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CNIM Questions with Detailed Verified Answers – Certified Neurophysiologic Intraoperative Monitoring Study Material

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This document contains certified neurophysiologic intraoperative monitoring (CNIM) study questions with verified answers. It is designed to support learners preparing for CNIM-related exams by summarizing core concepts and assessment areas. The content serves as a concise reference for key topics commonly reviewed in neurophysiologic monitoring coursework.

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CNIM Questions with Detailed Verified
Answers
Question: During electrocautery you should...
Answer: Pause Recording


Question:
SSEPs are less reliable in patients with...
Answer: Neuromuscular disease


Question:
After-discharges occur after what?
Answer: Direct cortical stimulation


Question:
In order to reduce stimulus artifact, the ground electrode shoudl be placed...
Answer: On the limb between the stimulating and recording electrodes


Question:
Which of the following is the most effected by halogenated agents?
Answer: Posterior Tibial cortical potential


Question:
The nerve roott entry levels for the ulnar nerve are..
Answer: C8-T1


Question:

, Page | 2

When doing a C5 decompression involving the axillary nerve which muscle
should you record from?
Answer: Deltoid


Question:
Train stimuli are used for TcMEP's in order to...
Answer: Overcome anesthetic suppression of synaptic transmissions in the
motor pathway


Question:
What is the preferred alternate when the PTN is unavailable?
Answer: Peroneal


Question:
Nyquist Frequency
Answer: One half the frequency of the recorded signal


Question:
A decrease in the power spectral edge indicates..
Answer: a greater proportion of EEG power at the lower frequencies


Question:
Why do we use electrodes with the same metals?
Answer: To prevent electrode polarization


Question:

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Which of the following drugs has an appreciable effect on peripheral nerve
APs
Answer: none


Question:
Which one of the following is an inhibitory neurotransmitter
Answer: GABA


Question:
Stimulating the median nerve at the wrist yields an Erbs point response at
10ms and an CV of 60m/s. What is the distance between the cathode and the
Erb's point recording electrode
Answer: 60cm


Question:
What are SSEP and MEP used simultaneously?
Answer: Spinal cord damage can occur in only one tract causing loss of MEp
but not SSEP


Question:
Common Mode Rejection
Answer: Is the cancellation of signals that are common to both inputs of the
ampifier


Question:
Ankylosis

, Page | 4

Answer: Fused Joint


Question:
Where is the ABR wave V generated?
Answer: Mdbrain


Question:
If you cannot replace an electrode that has come out during surgery you?
Answer: use a duplicate


Question:
A patient with the temperature of 30 debrees C will have
Answer: increased latencies


Question:
Which would not be considered contamination of the sterile field
Answer: reaching underneath the surgeon's gown to grab his pager


Question:
Personal Protection Devices (PPDs) consist of
Answer: gloves, masks, gowns


Question:
When an electrode fall on the floor you
Answer: you immediately pick it up to dispose of it in a sharps container


Question:

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