CLTM (Certified In Long-Term Monitoring) Exam||
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A young women with several previous episodes of shifting
areas of numbness and tingling, dizziness and difficulty
with vision awakens one morning unable to move her legs.
A reasonable diagnosis would be? - ANSWER-Multiple
Sclerosis
In ischemia, as the cerebral blood flow decreases, the
EEG changes. What are the steps of EEG changes as
cerebral blood flow decreases? - ANSWER-1. Subtle loss
of faster frequencies- beta, alpha, sleep spindles
2. Slowing appears
3. Excess Theta
4. Excess Delta- but still reversible
Suppression of all frequencies with irreversible neuronal
death (infarction)
What are the components of the Glasgow Coma Scale? -
ANSWER-Eyes best motor response and best verbal
response
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Compressed spectral arrays - ANSWER-*Assist in
highlighting trends or changes over prolonged periods and
*do not substitute for review of the original EEG file
Specific EEG patterns seen with this disease (CJD) are
"virtually diagnostic" - ANSWER-Burst of biphasic or
triphasic sharp complexes occurring about once per
second
Which of the following could be a function of a network
administrator or "super- user"? - ANSWER--changing
critical network settings
-altering key system files
-resetting passwords for users
-starting new user accounts
Most seizures are? - ANSWER-Idiopathic- cause is
unknown
The interdisciplinary team can be encouraged to: -
ANSWER--Document medication changes
-Notify technologist of ancillary testing
-Adjust and zoom camera as needed
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If possible your LTM patient be admitted to a private room:
- ANSWER-True
The central vertex electrode is: - ANSWER-CZ
When doing cEEG in the ICU, the physician should be
sent a communication when: - ANSWER--when the patient
seizes
-when there is an abrupt change in the background
Benzodiazepines such as Ativan (Lorazepam), at
therapeutic levels can cause: - ANSWER-Frontal central
beta
A brief period of transient paralysis following a seizure: -
ANSWER-Todd's Paralysis
A longer time constant results in: - ANSWER-more slow
frequencies recorded
A clinical sign of meningitis: - ANSWER-nuchal rigidity
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During the diagnostic process_________________ -
ANSWER-uncertainty about the nature of the problem is
reduced
Wernicke's Area - ANSWER-Parietal Lobe
When phenobarbital is used to manage increased
intracranial pressure in traumatic brain injury patients,
cEEG is a key tool to help monitor: - ANSWER-Depth of
sedation
Which of the following does not attenuate alpha rhythm? -
ANSWER-eye closing
__________________is a white matter disease with long
tract sign including spasticity, hyperreflexia, and Babinski's
Sign, optic atrophy, cortical blindness or deafness and
seizures occurring late in the course. - ANSWER-
Leukoencephalopathies
Alzheimer's disease is a term for___________________ -
ANSWER-Dementia with amyloid plaques and neuronal
tangles