CLTM ASAP (ADVANCED
SUPERVISION AND ASSESSMENT
PROTOCOL) BOARD EXAM 2026
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
What type of anesthesia is best for electrocorticography in the
operating rooms?
a) Propofol
b) Desflurane
c) Nitrous oxide
d) Ketamine - correct answer-B. Desflurane
Bolus of propofol will cause
a) No changes
b) Generalized slowing
c) Beta activity
d) Burst suppression - correct answer-D. Burst suppression
Rapid removal of which of the following anticonvulsants is most
likely to elicit a generalized seizure?
,a) Phenobarbital
b) Levetiracetam
c) Phenytoin
d) Lamotrigine - correct answer-A. Phenobarbital
Sensory symptoms such as tingling, numbness, and pins and
needles would suggest a seizure arising from the
a) Frontal lobe
b) Occipital lobe
c) Parietal lobe
d) Temporal lobe - correct answer-C. Parietal lobe
An appropriate anesthetic regimen for language mapping
a) > 1 MAC
b) TIVA
c) Awake with local
d) 1 MAC - correct answer-C. Awake with local
What EEG finding is most often associated with sensory
seizures?
a) Parietal sharp waves
,b) Temporal sharp waves
c) Occipital sharp waves
d) Polyspike and wave complexes - correct answer-A. Parietal
sharp waves
Ohtahara syndrome
a) Burst suppression
b) ESES
c) Generalized slowing
d) 3 Hz spike and wave - correct answer-A. Burst suppression
Lateralized Periodic Discharges are
a) Most common etiology in ischemic stroke
b) All the answers are correct
c) Associated with an increased risk for seizures and represent
an ictal or inter-ictal pattern
d) Associated with viral encephalitis - correct answer-B. All of
the answers are correct
Which of the following statements regarding Juvenile Myoclonic
Epilepsy is false?
a) The myoclonus is provoked by sleep deprivation
, b) A photoparoxysmal response is rarely observed
c) The EEG shows generalized polyspike and wave or fast
spike and wave
d) Infrequent absence seizures may be seen in 1/3 of patients -
correct answer-B. A photoparoxysmal response is rarely
observed
Electrical status epilepticus during sleep (ESES) is most
associated with
a) Rett syndrome
b) Angelman syndrome
c) Dandy walker syndrome
d) Landau kleffner - correct answer-D. Landau Kleffner
syndrome
Anterior tongue and lip bites often indicate
a) Secondary generalized seizure
b) Non epileptic seizure
c) Primary focal epilepsy
d) Primary generalized epilepsy - correct answer-B. Non
epileptic seizure
SUPERVISION AND ASSESSMENT
PROTOCOL) BOARD EXAM 2026
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
What type of anesthesia is best for electrocorticography in the
operating rooms?
a) Propofol
b) Desflurane
c) Nitrous oxide
d) Ketamine - correct answer-B. Desflurane
Bolus of propofol will cause
a) No changes
b) Generalized slowing
c) Beta activity
d) Burst suppression - correct answer-D. Burst suppression
Rapid removal of which of the following anticonvulsants is most
likely to elicit a generalized seizure?
,a) Phenobarbital
b) Levetiracetam
c) Phenytoin
d) Lamotrigine - correct answer-A. Phenobarbital
Sensory symptoms such as tingling, numbness, and pins and
needles would suggest a seizure arising from the
a) Frontal lobe
b) Occipital lobe
c) Parietal lobe
d) Temporal lobe - correct answer-C. Parietal lobe
An appropriate anesthetic regimen for language mapping
a) > 1 MAC
b) TIVA
c) Awake with local
d) 1 MAC - correct answer-C. Awake with local
What EEG finding is most often associated with sensory
seizures?
a) Parietal sharp waves
,b) Temporal sharp waves
c) Occipital sharp waves
d) Polyspike and wave complexes - correct answer-A. Parietal
sharp waves
Ohtahara syndrome
a) Burst suppression
b) ESES
c) Generalized slowing
d) 3 Hz spike and wave - correct answer-A. Burst suppression
Lateralized Periodic Discharges are
a) Most common etiology in ischemic stroke
b) All the answers are correct
c) Associated with an increased risk for seizures and represent
an ictal or inter-ictal pattern
d) Associated with viral encephalitis - correct answer-B. All of
the answers are correct
Which of the following statements regarding Juvenile Myoclonic
Epilepsy is false?
a) The myoclonus is provoked by sleep deprivation
, b) A photoparoxysmal response is rarely observed
c) The EEG shows generalized polyspike and wave or fast
spike and wave
d) Infrequent absence seizures may be seen in 1/3 of patients -
correct answer-B. A photoparoxysmal response is rarely
observed
Electrical status epilepticus during sleep (ESES) is most
associated with
a) Rett syndrome
b) Angelman syndrome
c) Dandy walker syndrome
d) Landau kleffner - correct answer-D. Landau Kleffner
syndrome
Anterior tongue and lip bites often indicate
a) Secondary generalized seizure
b) Non epileptic seizure
c) Primary focal epilepsy
d) Primary generalized epilepsy - correct answer-B. Non
epileptic seizure
