Page 1 of 187
CLTM BOARD TEST EXAM 2026/2027
VERSION A, B & C EACH VERSION
CONTAINS COMPLETE CURRENT
QUESTIONS WITH RELIABLE ANSWERS
(100% CORRECT VERIFIED SOLUTIONS)
LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED SUCCESS (BRAND NEW!)
FULL REVISED CLTM BOARD EXAM
1. A 65-year-old patient with a left temporal lesion has
focal spikes on EEG. During an ictal event, you note
rhythmic theta activity over the left temporal region that
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evolves in frequency and amplitude. What is the most
appropriate interpretation?
A) Pseudoperiodic lateralized epileptiform discharges (PLEDs)
B) Lateralized rhythmic delta activity (LRDA)
C) Electrographic seizure
D) Interictal epileptiform discharge
Correct Answer: C – Electrographic seizure
Rationale: Evolution in frequency, morphology, and location is
the hallmark of an electrographic seizure. PLEDs and LRDA are
interictal or ictal-interictal patterns but do not evolve.
2. A 3-year-old undergoing long-term monitoring for
suspected infantile spasms shows clusters of high-
amplitude, disorganized slow waves followed by a brief
electrodecrement. What is the likely diagnosis?
A) Lennox-Gastaut syndrome
B) Hypsarrhythmia
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C) Benign Rolandic epilepsy
D) Electrical status epilepticus in sleep
Correct Answer: B – Hypsarrhythmia
Rationale: Hypsarrhythmia is the characteristic interictal EEG
pattern in infantile spasms, featuring chaotic, high-voltage
slowing with multifocal spikes. The described evolution suggests
an ictal spasm.
3. During a Phase I monitoring admission, a patient has a
generalized tonic-clonic seizure. Postictally, you observe
generalized suppression followed by diffuse slowing. How
long should you typically monitor to capture baseline?
A) 5 minutes
B) 30 minutes
C) 2 hours
D) 24 hours
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Correct Answer: B – 30 minutes
Rationale: Postictal slowing usually resolves within 20–30
minutes. Monitoring beyond 30 minutes ensures return to baseline
and rules out persistent encephalopathy.
4. A patient with possible psychogenic nonepileptic
seizures (PNES) has an event during video-EEG. Which
finding best supports PNES?
A) Generalized spike-wave at 3 Hz
B) Rhythmic alpha activity during eye closure
C) Preservation of alpha rhythm during the event
D) Postictal generalized suppression
Correct Answer: C – Preservation of alpha rhythm during
the event
Rationale: In PNES, the background rhythm (alpha) often
remains intact, whereas in generalized seizures, background is
disrupted. EEG is typically normal during PNES.
CLTM BOARD TEST EXAM 2026/2027
VERSION A, B & C EACH VERSION
CONTAINS COMPLETE CURRENT
QUESTIONS WITH RELIABLE ANSWERS
(100% CORRECT VERIFIED SOLUTIONS)
LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED SUCCESS (BRAND NEW!)
FULL REVISED CLTM BOARD EXAM
1. A 65-year-old patient with a left temporal lesion has
focal spikes on EEG. During an ictal event, you note
rhythmic theta activity over the left temporal region that
,Page 2 of 187
evolves in frequency and amplitude. What is the most
appropriate interpretation?
A) Pseudoperiodic lateralized epileptiform discharges (PLEDs)
B) Lateralized rhythmic delta activity (LRDA)
C) Electrographic seizure
D) Interictal epileptiform discharge
Correct Answer: C – Electrographic seizure
Rationale: Evolution in frequency, morphology, and location is
the hallmark of an electrographic seizure. PLEDs and LRDA are
interictal or ictal-interictal patterns but do not evolve.
2. A 3-year-old undergoing long-term monitoring for
suspected infantile spasms shows clusters of high-
amplitude, disorganized slow waves followed by a brief
electrodecrement. What is the likely diagnosis?
A) Lennox-Gastaut syndrome
B) Hypsarrhythmia
,Page 3 of 187
C) Benign Rolandic epilepsy
D) Electrical status epilepticus in sleep
Correct Answer: B – Hypsarrhythmia
Rationale: Hypsarrhythmia is the characteristic interictal EEG
pattern in infantile spasms, featuring chaotic, high-voltage
slowing with multifocal spikes. The described evolution suggests
an ictal spasm.
3. During a Phase I monitoring admission, a patient has a
generalized tonic-clonic seizure. Postictally, you observe
generalized suppression followed by diffuse slowing. How
long should you typically monitor to capture baseline?
A) 5 minutes
B) 30 minutes
C) 2 hours
D) 24 hours
, Page 4 of 187
Correct Answer: B – 30 minutes
Rationale: Postictal slowing usually resolves within 20–30
minutes. Monitoring beyond 30 minutes ensures return to baseline
and rules out persistent encephalopathy.
4. A patient with possible psychogenic nonepileptic
seizures (PNES) has an event during video-EEG. Which
finding best supports PNES?
A) Generalized spike-wave at 3 Hz
B) Rhythmic alpha activity during eye closure
C) Preservation of alpha rhythm during the event
D) Postictal generalized suppression
Correct Answer: C – Preservation of alpha rhythm during
the event
Rationale: In PNES, the background rhythm (alpha) often
remains intact, whereas in generalized seizures, background is
disrupted. EEG is typically normal during PNES.
