Clinical Medicine > A-Level Mark Scheme > CLTM Exam Rebecca Clark Bash Study Guide Complete Questions With Verified Answers (All)

CLTM Exam Rebecca Clark Bash Study Guide Complete Questions With Verified Answers

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CLTM Exam Rebecca Clark Bash Study Guide Complete Questions With Verified Answers \Q\.In a patient with epileposy, which region of focus (by lobe of the brain) is known to have the greatest incidence of NORMAL EEG? - ANSWERS✔-Frontal Lobe Seizures from here don't always show up on the EEG \Q\.Catamenial Epilepsy - What is it? - ANSWERS✔-Includes women whose seizures are exacerbated by their menstrual cycle. Women with catamenial epilepsy are unusually sensitive to endogenous hormonal changes. This seizure exacerbation has a statistically significant positive correlation to serum estradiol/estrogen levels and ratios. \Q\.GAMMA A gamma wave is a pattern of neural oscillation in humans with a frequency between ___ and ___ Hz, though ___ Hz is typical. (Related to depth of anesthesia (patient state index) - ANSWERS✔-A gamma wave is a pattern of neural oscillation in humans with a frequency between *25* and *100* Hz, though *40* is typical. \Q\.What is the most common artery that infarction, emboli, ischemia, thrombosis, etc., may be seen at? - ANSWERS✔-Middle Cerebral Artery (MCA) \Q\.What are the most common symptoms of Middle Cerebral Artery cerebral infarction? - ANSWERS✔-Contralateral face and arm/hand paralysis \Q\.C3 & C4 Arm/Hand Paralysis? Face Paralysis? - ANSWERS✔-Arm/Hand Paralysis \Q\.T3 & T4 Arm/Hand Paralysis? Face Paralysis? - ANSWERS✔-Face Paralysis \Q\.What is Compressed Spectral Array (CSA)? - ANSWERS✔-Three dimensional display of EEG power spectral lines. \Q\.What is Spectral Edge Frequency (SEF)? - ANSWERS✔-Highest significant frequency present in the recorded EEG spectrum for each epoch. \Q\.On the CSA, the Y Axis displays EEG as: Frequency in Hz OR Power as a function (amplitude or mV) - ANSWERS✔-Power as a function (amplitude or mV) \Q\.On the CSA, the X Axis displays EEG as: Frequency in Hz OR Power as a function (amplitude or mV) - ANSWERS✔-Frequency in Hz \Q\.Where does the burst-suppression pattern come from in the brain? - ANSWERS✔-Brainstem \Q\.Only patients with what types of seizures qualify to have epilepsy surgery? - ANSWERS✔-Partial or Focal Epilepsies \Q\.The WADA is also known as: - ANSWERS✔-Sodium Amobarbital Test \Q\.The Sodium Amobarbital Test is hemisphere dominant for __________ & _____ _____ ____ assessment. - ANSWERS✔-Language & Short Term Memory NOT LONG TERM MEMORY OR SPEECH \Q\.What does the WADA process begin with? - ANSWERS✔-It begins with selective angiography \Q\.What is Angiography? - ANSWERS✔-Assesses arterial blood flow Selective Angiography is a procedure in which visualization is improved by concentrating the contrast media in the region to be studied by injection through a catheter. \Q\.The Ambobarbital Sodium is injected via an arterial catheter which is located at the ______________. Proximal Internal Carotid Artery OR Proximal External Carotid Artery - ANSWERS✔-Proximal Internal Carotid Artery \Q\.What kind of EEG activity would you see during a WADA? - ANSWERS✔-Slow activity (delta) in the hemisphere ipsilateral to the injection. **Ipsilateral hemispheric dysfunction & transient contralateral paralysis

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