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ABRET Certification in Long Term Monitoring (CLTM) Practice Exam

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The ABRET Certification in Long Term Monitoring (CLTM) Practice Exam prepares candidates for certification in advanced neurodiagnostic monitoring. The exam covers EEG monitoring, seizure detection, patient safety during long-term monitoring, and troubleshooting equipment. Key topics include underst...

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  • October 6, 2024
  • 129
  • 2024/2025
  • Exam (elaborations)
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nikhiljain22
ABRET Certification in Long Term Monitoring (CLTM) Exam

1. What is a primary indication for long-term monitoring (LTM) in epilepsy
patients?
o A) Routine blood tests
o B) Identifying seizure types and localization
o C) Evaluating liver function
o D) Assessing cardiac health

Answer: B) Identifying seizure types and localization

o Explanation: LTM is used to monitor and analyze seizure activity over an extended
period to accurately identify seizure types and their origins for effective treatment
planning.


2. In which situation is ICU monitoring typically indicated?
o A) Routine follow-up of a healthy patient
o B) Monitoring a patient with severe, ongoing seizures
o C) Checking for routine medications
o D) General health screening

Answer: B) Monitoring a patient with severe, ongoing seizures

o Explanation: ICU monitoring is essential for patients experiencing severe or
continuous seizures that require close observation and immediate intervention.


3. What is a common indication for ambulatory EEG monitoring?
o A) Identifying blood pressure levels
o B) Monitoring for episodic seizures during daily activities
o C) Evaluating lung function
o D) Screening for diabetes

Answer: B) Monitoring for episodic seizures during daily activities

o Explanation: Ambulatory EEG is used to capture seizure activity during normal daily
activities, providing a comprehensive view of seizure frequency and patterns.


4. Which of the following is an essential element of a patient's history for epilepsy
evaluation?
o A) Family medical history
o B) Patient's favorite foods
o C) Employment history
o D) Pet ownership

Answer: A) Family medical history



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, ABRET Certification in Long Term Monitoring (CLTM) Exam

o Explanation: A detailed family medical history can help identify genetic
predispositions to epilepsy or other neurological conditions.
5. What should be included when documenting seizure history?
o A) Duration and frequency of seizures
o B) Patient’s hobbies
o C) Family vacations
o D) Dietary preferences

Answer: A) Duration and frequency of seizures

o Explanation: Documenting the duration and frequency of seizures is crucial for
accurate diagnosis and treatment planning.


6. What does the term 'ictal' refer to in EEG terminology?
o A) Period between seizures
o B) The onset of a seizure
o C) Normal brain activity
o D) Post-seizure recovery

Answer: B) The onset of a seizure

o Explanation: 'Ictal' describes the active phase of a seizure, from its onset to the end
of the seizure activity.


7. Which term is used to describe abnormal electrical activity in the brain seen on
an EEG?
o A) Ectopic
o B) Artifact
o C) Epileptiform
o D) Ischemic

Answer: C) Epileptiform

o Explanation: 'Epileptiform' refers to abnormal EEG patterns that are indicative of
epilepsy or seizure disorders.

8. Which class of medication is commonly used as a first-line treatment for focal
seizures?
o A) Antidepressants
o B) Anticonvulsants
o C) Antibiotics
o D) Antihypertensives

Answer: B) Anticonvulsants



2

, ABRET Certification in Long Term Monitoring (CLTM) Exam

o Explanation: Anticonvulsants are prescribed to manage and control seizure activity
in patients with focal seizures.


9. What is a potential side effect of the anticonvulsant medication phenytoin?
o A) Hyperglycemia
o B) Gingival hyperplasia
o C) Hair loss
o D) Weight gain

Answer: B) Gingival hyperplasia

o Explanation: Gingival hyperplasia is a known side effect of phenytoin, which can
cause gum overgrowth.

10. Which diagnostic procedure is best for identifying structural abnormalities in
the brain?
o A) PET scan
o B) MRI
o C) WADA test
o D) SPECT scan

Answer: B) MRI

o Explanation: MRI is highly effective in visualizing structural abnormalities in the
brain, such as tumors or lesions.


11. What does the WADA test assess in epilepsy patients?
o A) Blood glucose levels
o B) Language and memory function
o C) Heart rate variability
o D) Blood pressure

Answer: B) Language and memory function

o Explanation: The WADA test is used to evaluate language and memory function by
temporarily anesthetizing one hemisphere of the brain.

12. Which EEG pattern is often seen in infants and young children with seizures?
o A) Theta bursts
o B) Spike-and-wave discharges
o C) Alpha rhythms
o D) Beta rhythms

Answer: B) Spike-and-wave discharges



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, ABRET Certification in Long Term Monitoring (CLTM) Exam

o Explanation: Spike-and-wave discharges are commonly observed in infants and
young children with generalized seizures.


13. What EEG feature is commonly associated with elderly patients experiencing
seizures?
o A) Beta bursts
o B) Paroxysmal fast activity
o C) Triphasic waves
o D) High-amplitude theta waves

Answer: C) Triphasic waves

o Explanation: Triphasic waves are often seen in elderly patients, particularly in
conditions such as metabolic encephalopathy.

14. Which neurological disorder is characterized by the presence of multiple
sclerosis plaques on MRI?
o A) Parkinson's disease
o B) Multiple sclerosis
o C) Alzheimer's disease
o D) Huntington's disease

Answer: B) Multiple sclerosis

o Explanation: Multiple sclerosis is identified by the presence of demyelinating
plaques in the central nervous system on MRI.


15. Which condition involves abnormal, rhythmic movements that can affect various
parts of the body?
o A) Parkinson’s disease
o B) Huntington’s disease
o C) Epilepsy
o D) Multiple sclerosis

Answer: B) Huntington’s disease

o Explanation: Huntington’s disease is characterized by chorea, which includes
abnormal, rhythmic movements.

16. Which of the following is classified as a focal seizure?
o A) Absence seizure
o B) Myoclonic seizure
o C) Temporal lobe seizure
o D) Tonic-clonic seizure

Answer: C) Temporal lobe seizure

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