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Duplicate of EEG Board Prep 120
Duplicate of EEG Board Prep 120
120 terms
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EEG Board Preperation
Flashcards
120 cards
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Practice quiz
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Questions
120
Answers
1
Channel B requires what adjustment?
time axis
mechnical baseline
electrical baseline
time constant
2
Substantia nigra is affected in what disorder?
Horner's
Meniere's
Parkinsonism
amyotrophic lateral sclerosis
3
The basic unit for measuring current flow is
ampere
volt
atomic weight
coulomb
4
Electrocerebral inactivity is defined as no elecrical activit greater than
3.0 μV
1.0 μV
2.0 μV
0.5 μV
5
The basic unit of resistance is
volt
ohm
ampere
coulomb
6
Nasopharyngeal or T1/T2 electrodes most helpful recording epileptiform dischages associated w/
partial motor seizures
complex partial seizures
absence seizures
tonic-clonic seizures
7
Cafe-au-lait spots and neurofibromas are associated with:
Friedreich's ataxia
Von Recklinghausen's disease
Sturge-Weber syndrome
Spina bifida
8
Combination of electronic components designed to increase power, voltage or current of signal:
sensitivity
amplifier
master gain control
line filter
9
Positron emission tomography (PET) is used for
treatment of leukemia
treatment of spinal injuries
visualizing the metabolism of the brain
visualizing the ventricular system
10
Sodium amytal is used for
cerebral angiogram
WADA testing
to induce seizures
truth serum
11
The filters creating a very narrow bandpass that should rarely be used clinically are:
LFF 5.0 Hz, HFF 70 Hz
LFF 0.1 Hz, HFF 15 Hz
LFF 0.1 Hz, HFF 70 Hz
LFF 5.0 Hz, HFF 15 Hz
12
When recorded from over a burr hole, the EEG may show
no asymmetries
lower amplitude activity over the affected area
slower frequencies over the affected area
higher amplitude over the affected area
13
Cardiovascular & respiratory centers for automatic control of HR & respiration rate, found in:
midbrain
diencephalon
medulla
pons
14
The term "xanthochromic" is usually used in reference to
nerve conduction time
ventricular size
dysmorphic features
cerebral spinal fluid
15
Which of the following is NOT related to measuring electrode resistance?
opposition to alternating current flow
measurement while electrode is unattached to the scalp
measurement with an ohmeter
opposition to direct current flow
16
Which of the following conditions is characterized by rigidity, tremors, & festination?
Huntington's chorea
Alzheimer's disease
Friedreich's ataxia
Parkinson's syndrome
17
Diagnosis of generaastrocytoma in left frontal lobe is most likely to produce which EEG finding
focal delta activity in the right hemisphere
generalized polymorphic delta activity
left frontal burst suppression
left frontal focal spike activity
18
The tracts connecting the right and left hemispheres are called the:
internal capsule
interhemispheric association fibers
basal ganglia
corpus callosum
19
What is the focus and polarity?
A1, negative
F7, negative
F8, negative
F4, positive
20
QRS complex refers to
herniation of the first 3 cranial nerves
the tetrad of narcolepsy
ventricular excitation of the myocardium
spinal cord reflex
21
A spike measuring 16 mm peak-to-peak, is recorded at a sensitivity of 10 μV/mm. Voltage?
1.6 μV
26 μV
0.625 μV
160 μV
22
Scalp EEG is a result of summation of charges in which of the following cortical cells?
pyramidal cells
betz cells
hosizontal cells
stellate cells
23
Interictal discharges in pts w/complex partial seizures are most likely recorded in the EEG
during photic stimulation
during REM sleep
during the waking record
during Stage I sleep
24
The distance from Cz to Pz is 6.8 cm. What is the distance from nasion to inion?
