R.EEGT EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

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R.EEGT EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS

Diplopia - Answer Double vision Which normal waveform is NOT typically seen in the posterior leads? (Wickets, photic driving, Lambda, POSTS) - Answer Wickets The EEG of a patient with Down's syndrome is most likely to show: - Answer normal activity The sharpness of the frequency response curve is determined by the filter - Answer rolloff A lesion of the uncus may result in - Answer olfactory hallucinations Delta brushes are seen in what type of patients - Answer premature infants Changes in personality are most likely associated with tumors of the lobe - Answer frontal lobe What type of seizure is NOT associated with Lennox Gastaut syndrome - Answer complex seizures Which of the following is most closely related to the measurement of voltage in relation to current and resistance - Answer Ohms law A meningioma is usually

• infiltrating,
• metastatic,
• rapid growing
• encapsulated - Answer impedance can best be described as

• current produced by a wire coil in a magnetic field
• ability to store an electrical charge
• resistance to alternating current
• resistance to direct current - Answer ...resistance to alternating current What normal activity would be seen most prominently at the C3 or C4 electrode position?
• POSTS
• Mu
• Alpha
• FIRDA - Answer Mu It is common for FIRDA to
• be considered normal in adults age 30 to 50
• be confused with nystagmus
• react to stimulation
• have spikes intermixed - Answer ...be confused with nystagmus Voltage Resolution is correlated with
• Bandwith
• Sample rate
• Analog to digital converter - Answer Analog to digital converter A large lesion at the optic chiasm will likely produce.. - Answer complete visual loss What EEG finding indicates the worst prognosis in patients with cerebral hemorrhages? - Answer burst suppression pattern The neurological examination is most likely to be abnormal in patients with
• Lennox Gastaut

• juvenile myoclonic epilepsy
• Rolandic epilepsy - Answer Lennox gastaut Through what opening do the lateral ventricles merge with the third ventricle? - Answer Foramen of monroe What enviornmental factors enhance LAMDBA? - Answer Scanning high complexity visual scene Compared to recordings from adult patients, Vertex Waves in pediatric EEG recordings are generally - Answer Sharper Periodic lateralized epileptiform discharges are most likely associated with which condition - Answer Herpes simplex encephalitis In patients with myoclonic epilepsy of Janz, seizures are most likely to occur: - Answer In the morning During which of the following types of seizures would a patient be likely to experience deja vu?
• myoclonic
• complex partial
• generalized non convulsive
• atonic - Answer ...complex partial A common electrographic correlate of a seizure
• irregular polymorphic delta
• rhythmic activity
• single bifrontal spikes
• intermittent temporal spikes - Answer rhythmic activity Which mathematically converts the time function into a sine wave of different frequencies

• Fast fourier transform
• impedance meter
• A/D converter
• Differential amplifier - Answer Fast fourier transform When a large amount of electrode paste is used to hold EEG electrodes in place, the total recording area will be the
• scalp surface area of the paste
  • diameter of the EEG electrode
• inner surface area of the electrode
• inner plus outer surface area of the electrode - Answer total scalp surface area of the paste Photic induced epileptiform discharges are most likely associated with
• meningitis
• barbiturate withdrawal
• hepatic encephalopathy
• down syndrome - Answer barbiturate withdrawal What clinical signs are expected to be seen if a patient has a stroke involving the left anterior cerebral artery?
• left lower extremity sensory loss
• right homonymous hemianopsia
• left homonymous hemianopsia
• right lower extremity sensory loss - Answer Right lower extremity sensory loss Clipping of the waveforms occurs when: - Answer the signal is outside the range of the digitizer Using the International 10 - 20 electrode placements, if the distance from Fp2 to F4 is 5.5 cm, what is the distance from P4 to 02? - Answer 5.5cm

CREUTZFELDT-JAKOB DISEASE pattern: - Answer Periodic sharp waves Clinical semiology is a way to describe: - Answer behaviors during patient events Which of the following would indiciate the best prognosis in a comatose patient?

• spindle coma
• electrographic changes indicating wakefulness and sleep
• generalized low amplitude delta with no background
• generalized suppression of EEG - Answer Electrographic changes indicating wakefulness and sleep. What is indicated by the presence of unilateral Babinski Signs?
• Pyramidal tract dysfunction
• cerebellar dysfunction
• homonymous hemianopsia
• tic Doulourex - Answer Pyramidal tract dysfunction What normal activity would be seen most prominently at the C3 or C4 electrode postion?
• FIRDA
• Mu
• POSTs
• Alpha - Answer Mu Which of the following may be indicated by the presence of blood in the cerebrospinal fluid?
• subdural hemorrhage
• localized ICH w/o communication w/ventricles
• subarachnoid hemorrhage
• extradural hemorrhage - Answer subarachnoid hemorrhage Which of the following most closely relates to the ratio of an amplifiers' output to input signal?

