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