34 cm
68 cm
34 mm
68 mm
25
The ratio of chest compressions to breaths in one-person CPR is:
30:2
5:2
5:1
20:1
26
The trigeminal nerve
aids in swallowing
permits eye movement
permits tongue movement
is the major sensory nerve of the face
27
Action potential is immediate result of which of the following changes in the neuronal membrane
IPSP
depolarization
hyperpolarization
repolarization
28
Fasciculation refers to
involuntary twitching of muscle fibers
quick repetitive speech
abnormal sensation
motor incoordination
29
Method for monitoring infusion motor artifact from IV infusion pumps is place 2 electrodes on
the IV tubing
the infusion pump apparatus
the outer surface of the patient's hand
the chest
30
Time constant is defined as the time required for the pen to fall:
to 67% of the peak deflection
to 37% of the peak deflection
67% of the peak deflection
37% of the peak deflection
31
Channel A recorded using standard settings, what instrument change has been made in channel B?
time axis
time constant
paper speed
sensitivity
32
Symmetry of sleep spindles, when present, is important in the evaluation of:
seizures which occur during sleep
spindle coma
REM sleep
the physiological maturation of an infant
33
When recording for ECI, interelectrode impedances should be at least __ Ω, but less than __Ω.
1000, 10000
10, 1000
500, 5000
100, 10000
34
Which of the following describes the action of a capacitor?
creates a dirent current resistance
opposes changes in current flow
converts alternating current to direct current
stores electrical activity
35
Of the following, which would be most benificial in evaluating suspected narcolepsy?
multiple sleep latency testing
electroencephalography
all night polysomnography
pneumoencephalography
36
Eye leads placed at the outer canthus of each eye will record
mainly horizontal eye movements
horizontal & vertical eye movements
all eye movements
only vertical eye movements
37
Which EEG patterns carries poor prognosis & is often result of a respiratory or cardiac arrest
hypsarrhythmia
frontal intermittent rhythmic delta
continous spindles
nonreactive continuous alpha
38
What is phase change seen when comparing a recording using LFF of 1 Hz to 1 using LFF of 5Hz?
Fast waves are maximally affected, they shift to the left
Fast waves are maximally affected, they shift to the right
Slow waves are maximally affected, they shift to the left
Slow waves are maximally affected, they shift to the right
39
3/sec spike/wave discharge both 100 μV. LFF: 5 Hz, Sensitivity: 10 μV/mm, pen deflection?
spike 5 mm, wave 10 mm
spike 10 mm, wave 5 mm
spike 10 mm, wave 10 mm
spike 5 mm, wave 5 mm
40
Thrombosis of the right middle cerebral artery would most likely cause:
left sided paralysis, primarily of the leg
aphasia
right homonymous hemianopsia
left sided paralysis, primarily of the face & arm
41
The homunculus is a:
gyrus found in the temporal lobe
representation of motor & sensory cortex of the brain
type of tumor
lateral loss of vision in one eye
42
The resting potential os a neuron is:
50-100 mV with inside of cell more positive than outside
50-100 mV with inside of cell more negative than outside
50-100 μV with inside of cell more positive than outside
50-100 μV with inside of cell more negative than outside
43
Which of the following is NOT a phsyiological artifacts?
eye movement
glossokinetic response
60 Hz interference
perspiration
44
A family history of epilepsy is especially important to determine the diagnosis of
Lennox-Gastaut Syndrome
classic absence seizures
pseudoseizures
complex partial seziures
45
The sella turcica:
is the first vertebra in the spinal cord
is located in the middle ear
surrounds the pituitary
is found in the floor of the lateral ventricles
46
When recording for electrocerebral inactivity, the interelectrode distance should be at least:
14 cm
7 cm
10 cm
12 cm
47
A circuit that allows some frequencies to pass through it, while others are blocked is a:
transistor
resister
filter
reactor
48
Which of the following best describes lambda waves?
