CNIM Actual Test Question and Answers
2024/2025 GRADED A+
An increase in stimulation intensity causes a linear increase of which of the following
SSEP components?
1. N20
2. N45
3. P31
4. P37 (correct answer)3. P31
Epidural electrodes are made of platinum because
1. It is the most durable metal
2. It is the lowest impedance metal
3. The chance of allergic reaction is eliminated
4. Other metals may become toxic when currents are applied (correct answer)4. Other
metals may become toxic when currents are applied
During a median nerve preoperative study, a patient has discomfort at the wrist.
Stimulation electrodes are 10 mm gold disk, stimulus intensity is 20 mA, and stimulus
duration is 100 uses. Which of the following would most likely reduce the patient’s
discomfort while maintaining adequate stimulation?
1. Increase stimulus duration
2. Use larger stimulating electrode
3. Use smaller stimulating electrode
4. Decrease stimulus intensity below motor threshold (correct answer)2. Use larger
stimulating electrode
Which of the following would enhance wave I of the BAEP?
1. Increase the rate
2. Increase the intensity
,3. Decrease the analysis time
4. Decrease the number of repetitions (correct answer)2. Increase the intensity
In BAEPs, wave I can most easily be differentiated from cochlear microphonics based
upon
1. Amplitude
2. Morphology
3. Click polarity
4. Absence in contralateral recording (correct answer)3. Click polarity
What is the interstimulus interval of a 50 Hz click stimulus?
1. 0.02 msec
2. 0.20 msec
3. 0.50 msec
4. 20.00 msec (correct answer)4. 20.00 msec
Contralateral masking should be used during BAEPs to
1. Help the patient relax
2. Enhance wave I amplitude
3. Separate the IV/V complex
4. Prevent crossover responses (correct answer)4. Prevent crossover responses
The complete absence of a BAEP is most likely the result of
1. Sedation
2. Multiple sclerosis
3. Severe hearing loss
4. A normal age variant (correct answer)3. Severe hearing loss
Identification of wave V of the BAEP may require
1. Tympanic electrodes
2. Bilateral stimulation
3. Decreasing stimulus intensity
4. Use of a nanocephalic reference (correct answer)3. Decreasing stimulus intensity
In spinal surgery, the primary purpose of the popliteal fossa recording electrode is to
1. Verify adequacy of stimulus
2. Limit current spread
,3. Confirm amplifier integrity
4. Provide evidence of a muscle twitch (correct answer)1. Verify adequacy of stimulus
while performing a posterior tibial SSEP, hypothermia of the lower extremities is most
likely to cause
1. Increased L3-P37 latency
2. Increased T12-P37 latency
3. Slowed peripheral conduction velocity
4. Abnormal prolongation of the P37-N45 complex (correct answer)3. Slowed peripheral
conduction velocity
Which of the following peaks in tibial nerve SSEPs is most analogous to P14 of median
nerve SSEP?
1. N20
2. N34
3. P31
4. P37 (correct answer)3. P31
Which of the following devices measures electrode resistance?
1. Ammeter
2. Ohmmeter
3. Voltmeter
4. Photometer (correct answer)2. Ohmmeter
If an evoked potential has a voltage of 10 up and the associated noise has a voltage of
50 up, what is the signal-to-noise ratio after 100 averaged responses?
1. 1:1
2. 1:2
3. 2:1
4. 5:1 (correct answer)3. 2:1
To display median nerve SSEP response as an upward deflection, which of the
following must be known?
1. Waveform polarity and latency of the response
2. Waveform polarity and polarity convention of the amplifier inputs
3. Polarity convention of amplifier inputs and amplitude of the response
, 4. Latency of the response and polarity convention of the amplifier inputs (correct
answer)2. Waveform polarity and polarity convention of the amplifier inputs
If an amplifier is rated as having 120 dB common mode rejection ratio, which of the
following ratios of in-phase to out-of-phase signals would be expected?
1. 10,000:1
2. 100,000:1
3. 500,000:1
4. 1,000,000:1 (correct answer)4. 1,000,000:1
Which of the following cranial nerves innervated the extraocular muscles?
1. Optic
2. Facial
3. Abducens
4. Trigeminal (correct answer)3. Abducens
Which of the following is an example of an SSEP far-field subcortical potential?
1. N20
2. N34
3. Rebs point
4. Popliteal fossa (correct answer)2. N34
Which of the following opposes any change in current?
1. Capacitance
2. Impedance
3. Inductance
4. Resistance (correct answer)3. Inductance
Which of the following electrode materials has little electrode potential drift and a long
time constant?
1. Tin
2. Gold
3. Silver
4. Stainless steel (correct answer)2. Gold
Where should epidural electrodes be placed?
