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CNIM INTRAOPERATIVE CERTIFICATION TEST PAPER 2026 SOLVED QUESTION SET

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CNIM INTRAOPERATIVE CERTIFICATION TEST PAPER 2026 SOLVED QUESTION SET

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CNIM INTRAOPERATIVE
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CNIM INTRAOPERATIVE CERTIFICATION TEST
PAPER 2026 SOLVED QUESTION SET


◉ Primary goal of intraoperative neuromonitoring Answer: Detect
neural injury early enough to allow intervention and prevent deficit.


◉ Main modalities in CNIM Answer: SSEP, MEP, EMG, EEG, BAEP.


◉ ACNS alarm criteria for SSEPs Answer: ≥50% amplitude drop and/or
≥10% latency increase.


◉ ACNS UE SSEP bandpass Answer: ≈30-1,000 Hz.


◉ ACNS LE SSEP bandpass Answer: ≈30-1,000 Hz.


◉ ACNS BAEP bandpass Answer: ≈100-150 Hz to 2,500-3,000 Hz.


◉ Which tract do SSEPs assess? Answer: Dorsal column-medial
lemniscal.


◉ Which tract do MEPs assess? Answer: Corticospinal tract.

, ◉ Anterior spinal artery supplies Answer: Anterior two-thirds of cord,
including motor tracts.


◉ Median nerve obligate peaks Answer: N9, N13, P14, N20.


◉ LE SSEP cortical peak name Answer: P37.


◉ SSEP stimulation rate typical Answer: 2-5 Hz.


◉ Why avoid NMBAs in MEP cases? Answer: They suppress muscle
responses.


◉ Typical MEP train parameters Answer: 3-9 pulses, 200-500 μs, 1-4 ms
ISI.


◉ Most sensitive to anterior cord ischemia Answer: MEPs.


◉ Free-run EMG purpose Answer: Detect spontaneous discharges from
nerve irritation.


◉ Triggered EMG breach concern threshold Answer: <8 mA.
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