CNIM FINAL EXAM AND PRACTICE EXAM LATEST 2023-
2024 ACTUAL EXAM 800 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
What is the most likely effect of isoflurane at MAC 1.5 on tibialis anterior CMAP
amplitude in response to spinal stimulation?
1. Marked increase
2. Marked decrease
3. Minimal decrease
4. Minimal increase - ANSWER--2. Marked decrease
It is most important for intraoperative monitoring records to include notions of?
1. Surgical events
2. periodic impedance checks
3. serial changes in hematocrit
4. changes in anesthesia personnel - ANSWER--1. Surgical events
Which of the following is a critical surgical event?
1. Drilling of burr hole in skull
2. Decortication of vertebral elements
3. Placing of muscle plug in the internal auditory canal
4. Resecting of tumor fragments during acoustic neuroma resection -
ANSWER--4. Resecting of tumor fragments during acoustic neuroma resection
, CNIM FINAL EXAM AND PRACTICE EXAM LATEST 2023-
2024 ACTUAL EXAM 800 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Which of the following should be reported to the surgeon?
1. Loss of response
2. Change in time base
3. Switch to backup electrodes
4. increase in stimulus intensity - ANSWER--1. loss of response
D waves are recorded from which of the following electrodes?
1. Epidural electrodes over the spinal cord
2. Subdural electrodes over the motor strip
3. Surface electrodes over peripheral nerves
4. Needle electrodes in distal extremity muscles - ANSWER--1. Epidural
electrodes over the spinal cord
An objective measure of meaningful change to use to warn the surgeon is the ?
1. latency decrease
2. 50% amplitude decrease
3. IPL decrease
4. 10% amplitude decrease - ANSWER--2. 50% amplitude decrease
, CNIM FINAL EXAM AND PRACTICE EXAM LATEST 2023-
2024 ACTUAL EXAM 800 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Changes can be reported to the surgeon as quickly as possible when the surgeon is
asked to?
1. alert the technologist when cautery is in use
2. keep the field dry of fluids
3. inform the technologist when critical structures are approached
4. avoid monopolar cautery use - ANSWER--3. inform the technologist when
critical structures are approached
Pedicle screws are used for?
1. Spinal fixation
2. correction of curve
3. anterior fusion
4. derotation of spine - ANSWER--1. spinal fixation
The purpose of interbody cages is often?
1. employ multiple point fixation
2. restore lost disc height
3. restore sagittal contours
4. prevent migration prior to fixation - ANSWER--2. restore lost disc height
, CNIM FINAL EXAM AND PRACTICE EXAM LATEST 2023-
2024 ACTUAL EXAM 800 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Transcranial motor evoked potentials are best elicited when using?
1. a train of stimuli
2. complete neuromuscular blockade
3. halogenated agents
4. stimulus rates above 20/sec - ANSWER--1. a train of stimuli
In Compressed Density Spectral Array, frequency is depicted by?
1. Y-axis
2. X-axis
3. Epoch
4. Data Points - ANSWER--2. X-Axis
Transcranial electrical motor evoked potentials are best recorded with which of the
following anesthetic regiments?
1. Nitrous oxide 50% + midazolam bolus
2. Isoflurane .5 MAC + midazolam infusion
3. Nitrous oxide 50% + isoflurane <0.5 MAC
4. Propofol + Fentanyl infusion - ANSWER--4. Propofol + Fentanyl infusion
During carotid endarterectomies Spectral Edge Frequency is usually set to?
2024 ACTUAL EXAM 800 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
What is the most likely effect of isoflurane at MAC 1.5 on tibialis anterior CMAP
amplitude in response to spinal stimulation?
1. Marked increase
2. Marked decrease
3. Minimal decrease
4. Minimal increase - ANSWER--2. Marked decrease
It is most important for intraoperative monitoring records to include notions of?
1. Surgical events
2. periodic impedance checks
3. serial changes in hematocrit
4. changes in anesthesia personnel - ANSWER--1. Surgical events
Which of the following is a critical surgical event?
1. Drilling of burr hole in skull
2. Decortication of vertebral elements
3. Placing of muscle plug in the internal auditory canal
4. Resecting of tumor fragments during acoustic neuroma resection -
ANSWER--4. Resecting of tumor fragments during acoustic neuroma resection
, CNIM FINAL EXAM AND PRACTICE EXAM LATEST 2023-
2024 ACTUAL EXAM 800 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Which of the following should be reported to the surgeon?
1. Loss of response
2. Change in time base
3. Switch to backup electrodes
4. increase in stimulus intensity - ANSWER--1. loss of response
D waves are recorded from which of the following electrodes?
1. Epidural electrodes over the spinal cord
2. Subdural electrodes over the motor strip
3. Surface electrodes over peripheral nerves
4. Needle electrodes in distal extremity muscles - ANSWER--1. Epidural
electrodes over the spinal cord
An objective measure of meaningful change to use to warn the surgeon is the ?
1. latency decrease
2. 50% amplitude decrease
3. IPL decrease
4. 10% amplitude decrease - ANSWER--2. 50% amplitude decrease
, CNIM FINAL EXAM AND PRACTICE EXAM LATEST 2023-
2024 ACTUAL EXAM 800 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Changes can be reported to the surgeon as quickly as possible when the surgeon is
asked to?
1. alert the technologist when cautery is in use
2. keep the field dry of fluids
3. inform the technologist when critical structures are approached
4. avoid monopolar cautery use - ANSWER--3. inform the technologist when
critical structures are approached
Pedicle screws are used for?
1. Spinal fixation
2. correction of curve
3. anterior fusion
4. derotation of spine - ANSWER--1. spinal fixation
The purpose of interbody cages is often?
1. employ multiple point fixation
2. restore lost disc height
3. restore sagittal contours
4. prevent migration prior to fixation - ANSWER--2. restore lost disc height
, CNIM FINAL EXAM AND PRACTICE EXAM LATEST 2023-
2024 ACTUAL EXAM 800 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Transcranial motor evoked potentials are best elicited when using?
1. a train of stimuli
2. complete neuromuscular blockade
3. halogenated agents
4. stimulus rates above 20/sec - ANSWER--1. a train of stimuli
In Compressed Density Spectral Array, frequency is depicted by?
1. Y-axis
2. X-axis
3. Epoch
4. Data Points - ANSWER--2. X-Axis
Transcranial electrical motor evoked potentials are best recorded with which of the
following anesthetic regiments?
1. Nitrous oxide 50% + midazolam bolus
2. Isoflurane .5 MAC + midazolam infusion
3. Nitrous oxide 50% + isoflurane <0.5 MAC
4. Propofol + Fentanyl infusion - ANSWER--4. Propofol + Fentanyl infusion
During carotid endarterectomies Spectral Edge Frequency is usually set to?