• Display sensitivity
• CMRR
• impedance
• system gain - Answer system gain The most important source generator of the EEG is:
• cortical interneuron discharges
• pyramidal dendritic PSPs
• pyramidal cell action potentials
• thalamic oscillations - Answer pyramidal dendritic PSPs Collateral perfusion is maintained by:
• spinal cord
• brachial plexus
• Cauda Equina
• Circle of willis - Answer circle of willis Which of the following converts an analog signal into a series of digital binary numbers?
• Fast fourier transform
• impedance meter
• Differential amplifier
• A/D converter - Answer A/D converter Ictal EEG
• time during the event
• time following an event
• time before the event
• time in between events - Answer time during the event

Sharply contoured, surface positivity, and seen in clusters over the occipital lobe during drowsiness, describes: - Answer POSTs Which of the following is an effect of phenobarbital on the EEG?

• slow alpha rhythm
• increased beta activity
• decreased theta activity
• increased paroxysmal activity - Answer increased beta activity Which is the most important when evaluating background frequency?
• medications and allergies
• photic stimulation and stim. frequencies
• quality of sleep and HV effort
• wakefulness and age - Answer wakefulness and age What is the value of recording a patient's maximal awake state?
• identifying background frequency
• evaluating reactivity of the background
• distinguish slowing from drowsiness
• all are correct - Answer to distinguish slowing from drowsiness ACTH
• Absence seizures
• status epilepticus
• infantile spasms
• complex partial seizures - Answer infantile spasms Where do most brain tumors occur in children?
• anterior fossa

• frontal lobes
• posterior fossa
• temporal lobes - Answer posterior fossa VOLTAGE RESOLUTION relates to:
• Analog to digital converter
• frequency resolution
• horizontal sampling rate
• bandwidth - Answer analog to digital converter Seizures with visual hallucinations such as flashing lights are most likely to arise from the :
• temporal lobe
• frontal lobe
• parietal lobe
• occipital lobe - Answer occipital lobe At therapeutic levels, phenytoin causes what kind of EEG findings?
• increased beta activity frontocentrally
• diffuse beta activity
• no change
• minimal slowing of the background - Answer no change Todds paralysis is also referred to as:
• seizure onset
• ictal contralaterally
• post ictal
• ictal ipsilaterally - Answer post ictal Vagal nerve stimulators are used to treat:

• pain syndromes
• seizures and depression
• tumors
• headaches - Answer seizures and depression Patients with temporal lobe epilepsy may display ictal automatisms, which are:
• Stereotyped, repetitive movements, such as lip smacking or rubbing fingers together
• Auditory hallucinations, such as hearing music
• Forced head turn to the left or right
• Rhythmic shaking of both lower extremities - Answer Stereotyped, repetitive movements, such as lip smacking or rubbing fingers together What is most prominent clinical feature of Dilantin toxicity?
• behavior changes
• postural tremor
• weakness
• ataxia - Answer ataxia Beginning in adolescence, several members of the same family developed progressive instability, ataxia, and the inability to walk. Which of the following best describes this condition?
• Retinitis pigmentosa
• rheumatic fever
• olivopontocerebellar atrophy
• cystic fibrosis - Answer olivopontocerebellar atrophy BENIGN ROLANDIC EPILEPSY:
• parieto occipital spikes
• centro temporal spikes
• frontal spikes

• occipital spikes - Answer central-temporal spikes If the measurement between preauricular point and T3 is 3.2 cm, what is the distance between C3 and CZ?
• 6.0cm
• 3.2cm
• 6.4cm
• 12.8cm - Answer 6.4 cm What is the typical EEG pattern associated with absence seizures?
• focal spike and wave
• polyspike and wave
• 3Hz spike and wave
• 1.5Hz spike and wave - Answer 3Hz spike and wave A tangle of arteries and veins in the brain, associated with a tendency to bleed suddenly
• cerebral infarct
• subdural hemorrhage
• aneurysm
• arteriovenous malformation - Answer arteriovenous malformation ROLANDIC GYRUS
• frontal and parietal lobes
• frontal and temporal lobes
• occipital and temporal lobes
• occipital and parietal lobes - Answer Frontal and Parietal Lobes The sharpness of the frequency response curve is determined by which filter setting:
• notch