1. On the dura
2024/2025 GRADED A+
An increase in stimulation intensity causes a linear increase of which of the following
SSEP components?
1. N20
2. N45
3. P31
4. P37 (correct answer)3. P31
Epidural electrodes are made of platinum because
1. It is the most durable metal
2. It is the lowest impedance metal
3. The chance of allergic reaction is eliminated
4. Other metals may become toxic when currents are applied (correct answer)4. Other
metals may become toxic when currents are applied
During a median nerve preoperative study, a patient has discomfort at the wrist.
Stimulation electrodes are 10 mm gold disk, stimulus intensity is 20 mA, and stimulus
duration is 100 uses. Which of the following would most likely reduce the patient’s
discomfort while maintaining adequate stimulation?
1. Increase stimulus duration
2. Use larger stimulating electrode
3. Use smaller stimulating electrode
4. Decrease stimulus intensity below motor threshold (correct answer)2. Use larger
stimulating electrode
Which of the following would enhance wave I of the BAEP?
1. Increase the rate
2. Increase the intensity
,3. Decrease the analysis time
4. Decrease the number of repetitions (correct answer)2. Increase the intensity
In BAEPs, wave I can most easily be differentiated from cochlear microphonics based
upon
1. Amplitude
2. Morphology
3. Click polarity
4. Absence in contralateral recording (correct answer)3. Click polarity
What is the interstimulus interval of a 50 Hz click stimulus?
1. 0.02 msec
2. 0.20 msec
3. 0.50 msec
4. 20.00 msec (correct answer)4. 20.00 msec
Contralateral masking should be used during BAEPs to
1. Help the patient relax
2. Enhance wave I amplitude
3. Separate the IV/V complex
4. Prevent crossover responses (correct answer)4. Prevent crossover responses
The complete absence of a BAEP is most likely the result of
1. Sedation
2. Multiple sclerosis
3. Severe hearing loss
4. A normal age variant (correct answer)3. Severe hearing loss
Identification of wave V of the BAEP may require
1. Tympanic electrodes
2. Bilateral stimulation
3. Decreasing stimulus intensity
4. Use of a nanocephalic reference (correct answer)3. Decreasing stimulus intensity
In spinal surgery, the primary purpose of the popliteal fossa recording electrode is to
1. Verify adequacy of stimulus
2. Limit current spread
,3. Confirm amplifier integrity
4. Provide evidence of a muscle twitch (correct answer)1. Verify adequacy of stimulus
while performing a posterior tibial SSEP, hypothermia of the lower extremities is most
likely to cause
1. Increased L3-P37 latency
2. Increased T12-P37 latency
3. Slowed peripheral conduction velocity
4. Abnormal prolongation of the P37-N45 complex (correct answer)3. Slowed peripheral
conduction velocity
Which of the following peaks in tibial nerve SSEPs is most analogous to P14 of median
nerve SSEP?
1. N20
2. N34
3. P31
4. P37 (correct answer)3. P31
Which of the following devices measures electrode resistance?
1. Ammeter
2. Ohmmeter
3. Voltmeter
4. Photometer (correct answer)2. Ohmmeter
If an evoked potential has a voltage of 10 up and the associated noise has a voltage of
50 up, what is the signal-to-noise ratio after 100 averaged responses?
1. 1:1
2. 1:2
3. 2:1
4. 5:1 (correct answer)3. 2:1
To display median nerve SSEP response as an upward deflection, which of the
following must be known?
1. Waveform polarity and latency of the response
2. Waveform polarity and polarity convention of the amplifier inputs
3. Polarity convention of amplifier inputs and amplitude of the response
, 4. Latency of the response and polarity convention of the amplifier inputs (correct
answer)2. Waveform polarity and polarity convention of the amplifier inputs
If an amplifier is rated as having 120 dB common mode rejection ratio, which of the
following ratios of in-phase to out-of-phase signals would be expected?
1. 10,000:1
2. 100,000:1
3. 500,000:1
4. 1,000,000:1 (correct answer)4. 1,000,000:1
Which of the following cranial nerves innervated the extraocular muscles?
1. Optic
2. Facial
3. Abducens
4. Trigeminal (correct answer)3. Abducens
Which of the following is an example of an SSEP far-field subcortical potential?
1. N20
2. N34
3. Rebs point
4. Popliteal fossa (correct answer)2. N34
Which of the following opposes any change in current?
1. Capacitance
2. Impedance
3. Inductance
4. Resistance (correct answer)3. Inductance
Which of the following electrode materials has little electrode potential drift and a long
time constant?
1. Tin
2. Gold
3. Silver
4. Stainless steel (correct answer)2. Gold
Where should epidural electrodes be placed?
1. On the dura
