CLTM Board Exam Prep 2025 – Certified Long-Term Monitoring
Review FROM REAL EXAM | EEG, Neurodiagnostics, and Sleep
Studies | Full-Length Q&A with Explanations for CLTM Certification
Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy?
60%
The majority of seizures in the intensive care unit are:
non convulsive
What type of resection is associated with medial temporal sclerosis?
Temporal lobectomy
The safest AED for pregnant women
Lamictal
Hypsarrhythmia is a pattern most often associated with
Infantile spasms
Expressive speech
Broca's area
Vagus nerve stimulators are approved for use in patients with
partial seizures
Phenobarbital shows what activity?
Beta
Which medication is appropriate for treating status epilepticus?
Lorazepam
Keto diet consists of
high fat, low carbohydrates, adequate protein
Bolus of Propofol will cause:
burst suppression
How often should Stimulation assessment be made on patients monitored in the ICU?
Daily
The greatest utility of CEEG is in the ICU patients with:
Unexplained "spells" such as variations in vital signs or twitching
,WADA testing, also known as intracarotid amobarbitol procedure is performed for:
Language and memory lateralization
What less invasive test for language and memory has decreased the number of WADA tests that are being
conducted?
fMRI
PET
hypometabolism
The intracarotid ambarbital test is used to determine cerebral dominance for:
language and memory function
WADA is associated with:
language function
What does PET stand for?
Positron Emission Tomography
Cerebral angiography prior to intracarotid amobarbital testing is necessary to assess
arterial blood flow
SPECT stands for:
Single Photon Emitted Computed Tomography
Which type of procedure is involved during the preoperative diagnostic WADA test?
Angiography
PET studies in a child with Rasmussen's encephalitis will most likely demonstrate:
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
MEG
**PET studies in a patient with left temporal lobe epilepsy will most likely show
Decreased glucose uptake
Intracarotid injection of Amobarbital procedures are associated with:
ipsilateral hemispheric dysfunction and transient contralateral paralysis
The interictal SPECT may show focal
Hypoperfusion
The goal of cortical stimulation during functional mapping is to:
,identify eloquent cortex
during a WADA test activities on one side of the brain are suspended for approximately
4-8 minutes
The best imaging study for assessing hippocampal sclerosis
MRI
WADA is associated with what memory?
Short term memory
At what postmenstrual age (PMA) do delta brushes start to appear?
30 weeks
What is the postmenstrual age (PMA) of a neonate born at 36 weeks gestation who is now 2 weeks old?
38 weeks
A neonates EEG pattern is evaluated based on:
postmenstural age (PMA)
Which childhood epileptic syndrome has the best prognosis?
Panayiotopoulous syndrome
At what age would a posterior dominant rhythm be seen?
3-4 months
Aphasia is the characteristic clinical sign of:
Landau-Kleffner
Which of the following blood vessels is most frequently involved in cerebrovascular accidents (CVA)?
Internal carotid artery
How many hours is the typical therapeutic hypothermia period for neonates with hypoxic ischemic
encephalopathy?
72 hours
A subarachnoid hemorrhage occurs:
Between the first and second layer of meninges
Juvenile Myoclonic Epilepsy has seizures that occur:
during the first hour of waking
This type of surgical treatment is most beneficial for patients who have epileptic zones arising from or
overlapping with eloquent cortex
Multiple Subpial Transection
, Hyothalamic Hamartomas are associated with:
Gelastic seizures
Which type of epilepsy may be confused with psychogenic non epileptic seizures?
Frontal lobe epilepsy
Lennox- Gastaut Syndrome is associated with what type of seizures?
Atypical Absence
An effectively known treatment option for Hypothalamic Hamartomas is:
Gamma Knife
Landau-Kleffner syndrome is associated with what type of symptom?
Aphasia
The main difference between simple partial and complex partial is:
Preservation of consciousness
A postictal impairment of function within a discrete region or regions of the brain:
Todd's paralysis
A surgical treatment for Storage Webers:
Hemispherectomy
Subacute sclerosis panencephalitis (SSPE) is associated with:
Measles
According to the National Association of Epilepsy Centers (NAEC), the main difference between a level 3 and a
level 4 Epilepsy Center is that a Level 3 center:
Is not able to perform intracranial evaluations and is not able to offer complex resective epilepsy surgery
Steven-Johnson syndrome is common in critically ill ICU patients. It is a:
type of severe skin reaction
What is the first defense for minimizing the spread of infection?
Handwashing
Vector born transmissions occur:
Through animals and insects
Bacterial spores are destroyed by:
sterilization
What is the maximum allowable instrument leakage current when recording from a patient with invasive
monitoring electrodes?