• capacitance
• rolloff
• bandwidth - Answer rolloff When attempting to minimize relentless muscle artifact on a recording, the technologist should be aware that lowering the high filter could cause the artifact to resemble:
• 3Hz spike and wave
• polymorphic delta activity
• vertex waves
• beta activity - Answer beta activity A childhood disorder characterized by acquired aphasia, multifocal epileptiform abnormalities, and focal or generalized seizures:
• West syndrome
• Landau Kleffner syndrome
• Lennox gastaut syndrome
• Juvenile myoclonic epilepsy - Answer Landau Kleffner syndrome Which of the following is a violation of ABRET's Code of Ethics?
• being disrespectful to co-workers
• Not striving to keep current in the technology
• Not joining a professional organization
• Teaching other technologists without the proper credentials - Answer Not striving to keep current in the technology. The polarity convention for EEG states that the deflection is up if:
• input 2 is equal to input 1
• input 2 is more negative than input 1
• input 1 is more negative than input 2
• input 1 is more positive than input 2 - Answer input 1 is more negative than input 2.

Which of the following is the most appropriate instrumentation setting change that should be made in order to enhance cortical slowing?

• Change the LFF from 1Hz to 5Hz
• Change the LFF from 1Hz to .1Hz
• Change the HFF from 70Hz to 25Hz
• Change the HFF from 70Hz to 15Hz - Answer Change the LFF from 1Hz to .1Hz 2016 ACNS guidelines recommends a CMRR of at least:
• 90Hz
• 70dB
• 90dB
• 70Hz - Answer 90dB Precocious puberty is associated with pathology of the:
• Fornix
• hippocampus
• hypothalamus
• lateral geniculate body - Answer hypothalamus The acronym used to describe distinctive EEG waves or complexes that occur between seizures and are distinguished from the background activity:
• NCSE
• GPEDs
• IEDs
• FIRDA - Answer IEDs small sharp spikes
• occipital intermittent rhythmic delta activity

• temporal intermittent rhythmic delta activity
• positive occipital sharp transients of sleep benign epileptiform transients of sleep - Answer benign epileptiform transients of sleep The waveform morphology during the clonic phase of a GTC may present as:
• multifocal sharps and spikes
• spike and slow waves, rhythmic generalized
• Diffuse rhythmic slowing
• Diffuse polyspikes - Answer spike and slow waves, rhythmic generalized Non-epileptic events (PNES) typically result in which of the following?
• clinical improvement to antiepileptic drugs
• injury to patients
• nocturnal events
• normal EEG - Answer Normal EEG Balanced impedances allow you to:
• Maximize common mode rejection
• Minimize common mode rejection
• Eliminate artifact rejection
• optimize horizontal rejection - Answer Maximize common mode rejection The onset of West syndrome is most likely to occur at age:
• 12 years
• 5 years
• 4 months
• 18 years - Answer 4 months What is the cause of Wernicke's encephalopathy?

• trauma
• thiamine deficiency
• acute intoxication
• alcoholism - Answer thiamine deficiency Which of the following is the most appropriate test for determining cerebral dominance?
• EEG
• Computerized axial tomography
• Evoked potentials
• intracarotid sodium amytal (WADA) - Answer intracarotid sodium amytal The main difference between simple partial and complex partial is:
• anatomic location
• focal motor activity
• autonomic activity
• preservation of consciousness - Answer preservation of consciousness Which of the following is the most common EEG correlate of an epileptic aura?
• 3Hz spike and wave discharges
• OIRDA
• temporal epileptiform discharges
• FIRDA - Answer Temporal epileptiform discharges A 50 microvolt wave at sensitivity 5 microvolts/mm produces a deflection of
• 5mm
• 10mm
• 15mm
• 7.5mm - Answer 10 mm

Which of the following tumors is LEAST likely to cause epileptiform activity in an EEG?