posterior, polyphasic waves seen in adolescents
sharp transients occipital regions present w/visual scanning
8-10 Hz activity present in the central regions
vertex transients present in stage II sleep
49
The EEG amplifier is designed, when input 1 is more negative than input 2, deflection is:
sinusoidal
absent
downward
upward
50
Intracranial hemorrhage from middle cerebral artery would most likely produce an EEG finding of
alpha coma
periodic burst high amplitude theta over ipsilat hemisphere
spike and wave complexes over affected hemisphere
delta maximal over frontotemporal area affected hemisphere
51
Without dietetic treatment, hereditary ds may cause severe mental retardation &infanitle spasms
Tay-Sach's disease
Down's syndome
Sturge-Weber's disease
phenylketonuria
52
What input voltage necessary to give deflection between 5 & 10 mm, sensitivity is 30 μV/mm?
200 μV
10 μV
100 μV
50 μV
53
A subarachnoid hemorrhage occurs:
above the tentorium
between the first and second meninges
below the cerebellum
within the ventricles
54
The central sulcus (fissure of Rolando) demarcates the:
parietal and occipital lobes
frontal and temporal lobes
left and right hemisphere
frontal and parietal lobes
55
Head injury = temporal LOC, followed by confusion, severe HA, & possibly amnesia for accident
concussion
laceration
contecoup
contusion
56
Petechiae are
coloring in the iris of the eye
plaques found in arterial disease
plaques found in multiple sclerosis
small punctate hemorrhages
57
A normal waking & sleeping adult EEG recording will NOT include this feature
vertex sharp waves
delta range activity during alert states
diffuse low amplitude beta
rhythmic temporal theta
58
When seen in the waking records of adolescents, posterior slow waves of youth
are a non-specific abnormality
attenuate when the patient opens his/her eyes
are diagnostic of migraine headaches
attenuate with fist clenching
59
Herniation of the uncus results in compression of which cranial nerve?
first
twelfth
eigth
third
60
Which of the followig is NOT a source of 60-Hz interference?
intravenous drip
other equipment in the room
faulty ground connection
defects in the power supply
61
A small fluctuating output recorded by the EEG instrument even when there is no input signal:
linear distortion
noise
60 Hz interference
output voltage
62
Which medications can commonly cause increased theta and beta activity at therapeutic doses?
chloral hydrate
antidepressants
antihistamines
analgesics
63
Which of the following is NOT a valid expression of Ohm's law?
R = =E/I
I = E/R
R=EI
E=IR
64
The sleep disorder that occurs most commonly in the adult population is
narcolepsy
hypersomnolence
sleep terrors
sleep apnea
65
The best metals for clinical EEG recording are
stainless steel, platinum, silver
gold-plated lead, nickel, silver
tin, copper, silver-silver chloride
silver-silver chloride, patinum, gold
66
Brainstem injury in a patient who is completely paralyzed except for vertical eye movements?
alpha coma
contrecoup
diffuse brainstem dsyfunction syndrome
locked-in syndrome
67
EEG pattern, associated w/herpes encephalitis, CVAs, brain abscess, & other acute brain injury
repetitive spike and wave
burst suppression
benign epileptiform transients of sleep
periodic lateralized epileptiform discharges
68
Paper speed changed to clarify origin of spikes. How many pages will be recorded in 2 minutes?
24
12
6
36
69
Thrombosis of the anterior cerebral artery is most likely to cause:
nystagmus
contralateral lower extremity weakness
aphasia
contralateral facial weakness
70
Which of the following is related to an alpha coma pattern?
usually indicates a good prognosis
is only present when the patient is alert and oriented
an atypical distribution of the alpha
reactively to external stimuli
71
Which infection is most likely to produce headache, fever, nuchal rigidity, coma & death?
