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Neurophysiology_ONE

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

The distance measurement from Cz to Pz is 6.8 cm.  What is the distance measurement from nasion to inion

a)

34 cm

b)

35 mm

c)

36 mm

d)

37 cm

2.

What input voltage is necessary to give a calibration deflection between 5 and 10 mm if the sensitivity is 30µV/mm

a)

10 µV

b)

50 µV

c)

100 µV

d)

200 µV

3.

During the recording of cerebral activity, the calibration input voltage is changed from 50 µV to 100 µV.  What will be the result

a)

clipping of the waveform

b)

a two-fold increase in amplitude

c)

a one-half reduction of amplitude

d)

no effect on the activity being recorded

4.

In Transcranial Magnetic Stimulation, the corticospinal excitability of human subjects is often determined through identifying the

a)

coil orientation

b)

motor threshold

c)

sensory threshold

d)

distance threshold

5.

The electrode site that is located 1 cm above, one third the distance out from the left external auditory meatus toward the left outer canthus is called

a)

F5

b)

LOC

c)

T1 or F9

d)

F7 or F8

6.

Shortened Waves I–V interpeak latency (IPL) is seen in which of the following conditions?

a)

Brainstem glioma

b)

Cochlear hearing loss

c)

Conductive hearing loss

d)

Multiple sclerosis (MS) plaque in brainstem

7.

A 60-year-old man with low back pain has a tibial H-reflex testing performed. The afferent and efferent loops of the H-reflex are

a)

antidromic sensory and antidromic motor

b)

antidromic sensory and orthodromic motor

c)

orthodromic sensory and antidromic motor

d)

orthodromic sensory and orthodromic motor

8.

Which of the following is true regarding somatosensory evoked potential (SSEP) changes during intraoperative operative monitoring (IOM)?

a)

Transient intraoperative SSEP changes do not predict postoperative SSEP deterioration

b)

Persistence of SSEP changes at the end of surgery increases the risk of adverse postoperative clinical outcome

c)

Transient or persistent changes in central conduction time (CCT) compared to baseline occur in a small number of patients

d)

Transient intraoperative SSEP changes can be associated with adverse postoperative clinical outcome in 25% of patients

9.

When recording for electrocerebral inactivity (ECI), the interelectrode distance should be at least

a)

7 cm

b)

10 cm

c)

12 cm

d)

14 cm

10.

Six to seven Hz theta activity is typically seen in a normal adult in which of the following

a)

in the occipital regions

b)

at the onset of drowsiness

c)

in the centro-temporal regions during photic stimulation

d)

in low voltage, paroxysmal bursts over the frontal regions

11.

______is characterized by multiple seizure types that are difficult to control, especially atonic seizures and atypical absences, in addition to generalized convulsions, and an abnormal interictal EEG with generalized 2 to 2.5 Hz slow spike and wave discharges

a)

Dystonia

b)

Benign Rolandic Epilepsy

c)

Lennox-Gastaut Syndrome

d)

Sub-acute Sclerosing Panencephalitis  (SSPE)

12.

Monitoring body position during Polysomnography test is important to assess

a)

sleep staging

b)

eye movement

c)

sleep disordered breathing

d)

periodic leg movement syndrome (plms)

13.

When performing a 3-point ulnar nerve stimulation (at the wrist, below elbow, and above elbow), it is important to perform the study with the elbow flexed. Otherwise, it will result in

a)

artifactual decrease in ulnar cmap amplitude

b)

artifactual increase in conduction velocity across the elbow

c)

artifactual decrease in conduction velocity across the elbow

d)

artifactual increase in ulnar compound muscle action potential (cmap) amplitude

14.

While performing the tibial H reflex, the H wave amplitude decreases with increasing stimulus intensity because?

a)

At higher stimulus intensity, a afferent fibers are not activated

b)

At higher stimulus intensity, the M response suppresses H waves

c)

At higher stimulus intensity, there is synergy between antidromic motor stimulus and orthodromic H reflex potentials

d)

At higher stimulus intensity, there is increased collision between antidromic motor stimulus and orthodromic H reflex potentials

15.

In a patient with suspected Myasthenia Gravis (MG), needle EMG is most likely to reveal?

a)

Variation in motor unit amplitude

b)

Positive sharp waves and fibrillation potential

c)

Large-amplitude polyphasic motor unit potential

d)

Increased recruitment frequency if the muscle is weak