• metastatic carcinoma
• glioblastoma multiforme
• astrocytoma
• pituitary adenoma - Answer Pituitary adenoma Which of the following is important to know when evaluating the background activity?
• If HV has been performed
• patients ability to cooperate
• patients level of alertness
• if there is a history of seizures - Answer patients level of alertness EMG artifacts time locked with the flash frequency of photic stimulation
• photomyogenic response
• photic driving
• photoparoxysmal response
• delta driving - Answer Photomyogenic Response An EEG obtained within 24 hours following a closed head injury would be LEAST likely to show
• focal spike activity
• asymmetry of the background activity
• focal polymorphic delta activity
• slowing over the posterior head regions - Answer focal spike activity EEG activity is thought to arise from which of the following?
• cortical layers I and IV
• Axonal action potentials
• Excitatory and inhibitory postsynaptic potentials
• Horizontal dipoles - Answer Excitatory and inhibitory postsynaptic potentials

A patient has generalized tonic-clonic seizure during EEG recording. If one electrode is pulled off, which of the following is the primary responsibility of the EEG technologist?

• Protect the patient from injury and keep EEG running
• Stop the recording and fix the electrode
• Stop the recording and protect the patient from injury
• Fix the electrode and then attend to the patient - Answer Protect the patient from injury and keep EEG running Focal or unilateral suppression and slowing:
• Drowsiness in an elderly patient
• generalized seizure disorder
• renal failure
• subdural hematoma - Answer subdural hematoma Periodic lateralized epileptiform discharges are found most commonly in the EEGs of patients with
• brain stem tumors
• multiple sclerosis
• acute cerebral infarction
• cephalgia - Answer acute cerebral infarction. FT9 or T1 and FT10 or T2 electrodes record from the
• posterior temporal lobe
• anterior temporal lobe
• sphenoid sinuses
• nasopharynx - Answer anterior temporal lobe Tonic phase in GTC is characterized by:
• synchronous spike and wave

• generalized voltage suppression and muscle artifact
• generalized delta-theta with focal spike and waves
• focal polyspikes - Answer Generalized voltage suppression and muscle artifact A disease occurring only in females characterized by normal development until six to eighteen months of age, after which there is a quick deterioration of mental abilities:
• Tay Sachs disease
• Retts syndrome
• Rasmussens encephalitis
• Lennox Gastaut syndrome - Answer Rett's syndrome fMRI:
• functional MRI
• filtered MRI
• focused MRI
• fluoriscopic MRI - Answer functional MRI What type of monitoring would be useful in an EEG patient experiencing syncope?
• ECG
• EOG
• movement transducer
• respiration transducer - Answer ECG What other EEG pattern would you expect to see in the patient with prominent photic driving response?
• OIRDA
• slowing in posterior region
• Lambda
• epileptiform discharges - Answer Lambda

What is the term that describes failure of the alpha rhythm to attenuate with eye opening?

• My persistence
• modulation resistance
• alpha imbalance
• bancauds phenomenon - Answer bancauds phenomenon A spike or sharp wave results from
• depolarization of neurons
• repolarization of neurons
• synchronous activation of multiple neurons
• asynchronous activation of neurons - Answer synchronous activation of multiple neurons. An EEG performed two days following a transient ischemic attack is most likely to show:
• polymorphic delta activity
• FIRDA
• focal suppression
• normal activity - Answer normal activity Which of the following should not be seen in the normal awake adult?
• no alpha background
• 14Hz
• wicket spikes
• delta - Answer delta Given a voltage of 50 microvolts and a sensitivity of 10 microvolts/mm, what is the amplitude
• .2uV/mm
• 5mm
• 5uV/mm .2mm - Answer 5mm

What type of electricity provides a steady source of current, flowing in one direction only?

• alternating current
• magnetism
• ampere
• direct current - Answer direct current skull defect
• periodic complexes
• diffuse slowing
• breach rhythm
• alpha squeak - Answer breach rhythm Inflammation of the covering of the brain or spinal cord:
• encephalitis
• cerebropathia
• myelitis
• meningitis - Answer meningitis To enhance the background alpha and beta asymmetry in an EEG record showing moderately high voltage delta activity, the technologist should use a:
• shorter time constant and decreased sensitivity
• longer time constant and decreased sensitivity
• shorter time constant and increased sensitivity
• longer time constant and increased sensitivity - Answer shorter time constant and increased sensitivity Damage to Broca's area may result in:
• expressive aphasia
• anoxia

