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