weeks gestation
who is now 2 weeks old? ✔️Ans - 38 weeks
A neonates EEG pattern is evaluated based on: ✔️Ans - postmenstural age
(PMA)
Which childhood epileptic syndrome has the best prognosis? ✔️Ans -
Panayiotopoulous syndrome
At what age would a posterior dominant rhythm be seen? ✔️Ans - 3-4
months
Aphasia is the characteristic clinical sign of: ✔️Ans - Landau-Kleffner
Which of the following blood vessels is most frequently involved in
cerebrovascular accidents (CVA)? ✔️Ans - Internal carotid artery
How many hours is the typical therapeutic hypothermia period for neonates
with hypoxic ischemic encephalopathy? ✔️Ans - 72 hours
A subarachnoid hemorrhage occurs: ✔️Ans - Between the first and
second layer of meninges
Juvenile Myoclonic Epilepsy has seizures that occur: ✔️Ans - during the
first hour of waking
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