Creutzfeldt-Jakob disease
herpes simplex encephalitis
meningitis
subacute sclerosing panencephalitis
72
An asymmetry of the occipital alpha rhythm voltage from the 2 hemispheres should be no >
20%
30%
50%
25%
73
Increasing depth of anesthesia causes which of the following sequences of EEG changes?
delta then widespread bet then burst suppression
loss of alpha then increased theta then widespread beta
increased beta than intermixed theta then delta
burst suppression then delta then theta
74
6 to 7 Hz theta activity is typically seen in a normal adult in which of the following?
in low voltage, paroxysmal bursts over the frontal regions
in the occipital regions
at the onset of drowsiness
in the centrotemporal regions durig photic stimulation
75
Pattern, from 10 y.o. w/progressive deterioration of mental function, myloclonic szs, indicate
Creutzfeldt-Jakob disease
subacute sclersing panencephalitis
Alzheimer's dementia
Huntington's chorea
76
Inflammation of the coverings of the brain or spinal cord is called:
myelitis
cerebritis
encephalitis
meningitis
77
A patient complaining of right hemiplegia will have
difficulty moving all extremities
no vision in the right eye
nonpurposeful movements of the right side of the body
difficulty moving the right half of the body
78
Generalied spike activity without correcting instrument error, the EEG could be interpreted as:
triphasic waves
psychomotor variant
a burst suppression pattern
a primary focal discharge
79
Common mode rejection is:
same as input impedance
rejects external interference
cancels out ECG artifact
controlled by 60-cycle notch filter
80
The midbrain, pons and medulla comprise the
reticular activating system
limbic system
red nucleus
brainstem
81
Juvenile myoclonic epilepsy is classified as
generalized epilepsies and syndomes
epilepsies & sydromes undetermined as focal or generalized
special syndromes
localization-related epilepsies
82
Which of the following is NOT a unit for measing alternating frequencies?
cycles per second
volts
hertz
kilocycles
83
Phenytoin: little effect EEG therapeutic levels; approaching toxic levels can cause EEG change?
bursts of temporal theta
frontal delta
slowing of the background activity
an increase in beta
84
WADA testing is done to determine
balance
vision
hearing
speech
85
A common seizure in neonates is
burst suppression
rhythmic focal activity
generalized spike and wave
beta-delta complexes
86
Photic driving
may or may not be present in a normal EEG recording
always precedes a photoconvulsive response
must be of = amplitude over both hemispheres to be normal
is an abnormal response to photic stimulation
87
When performing EEG for evaluation of CNS disease that may have infectious etiology,tech should
observe univerdal precautions
inform the electroencephalographer to perform the study
reschedule procedure until a definite diagnosis been made
not be concerned with any precautionary measures
88
This pattern is associated with thich of the following viral disases
subacute sclerosing panencephalitis
Creutzfeldt-Jakob disease
acquired immune deficiency syndrome
herpes simplex encephalitis
89
EEG activity associated w/rapidly growing tumors (glioblastoma multiform & cerebral metastatic)
spike and wave
epileptiform discharges
beta asymmetry
polymorphic delta activity
90
Normal alpha, in an adult, should NOT be seen
in stage I sleep
in the frontal head regions
in the central and temporal head regions
with the eyes closed
91
A patient can become the pathway of least resistance & electrically susceptible when:
the electrode test is utilized
depth electrodes are used
the recording instrument is turned on
not all equipment attached to pt connected to common ground
92
Which of the following would NOT be considered a normal EEG pattern for a fullterm infant?
beta-delta complexes in quiet sleep
persistent focal alpha frequency activity
isolated frontal sharp waves
trace alternant
93
This type of pattern is a very common finding in:
Wilson's disease
multiple sclerosis
Parkinson's disease
hepatic encephalopathy
94
Electrode site 1 cm above 1/3 distance from left external auditory meatus to left outer canthus
LOC
T1
F5
F7
95
The dance-like movements of the head & extremities may be exhibited in a patient with:
Pick's disease
Huntington's disease
Parkinson's disease
multiple sclerosis
96
The drug of choice for complex partial seizures is
Zarontin (ethosyxamide)
Mysoline (primadone)
Tegretol (carbamazepine)
Dilantin (phenyton)
97
In a referental montage, how is the origin of a potential determined?
morphology
polarity
phase reversal
amplitude
98
When recording ECI, sensitivity should be __ μV/mm and the LFF should not be > __ Hz.
