CLTM ASAP Board Prep
Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy? -
CORRECT ANSWER-60%
The majority of seizures in the intensive care unit are: - CORRECT
ANSWER-non convulsive
What type of resection is associated with medial temporal sclerosis? -
CORRECT ANSWER-Temporal lobectomy
The safest AED for pregnant women - CORRECT ANSWER-Lamictal
Hypsarrhythmia is a pattern most often associated with - CORRECT
ANSWER-Infantile spasms
Expressive speech - CORRECT ANSWER-Broca's area
Vagus nerve stimulators are approved for use in patients with - CORRECT
ANSWER-partial seizures
Phenobarbital shows what activity? - CORRECT ANSWER-Beta
Which medication is appropriate for treating status epilepticus? - CORRECT
ANSWER-Lorazepam
Keto diet consists of - CORRECT ANSWER-high fat, low carbohydrates,
adequate protein
Bolus of Propofol will cause: - CORRECT ANSWER-burst suppression
How often should Stimulation assessment be made on patients monitored in the
ICU? - CORRECT ANSWER-Daily
The greatest utility of CEEG is in the ICU patients with: - CORRECT
ANSWER-Unexplained "spells" such as variations in vital signs or twitching
,WADA testing, also known as intracarotid amobarbitol procedure is performed
for: - CORRECT ANSWER-Language and memory lateralization
What less invasive test for language and memory has decreased the number of
WADA tests that are being conducted? - CORRECT ANSWER-fMRI
PET - CORRECT ANSWER-hypometabolism
The intracarotid ambarbital test is used to determine cerebral dominance for: -
CORRECT ANSWER-language and memory function
WADA is associated with: - CORRECT ANSWER-language function
What does PET stand for? - CORRECT ANSWER-Positron Emission
Tomography
Cerebral angiography prior to intracarotid amobarbital testing is necessary to
assess - CORRECT ANSWER-arterial blood flow
SPECT stands for: - CORRECT ANSWER-Single Photon Emitted Computed
Tomography
Which type of procedure is involved during the preoperative diagnostic WADA
test? - CORRECT ANSWER-Angiography
PET studies in a child with Rasmussen's encephalitis will most likely
demonstrate: - CORRECT ANSWER-Widespread hemispheric hypometabolism
As part of the pre-surgical work-up, this magnetic source localization is used for
spatial and temporal functional mapping of interictal epileptiform discharges -
CORRECT ANSWER-MEG
**PET studies in a patient with left temporal lobe epilepsy will most likely show -
CORRECT ANSWER-Decreased glucose uptake
, Intracarotid injection of Amobarbital procedures are associated with: - CORRECT
ANSWER-ipsilateral hemispheric dysfunction and transient contralateral
paralysis
The interictal SPECT may show focal - CORRECT ANSWER-Hypoperfusion
The goal of cortical stimulation during functional mapping is to: - CORRECT
ANSWER-identify eloquent cortex
during a WADA test activities on one side of the brain are suspended for
approximately - CORRECT ANSWER-4-8 minutes
The best imaging study for assessing hippocampal sclerosis - CORRECT
ANSWER-MRI
WADA is associated with what memory? - CORRECT ANSWER-Short term
memory
At what postmenstrual age (PMA) do delta brushes start to appear? - CORRECT
ANSWER-30 weeks
What is the postmenstrual age (PMA) of a neonate born at 36 weeks gestation
who is now 2 weeks old? - CORRECT ANSWER-38 weeks
A neonates EEG pattern is evaluated based on: - CORRECT
ANSWER-postmenstural age (PMA)
Which childhood epileptic syndrome has the best prognosis? - CORRECT
ANSWER-Panayiotopoulous syndrome
At what age would a posterior dominant rhythm be seen? - CORRECT
ANSWER-3-4 months
Aphasia is the characteristic clinical sign of: - CORRECT
ANSWER-Landau-Kleffner
Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy? -
CORRECT ANSWER-60%
The majority of seizures in the intensive care unit are: - CORRECT
ANSWER-non convulsive
What type of resection is associated with medial temporal sclerosis? -
CORRECT ANSWER-Temporal lobectomy
The safest AED for pregnant women - CORRECT ANSWER-Lamictal
Hypsarrhythmia is a pattern most often associated with - CORRECT
ANSWER-Infantile spasms
Expressive speech - CORRECT ANSWER-Broca's area
Vagus nerve stimulators are approved for use in patients with - CORRECT
ANSWER-partial seizures
Phenobarbital shows what activity? - CORRECT ANSWER-Beta
Which medication is appropriate for treating status epilepticus? - CORRECT
ANSWER-Lorazepam
Keto diet consists of - CORRECT ANSWER-high fat, low carbohydrates,
adequate protein
Bolus of Propofol will cause: - CORRECT ANSWER-burst suppression
How often should Stimulation assessment be made on patients monitored in the
ICU? - CORRECT ANSWER-Daily
The greatest utility of CEEG is in the ICU patients with: - CORRECT
ANSWER-Unexplained "spells" such as variations in vital signs or twitching
,WADA testing, also known as intracarotid amobarbitol procedure is performed
for: - CORRECT ANSWER-Language and memory lateralization
What less invasive test for language and memory has decreased the number of
WADA tests that are being conducted? - CORRECT ANSWER-fMRI
PET - CORRECT ANSWER-hypometabolism
The intracarotid ambarbital test is used to determine cerebral dominance for: -
CORRECT ANSWER-language and memory function
WADA is associated with: - CORRECT ANSWER-language function
What does PET stand for? - CORRECT ANSWER-Positron Emission
Tomography
Cerebral angiography prior to intracarotid amobarbital testing is necessary to
assess - CORRECT ANSWER-arterial blood flow
SPECT stands for: - CORRECT ANSWER-Single Photon Emitted Computed
Tomography
Which type of procedure is involved during the preoperative diagnostic WADA
test? - CORRECT ANSWER-Angiography
PET studies in a child with Rasmussen's encephalitis will most likely
demonstrate: - CORRECT ANSWER-Widespread hemispheric hypometabolism
As part of the pre-surgical work-up, this magnetic source localization is used for
spatial and temporal functional mapping of interictal epileptiform discharges -
CORRECT ANSWER-MEG
**PET studies in a patient with left temporal lobe epilepsy will most likely show -
CORRECT ANSWER-Decreased glucose uptake
, Intracarotid injection of Amobarbital procedures are associated with: - CORRECT
ANSWER-ipsilateral hemispheric dysfunction and transient contralateral
paralysis
The interictal SPECT may show focal - CORRECT ANSWER-Hypoperfusion
The goal of cortical stimulation during functional mapping is to: - CORRECT
ANSWER-identify eloquent cortex
during a WADA test activities on one side of the brain are suspended for
approximately - CORRECT ANSWER-4-8 minutes
The best imaging study for assessing hippocampal sclerosis - CORRECT
ANSWER-MRI
WADA is associated with what memory? - CORRECT ANSWER-Short term
memory
At what postmenstrual age (PMA) do delta brushes start to appear? - CORRECT
ANSWER-30 weeks
What is the postmenstrual age (PMA) of a neonate born at 36 weeks gestation
who is now 2 weeks old? - CORRECT ANSWER-38 weeks
A neonates EEG pattern is evaluated based on: - CORRECT
ANSWER-postmenstural age (PMA)
Which childhood epileptic syndrome has the best prognosis? - CORRECT
ANSWER-Panayiotopoulous syndrome
At what age would a posterior dominant rhythm be seen? - CORRECT
ANSWER-3-4 months
Aphasia is the characteristic clinical sign of: - CORRECT
ANSWER-Landau-Kleffner