Review FROM REAL EXAM | EEG, Neurodiagnostics, and Sleep
Studies | Full-Length Q&A with Explanations for CLTM Certification
Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy?
60%
The majority of seizures in the intensive care unit are:
non convulsive
What type of resection is associated with medial temporal sclerosis?
Temporal lobectomy
The safest AED for pregnant women
Lamictal
Hypsarrhythmia is a pattern most often associated with
Infantile spasms
Expressive speech
Broca's area
Vagus nerve stimulators are approved for use in patients with
partial seizures
Phenobarbital shows what activity?
Beta
Which medication is appropriate for treating status epilepticus?
Lorazepam
Keto diet consists of
high fat, low carbohydrates, adequate protein
Bolus of Propofol will cause:
burst suppression
How often should Stimulation assessment be made on patients monitored in the ICU?
Daily
The greatest utility of CEEG is in the ICU patients with:
Unexplained "spells" such as variations in vital signs or twitching
,WADA testing, also known as intracarotid amobarbitol procedure is performed for:
Language and memory lateralization
What less invasive test for language and memory has decreased the number of WADA tests that are being
conducted?
fMRI
PET
hypometabolism
The intracarotid ambarbital test is used to determine cerebral dominance for:
language and memory function
WADA is associated with:
language function
What does PET stand for?
Positron Emission Tomography
Cerebral angiography prior to intracarotid amobarbital testing is necessary to assess
arterial blood flow
SPECT stands for:
Single Photon Emitted Computed Tomography
Which type of procedure is involved during the preoperative diagnostic WADA test?
Angiography
PET studies in a child with Rasmussen's encephalitis will most likely demonstrate:
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
MEG
**PET studies in a patient with left temporal lobe epilepsy will most likely show
Decreased glucose uptake
Intracarotid injection of Amobarbital procedures are associated with:
ipsilateral hemispheric dysfunction and transient contralateral paralysis
The interictal SPECT may show focal
Hypoperfusion
The goal of cortical stimulation during functional mapping is to:
,identify eloquent cortex
during a WADA test activities on one side of the brain are suspended for approximately
4-8 minutes
The best imaging study for assessing hippocampal sclerosis
MRI
WADA is associated with what memory?
Short term memory
At what postmenstrual age (PMA) do delta brushes start to appear?
30 weeks
What is the postmenstrual age (PMA) of a neonate born at 36 weeks gestation who is now 2 weeks old?
38 weeks
A neonates EEG pattern is evaluated based on:
postmenstural age (PMA)
Which childhood epileptic syndrome has the best prognosis?
Panayiotopoulous syndrome
At what age would a posterior dominant rhythm be seen?
3-4 months
Aphasia is the characteristic clinical sign of:
Landau-Kleffner
Which of the following blood vessels is most frequently involved in cerebrovascular accidents (CVA)?
Internal carotid artery
How many hours is the typical therapeutic hypothermia period for neonates with hypoxic ischemic
encephalopathy?
72 hours
A subarachnoid hemorrhage occurs:
Between the first and second layer of meninges
Juvenile Myoclonic Epilepsy has seizures that occur:
during the first hour of waking
This type of surgical treatment is most beneficial for patients who have epileptic zones arising from or
overlapping with eloquent cortex
Multiple Subpial Transection
, Hyothalamic Hamartomas are associated with:
Gelastic seizures
Which type of epilepsy may be confused with psychogenic non epileptic seizures?
Frontal lobe epilepsy
Lennox- Gastaut Syndrome is associated with what type of seizures?
Atypical Absence
An effectively known treatment option for Hypothalamic Hamartomas is:
Gamma Knife
Landau-Kleffner syndrome is associated with what type of symptom?
Aphasia
The main difference between simple partial and complex partial is:
Preservation of consciousness
A postictal impairment of function within a discrete region or regions of the brain:
Todd's paralysis
A surgical treatment for Storage Webers:
Hemispherectomy
Subacute sclerosis panencephalitis (SSPE) is associated with:
Measles
According to the National Association of Epilepsy Centers (NAEC), the main difference between a level 3 and a
level 4 Epilepsy Center is that a Level 3 center:
Is not able to perform intracranial evaluations and is not able to offer complex resective epilepsy surgery
Steven-Johnson syndrome is common in critically ill ICU patients. It is a:
type of severe skin reaction
What is the first defense for minimizing the spread of infection?
Handwashing
Vector born transmissions occur:
Through animals and insects
Bacterial spores are destroyed by:
sterilization
What is the maximum allowable instrument leakage current when recording from a patient with invasive
monitoring electrodes?