• ataxia
• receptive aphasia - Answer expressive aphasia Which of the following is characteristic of triphasic waves?
• they have a sharp initial positive phase
• they are posterior dominant
• they are usually unilateral
• they have a time lag from frontal to posterior head regions - Answer they have a time lag from frontal to posterior head regions During an absence seizure, the technologist should:
• stop recording and go to the patients aid
• insert a tongue blade in the patients mouth
• test the patients level of consciousness
• turn the patients head to the left - Answer test the patients level of consciousness By which of the following ages should EEG differentiation of the four stages of non-REM sleep be identifiable in a child born at term?
• 2 years
• 1 month
• 6 months
• 1 week - Answer 6 months Scotoma
• retinal inflammation
• increase in intraocular pressure
• scieral tumor
• area of visual loss - Answer area of visual loss

TIME CONSTANT relates to:

• low frequency filter
• sensitivity
• gain
• time axis - Answer low frequency filter Narcolepsy
• decreased REM sleep
• continuous REM sleep
• sleep onset REM
• absent REM - Answer Sleep-onset REM The third ventricle is connected to the fourth ventricle by the
• foramen magnum
• foramen of monro
• foramen of Luschka
• Aqueduct of sylvius - Answer aqueduct of Sylvius Which of the following best describes secondary bilateral synchrony?
• Generates simultaneous generalized discharges
• Originates from both temporal lobes at the same time
• Reflects rapid generalization from one or multiple sources
• Produces 3Hz spike and wave discharges - Answer Reflects rapid generalization from one or multiple sources A prolonged series of generalized convulsions without any period of conciousness between them is referred to as:
• pseudobulbar palsy
• status epilepticus

• complex partial seizures
• Todd's Paralysis - Answer status epilepticus This study would be useful for acute head trauma:
• CT
• PET
• NCS
• x ray - Answer CT Immediately following a generalized tonic-clonic seizure, the EEG typically shows:
• burst suppression pattern
• 8 to 13 Hz alpha background
• TIRDA
• generalized slowing - Answer generalized slowing What is the most common cause of generalized beta?
• medications
• burr holes
• hyperventilation
• sleep - Answer medications Which of the following occurs during a typical absence seizure?
• aura
• impaired consciousness
• prolonged postictal depression
• generalized tonic clonic activity - Answer impaired consciousness Vertical resolution is also known as:
• duration

• frequencies
• bits
• amplitude - Answer amplitude Which of the following blood vessels is most frequently involved in strokes?
• posterior communicating artery
• anterior cerebral artery
• posterior cerebral artery
• middle cerebral artery - Answer middle cerebral artery The EEG of a patient with hepatic encephalopathy is most likely to show:
• atypical spike and wave
• burst suppression pattern
• FIRDA
• generalized triphasic waves - Answer Generalized triphasic waves Which is not a risk factor for JME?
• absence seizures
• sleep deprivation
• patients ages 3 - 4
• patients ages 14 - 15 - Answer Patients ages 3 - 4 Hypsarrhythmia is a pattern most often assiciated with:
• atonic seizures
• absence seizures
• gelastic seizures
• infantile spasms - Answer Infantile spasms The EEG is MOST useful in evaluating

• seizure disorders
• cerebral trauma
• brain tumors
• cerebrovascular disease - Answer seizure disorders High amplitude spikes in the occipital region, time locked with a slow photic stimulus rate in young children is a characteristic of which of the following diseases?
• Malaria disease
• Battens disease
• Rubella disease
• Pertusis disease - Answer Battens disease Temporal Lobe Epilepsy accounts for what % of all patients with epilepsy?
• 20%
• 40%
• 60%
• 80% - Answer 60% The central sulcus is the anterior boundary of the
• temporal lobe
• occipital lobe
• parietal lobe
• frontal lobe - Answer parietal lobe Slow sampling rate may cause fast frequencies to appear slower:
• low impact impedance
• long time constant
• aliasing
• overfiltering - Answer aliasing

TUBEROUS SCLEROSIS is:

• contagious
• condition only seen in adults
• treatable with anti convulsants
• genetic - Answer genetic Which of the following EEG patterns is characteristic of West syndrome?
• generalized spike and wave
• status epilepticus
• hypsarrythmia
• hypersynchrony - Answer hypsarrythmia BENIGN EPILEPTIFORM TRANSIENTS OF SLEEP
• peak at 30 - 60 years
• common in infancy
• stage iv sleep
• midline occipital - Answer peak at 30 - 60 years Excessive beta frequency activity may be the result of which of the following?
• chronic pain
• drug effect
• sleep deprivation
• skull breach - Answer drug effect What is the most effective means of preventing nosocomial infections?
• equipment processing
• isolation of infected persons
• disinfection of contaminated surfaces