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IONM 110 Exam Questions & Answers (Grade A+).docx

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IONM 110 Exam Questions & Answers (Grade A+).docx

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IONM 110 Exam Questions & Answers
(Grade A+)
Match the correct phase in the path for epilepsy surgery for each of
the following sets of patient activities.


- Resective surgery in hopes of Epilepsy cure.
- SEA implant, in patient LTME 1-2 weeks, to again record seizures
and perform eloquent cortex cortical mapping, identify seizure
focus and evaluate if part of dominant hemisphere
- Short and long term follow up of patient as well as possible
rehabilitation for an post-operative neurological deficits.
- Patient has a seizure, EEG abnormal, patient put on AED, seizures
breakthrough, put on another AED, seizures still persist, now
refractory and another medication without success, so sent to
"Epilepsy Center for in patient LTME in hopes of recording at least 2
target events and other testing such as Wada, MEG, MRI, fMRI
resulting in a surgery conference to discuss potential candidate for
surgical intervention. -
correct answer ✅Phase III
Phase II
Phase IV
Phase I

,IONM 110 Exam Questions & Answers
(Grade A+)
An assessment of cognitive function, reasoning, problem solving,
expressive language, long and short term memory, attention,
processing speed, visual and spacial organization and visual motor
skills is called __________. -
correct answer ✅a Neuropsychological Evaluation


LTME's primary focus is to record seizures but it is also helpful in
_________. -
correct answer ✅c. behavioral abnormalities
d. New onset of "Spells"
e. differential diagnosis for non-epileptic events, syncope, cardiac
arrhythmias, TIAs, and narcolepsy


Which of the following statistics are true about seizure disorders? -
correct answer ✅a. 10% of individuals will suffer a seizure


d. 33% of patients who have had one seizure, will develop Epilepsy


Phase I in the LTME Unit is to classify and quantify events including:
-
correct answer ✅a. Begin assessment of candidacy for epilepsy
surgery

,IONM 110 Exam Questions & Answers
(Grade A+)
b. Precipitating circumstances or stimuli if any
c. Classify types of events or seizures for diagnosis
d. Quantify seizures and interictal activity
e. Physical patient changes during the seizures
f. Charterize topography of seizures (lateralization, localization and
distribution)


In phase II, during the in-patient phase of LTME, procedures
included in this phase for the patient and LTM staff are _______.
(Select all that apply) -
correct answer ✅b. Activation procedures including, HV, PS, Sleep
Deprivation, reduction of AEDs, harness standing, Exercise or
Drinking, anything that triggers the patient's target events
c. Pruning, Clipping and Archiving, etc the significant pertinent EEG
data
d. Baseline EEG recording during wakefulness, drowsiness and sleep
e. Other testing such as MRI, MEG, MSI, CT, Neuropsych, SPECT,
MRS, fMRI and PET


Match the level of "Epilepsy Centers I-IV" with the description.
General physician who treats patients with typical antiepileptic
drugs that have relatively good success

, IONM 110 Exam Questions & Answers
(Grade A+)

Top of the line specialty centers which are regional and national
referral facilities and can do level II areas and SEA implants and
complex epilepsy surgeries.


Considered a specialty epilepsy center, providing neuropsychology,
non-invasive evaluations, possible VNS implants and
straightforward resective surgeries


General neurologist who treats patients with typical antiepileptic
drugs that have relatively good success -
correct answer ✅Level I
Level IV
Level III
Level II


Which of the following apply to the definition of a seizure? -
correct answer ✅b. Seizures can cause loss of or alterations of
consciousness and affect motor and sensory systems depending on
location of the seizure activity

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