3, 0.1
3, 5
2, 1
2, 5
99
Calibration input V changed 50 μV to 100 μV during recording of cerebral activity, results in
no effect on the activity being recorded
a two-fold increase in amplitude
a one-half reduction of amplitude
blocking of the pens
100
The diencephalon is composed of:
hypothalamus & thalamus
midbrain & pons
basal ganglia & pons
thalamus & medulla
101
The Glasgow scale is used to describe
the patient's true weight
the patient's degree of consciousness
the intracranial pressure
the glucose level of the blood
102
Due to a central scalp lesion, C4 has been relocated 4 mm anteriorly. The tech should:
relocate all electrodes RT parasagittal plane 4mm anteriorly
relocate P3 4 mm anteriorly
relocate C3 4 mm anteriorly
make no other placement changes
103
The triad of caraplexy, sleep paralysis, and hypnagogic hallucinations is seen in
narcolepsy
sleep apnea
temporal lobe epilepsy
apoplexy
104
Which of the following is most attenuated by a low frequency filter of 1 Hz?
5.0 Hz
10.0 Hz
0.1 Hz
0.5 Hz
105
The purpose of the multiple sleep latency test (MSLT) is to
quantify the patient's sleepiness
record eye movements
calculate the patient's response to sleep deprivation
observe the patient during hypnagogic hallucinations
106
Two important functions of the medulla are:
proprioception and smell
respiration and sleep
respiration and regulation of heart rate
perspiration and blood pressure
107
A high frequency setting of 35 Hz would attentate 50 Hz muscle activity by approximately:
20%
50%
30%
100%
108
The presence of sleep spindles in the EEG signals what stage of sleep?
Stage II
Stage I
Stage III/IV
REM
109
What needs adjustment when unequal spacing b/t lines of channels w/amplifiers in off position
electrical baseline
damping
time axis
mechanical baseline
110
Which electrodes do NOT record directly from the brain?
epidural
subdural
depth
subdermal
111
This test is useful in diagnsis of multiple sclerosis, pontine angle tumors, coma & brain death
myelogram
brainstem auditory evoked potential
visual evoked potential
angiogram
112
A patient with sensory aphasia will have difficulty
smelling and tasting
forming words normally
comprehending the meaning of words or phrases
reading and writing
113
Which oof the following is NOT a characteristic of REM sleep?
sawtooth waves
reduced EMG activity
K-complexes
low voltage mixed-frequency EEG activity
114
Activation of an absence seizure is most consistently obtained during
hyperventilation
photic stimulation
sleep
eye opening and closing
115
The EEG of an aphasic patient whose CT revealed subdural hematoma most likely shows:
attenuation of background activity in left hemisphere
generalized polyspikes
right temporal spike and wave focus
left hemispheric PLEDs
116
Alpha frequency of 10/s, how many of waves will occur in 30 mm at slow paper speed of 15 mm/s?
15
20
10
5
117
The Foramen of Munro is the opening:
between the ventricles of the heart
between lateral ventricles & third ventricle of the brain
at the base of the skull
between the third ventricle & fourth ventricle of the brain
118
The pattern is recorded from a drowsy 6 year old is:
indicative of a generalized seizure disorder
hypnogogic hypersynchrony, a normal finding for age
an awake ictal seizure event
indicative of a focal seizure disorder
119
Port wine stain is associated with:
Sturge-Weber syndrome
herpes simplex encephalitis
retinitis pigmentosa
Epstein's syndrome
120
A highly malignant tumor primarily seen in children may be:
medulla blastoma
astrocytoma
acoustic neuroma
pituitary adenoma