CLTM ASAP Board Prep Questions And Correct Answers
Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy? -
ANSWER 60%
The majority of seizures in the intensive care unit are: - ANSWER non convulsive
What type of resection is associated with medial temporal sclerosis? - ANSWER
Temporal lobectomy
The safest AED for pregnant women - ANSWER Lamictal
Hypsarrhythmia is a pattern most often associated with - ANSWER Infantile spasms
Expressive speech - ANSWER Broca's area
Vagus nerve stimulators are indicated for use in patients with - ANSWER partial seizures
Phenobarbital possesses what activity? - ANSWER Beta
Which of the following is an appropriate medication to treat status epilepticus? -
ANSWER Lorazepam
Keto diet is composed of - ANSWER high fat, low carbohydrates, adequate protein
Bolus of Propofol will cause: - ANSWER burst suppression
,Stimulation assessment on patients monitored in the ICU should be done: - ANSWER
Daily
The most useful application of CEEG is in the ICU patients with: - ANSWER Unexplained
"spells" such as variations in vital signs or twitching
WADA testing, or intracarotid amobarbitol procedure is done for: - ANSWER Language
and memory lateralization
Which of the following less invasive test for language and memory has reduced the
overall number of WADA tests being carried out? - ANSWER fMRI
PET- ANSWER hypometabolism
The intracarotid ambarbital test is used to assess cerebral dominance for: - ANSWER
language and memory function
WADA is related to: - ANSWER language function
What does PET stand for? - ANSWER Positron Emission Tomography
Cerebral angiography is required before intracarotid amobarbital testing to evaluate -
ANSWER arterial blood flow
SPECT stands for: - ANSWER Single Photon Emitted Computed Tomography
The preoperative diagnostic WADA test includes which type of procedure? - ANSWER
Angiography
PET studies in a child with Rasmussen's encephalitis will most likely show: - ANSWER
, Diffuse hemispheric hypometabolism
This magnetic source localization is used for spatial and temporal functional mapping of
interictal epileptiform discharges as part of pre-surgical work-up - ANSWER MEG
** The PET studies in a patient with left temporal lobe epilepsy will most probably
demonstrate - ANSWER Decreased glucose uptake
Intracarotid injection of Amobarbital procedures have the following associated risks: -
ANSWER ipsilateral hemispheric dysfunction and transient contralateral paralysis
The interictal SPECT may demonstrate focal - ANSWER Hypoperfusion
Cortical stimulation during functional mapping is done for the following: - ANSWER to
identify eloquent cortex
During a WADA test activities on one side of the brain are suspended for approximately -
ANSWER 4-8 minutes
The best imaging study for assessing hippocampal sclerosis - ANSWER MRI
WADA is associated with what memory? - ANSWER Short term memory
At what postmenstrual age (PMA) do delta brushes start to appear? - ANSWER 30 weeks
What is the PMA of a neonate born at 36 weeks gestation who is now 2 weeks old? -
ANSWER 38 weeks
A neonates EEG pattern is assessed on the basis of: - ANSWER postmenstural age
(PMA)
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