CLTM ASAP (ADVANCED SUPERVISION
AND ASSESSMENT PROTOCOL) EXAM
QUESTIONS AND ANSWERS 100% PASS
The majority of seizures in the ICU are:
a) Complex partial
b) Absence
c) Nonconvulsive
d) Non-epileptic - ANS C. Nonconvulsive
TLE accounts for % of all patients with epilepsy?4
a) 40
b) 60
c) 20
d) 80 - ANS B. 60
Expressive speech
a) Sensory area
b) Wernicke's area
c) Broca's area
d) Olfactory area - ANS C. Broca's area
The safest AED for pregnant women:
a) Lamictal
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 58
,b) Phenotion
c)Depakote
d) Topamax - ANS A. Lamictal
What type of resection is associated with mesial temporal sclerosis?
a) Craniotomy
b) Corpus callostomy
c) Suboccipital resection
d) Temporal lobectomy - ANS D. Temporal Lobectomy
Hypsarrhythmia is a pattern most often associated with
a) Infantile spasms
b) Gelastic seizures
c) Atonic seizures
d) Absence seizures - ANS A. Infantile spasms
Which of the following medications is appropriate for treating status epilepticus?
a) Gabapentin
b) Lorazepam
c) Pregabalin
d) Ethosuximide - ANS B. Lorazepam
Vagus nerve stimulators are approved for use in patients with
a) Rolandic seizures
b) Psychogenic seizures
c) Generalized seizures
d) Partial seizures - ANS D. Partial seizures
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 58
,Bolus of propofol will cause
a) Beta activity
b) No changes
c) Generalized slowing
d) Burst suppression - ANS D. Burst suppression
Ketogenic diet
a) High fat, low carbohydrates, adequate protein
b) Vegetarian
c) Low fat, high carbohydrates, high protein
d) Low fat, low carbohydrates, low protein - ANS A. High fat, low carbohydrates, adequate
protein
Phenobarbital
a) No changes
b) Beta activity
c) Generalized slowing
d) Burst suppression - ANS B. Beta activity
Phenobarbital causes
a) Generalized slowing
b) No changes
c) Beta activity
d) Burst - suppression - ANS D. Burst - suppression
Stimulation assessment should be made on patients monitored in the ICU
a) Daily
b) Never
c) If the patient seems confused
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 58
, d) Only when the patient is awake - ANS A. Daily
The greatest utility of cEEG is in the ICU patients with:
a) Unexplained "spells" such as variation in vital signs or twitching
b) Peripheral system deficits
c) Known PNES
d) Recent cardiac event - ANS A. Unexplained "spells" such as variation in vital signs or
twitching
The goal of cortical stimulation during functional mapping is to:
a) Cause after discharge (ADs)
b) Provoke epileptic seizures
c) Identify eloquent cortex
d) Prevent Schwann cell damage - ANS C. Identify eloquent cortex
WADA
a) Language function
b) Epileptic field
c) Epileptic focus
d) Visual function - ANS A. Language function
As part of the presurgical work-up, this magnetic source localization is used for spatial and
temporal functional mapping of interictal epileptiform discharges
a) fMRI
b) WADA
c) MEG
d) PET - ANS C. MEG
Which type of procedure is involved during the preoperative diagnostic WADA test?
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 58
AND ASSESSMENT PROTOCOL) EXAM
QUESTIONS AND ANSWERS 100% PASS
The majority of seizures in the ICU are:
a) Complex partial
b) Absence
c) Nonconvulsive
d) Non-epileptic - ANS C. Nonconvulsive
TLE accounts for % of all patients with epilepsy?4
a) 40
b) 60
c) 20
d) 80 - ANS B. 60
Expressive speech
a) Sensory area
b) Wernicke's area
c) Broca's area
d) Olfactory area - ANS C. Broca's area
The safest AED for pregnant women:
a) Lamictal
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 58
,b) Phenotion
c)Depakote
d) Topamax - ANS A. Lamictal
What type of resection is associated with mesial temporal sclerosis?
a) Craniotomy
b) Corpus callostomy
c) Suboccipital resection
d) Temporal lobectomy - ANS D. Temporal Lobectomy
Hypsarrhythmia is a pattern most often associated with
a) Infantile spasms
b) Gelastic seizures
c) Atonic seizures
d) Absence seizures - ANS A. Infantile spasms
Which of the following medications is appropriate for treating status epilepticus?
a) Gabapentin
b) Lorazepam
c) Pregabalin
d) Ethosuximide - ANS B. Lorazepam
Vagus nerve stimulators are approved for use in patients with
a) Rolandic seizures
b) Psychogenic seizures
c) Generalized seizures
d) Partial seizures - ANS D. Partial seizures
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 58
,Bolus of propofol will cause
a) Beta activity
b) No changes
c) Generalized slowing
d) Burst suppression - ANS D. Burst suppression
Ketogenic diet
a) High fat, low carbohydrates, adequate protein
b) Vegetarian
c) Low fat, high carbohydrates, high protein
d) Low fat, low carbohydrates, low protein - ANS A. High fat, low carbohydrates, adequate
protein
Phenobarbital
a) No changes
b) Beta activity
c) Generalized slowing
d) Burst suppression - ANS B. Beta activity
Phenobarbital causes
a) Generalized slowing
b) No changes
c) Beta activity
d) Burst - suppression - ANS D. Burst - suppression
Stimulation assessment should be made on patients monitored in the ICU
a) Daily
b) Never
c) If the patient seems confused
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 58
, d) Only when the patient is awake - ANS A. Daily
The greatest utility of cEEG is in the ICU patients with:
a) Unexplained "spells" such as variation in vital signs or twitching
b) Peripheral system deficits
c) Known PNES
d) Recent cardiac event - ANS A. Unexplained "spells" such as variation in vital signs or
twitching
The goal of cortical stimulation during functional mapping is to:
a) Cause after discharge (ADs)
b) Provoke epileptic seizures
c) Identify eloquent cortex
d) Prevent Schwann cell damage - ANS C. Identify eloquent cortex
WADA
a) Language function
b) Epileptic field
c) Epileptic focus
d) Visual function - ANS A. Language function
As part of the presurgical work-up, this magnetic source localization is used for spatial and
temporal functional mapping of interictal epileptiform discharges
a) fMRI
b) WADA
c) MEG
d) PET - ANS C. MEG
Which type of procedure is involved during the preoperative diagnostic WADA test?
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 58
