AANEM Self-Study Curriculum Part 1

Question 1

Define Charge

Answer 1

the force matter experiences when placed in an electromagnetic field (Coulomb Q)

Question 2

Define Voltage

Answer 2

Difference in electrical potential between two points (Volts E)

Question 3

Define Current

Answer 3

Flow of charge particles (AMPERE symbol = I

Question 4

Define Impedance

Answer 4

total opposition to I (current) in an AC circuit. Includes resistance, capacitive reactance and inductive reactance (OHMS symbol = Z)

Question 5

Define CMAP

Answer 5

number of muscle fibers that depolarize. Onset latency

Question 6

Define SNAP

Answer 6

sum of all sensory nerve fibers. Peak latency

Question 7

CV =

Answer 7

distance / (proximal lat - distal lat)

Question 8

F-response

Answer 8

aff motor eff motor no synapse

Question 9

H-reflex

Answer 9

aff sensory eff motor with synapse

Question 10

SNAP LFF/HFF/Gain

Answer 10

20 hz - 2 khz gain 20 microvolts/div

Question 11

CMAP LFF/HFF/Gain

Answer 11

10 hz - 10 khz - 2-5 mv/div

Question 12

Normal H-reflex

Answer 12

34 ms and side to side up to 1.5ms

Question 13

Normal F-response median/ulnar

Answer 13

32 ms

Question 14

Normal F-response tibial/peroneal

Answer 14

<56 ms

Question 15

Describe exercise protocol wtih RNS

Answer 15

RNS at rest –> 10s exercise RNS (post exercise facil) –> 1 min RNS at 1 2 3 and 4 min (post exercise exhaustion) –> if decrement the exercise 20s for repair

Question 16

fibrillation source/speed/rhythm

Answer 16

muscle fiber 0.5 to 10hz regular

Question 17

What conditions do NOT cause fibs

Answer 17

steroid myopathy and congenital/metabolic myopathies

Question 18

CRD source/speed/rhythm

Answer 18

muscle fiber 5-100 hz / regular monomorphic

Question 19

Fasciculation source/speed/rhythm

Answer 19

motor unit / 1-2 hz / IRREGULAR

Question 20

myokymia source/speed/rhythm

Answer 20

motor unit / 5-70 hz / regular

Question 21

neuromyotonia and cramps originate from

Answer 21

motor unit

Question 22

myotonia originates from

Answer 22

muscle fiber

Question 23

PSW source/speed/rhythm

Answer 23

muscle fiber - 10hz - regular

Question 24

Axon loss evolution on NEE

Answer 24

Day 3 = decreased recruitment | 1 wk - 3 mo spontaneous | 3 mo MUAP morphology change | 6+ mos spont begins to decrease if no active pathology

Question 25

Axon loss evolution on NCS

Answer 25

Day 3 = NL | 1-6 wk SNAP/CMAP Amp decrease with possible normalization in months to years.

Question 26

no necrosis in myopathy =

Answer 26

no spontaneuous activity