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ABRET Prep 2/2 > II.Q Electrographic correlates to clinical / non-clinical e > Flashcards

II.Q Electrographic correlates to clinical / non-clinical e Flashcards

1
Q

A 14 year old female with history of “body jerks” in the morning presents with first time seizure. What would you expect to see on the EEG?
A) Centro-temporal spikes
B) Generalized slowing
C) Continuous spike and wave during sleep
D) 3-6 Hz generalized polyspike and wave

A

3-6 Hz generalized polyspike and wave

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2
Q

Delta bursts that reappear 3 to 5 minutes after cessation of HV is a common feature in which of the following diseases?
A) Parkinson’s disease
B) Alzheimer’s disease
C) Acid Lipase disease
D) Moyamoya disease

A

Moyamoya Disease

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3
Q

ANOXIC ENCEPHALOPATHY
A) BIPLEDS (BIPLDS)
B) POSTS
C) SREDA
D) OIRDA

A

BIPLEDS

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4
Q

Which EEG pattern is NOT the result of cerebral anoxia?
A) Alpha coma
B) Phantom spike and wave
C) Burst-suppression
D) Electrocerebral inactivity

A

Phantom spike and wave

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5
Q

EMG artifacts time locked with the flash frequency of photic stimulation
A) Delta Driving
B) Photomyogenic Response
C) Photic Driving
D) Photoparoxysmal responce

A

Photomyogenic Response

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6
Q

The tonic phase of a generalized tonic-clonic seizure is associated with
A) low voltage rhythmic beta.
B) multiple spike and wave complexes.
C) rhythmic slowing.
D) 3/sec spike and wave complexes.

A

low voltage rhythmic beta.

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7
Q

What type of seizure is associated with Lennox-Gastaut Syndrome?
A) All are correct
B) Atypical Absence
C) Atonic seizures
D) Generalized Tonic-Clonic seizures

A

All are correct: Atypical Absence, Atonic seizures, Generalized Tonic-Clonic seizures

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8
Q

An electrographic seizure is characterized by
A) Intermittent temporal spike
B) Episodic rhythmic activity
C) Irregular polymorphic delta
D) Single bifrontal spike and wave

A

Episodic rhythmic activity

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9
Q

ALPHA COMA
A) Seizures
B) Locked-in syndrome
C) Cardiac arrest
D) Focal lesion

A

Cardiac arrest

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10
Q

Periodic lateralized epileptiform discharges are found most commonly in the EEGs of patients with
A) cephalgia.
B) acute cerebral infarction.
C) brain stem tumors.
D) multiple sclerosis.

A

acute cerebral infarction.

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11
Q

Which of the following is the most common EEG correlate of an epileptic aura?
A) 3 Hz spike-and-wave discharges
B) OIRDA
C) Temporal epileptiform discharges
D) FIRDA

A

Temporal epileptiform discharges

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12
Q

A common electrographic correlate of a seizure:
A) Single bifrontal spikes
B) Intermittent temporal spikes
C) Rhythmic activity
D) Irregular polymorphic delta

A

Rhythmic activity

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13
Q

Immediately following a generalized tonic-clonic seizure, the EEG typically shows: (No TIRDA or BS pattern)
A) Suppression
B) Normal activity
C) Paroxysmal fast activity
D) Generalized slowing

A

Normal activity

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14
Q

A prolonged series of generalized convulsions without any period of consciousness between them is referred to as
A) Todd’s paralysis.
B) status epilepticus.
C) complex partial seizures.
D) pseudobulbar palsy.

A

status epilepticus.

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15
Q

Immediately following an absence seizure, the EEG is most likely to show:
A) Paroxysmal fast activity
B) Generalized slowing
C) Suppression
D) Normal activity

A

Normal activity

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16
Q

PARTIAL SEIZURE DISORDER
A) PLEDS (PLDS)
B) photoparoxysmal discharges
C) anterior temporal spike focus
D) 3 hertz spike and wave

A

anterior temporal spike focus

17
Q

Hypothalamic Hamartoma:
A) Absence seizure
B) Gelastic seizure
C) Myoclonic seizure
D) Reflex seizure

A

Gelastic seizure

18
Q

Rhythmic theta activity in the temporal region is most commonly associated with which seizure type?
A) Complex partial
B) Generalized tonic-clonic
C) Absence
D) Akinetic

A

Complex partial

19
Q

Difference between epileptic seizures vs. non-epileptic events.
A) Biting the inner cheeks
B) Occurring suddenly out of sleep
C) Tongue Biting
D) Prolonged duration loss of consciousness

A

Prolonged duration loss of consciousness

20
Q

Alpha coma is most often seen following:
A) drug overdose
B) stroke
C) concussion
D) cardiac arrest

A

cardiac arrest

21
Q

A seizure discharge arising from the right frontal lobe is likely to be characterized clinically by
A) deviation of head and eyes.
B) visual hallucinations.
C) auditory hallucinations.
D) thrusting of the tongue.

A

deviation of head and eyes.

22
Q

Which of the following EEG pattern is MOST likely associated with seizures?
A) OIRDA
B) SREDA
C) FIRDA
D) TIRDA

A

TIRDA

23
Q

A 7 year old male presents with a 6 month history of spells involving numbness and tingling of his tongue. He remains conscious the entire time and occasionally with drool during the spells. What do you expect to see on the EEG?
A) 14-16 spikes
B) 3 Hz Generalized spike and wave
C) Centro-temporal spikes
D) Triphasic waves

A

Centro-temporal spikes

24
Q

Which of the following is most characteristic of complex partial seizures?
A) Drop attacks
B) Immediate return to full consciousness
C) 3 Hz spike and wave
D) Automatisms and impaired consciousness

A

Automatisms and impaired consciousness

25
Q

During which of the following types of seizures would a patient be likely to experience deja vu?
A) Complex partial
B) Myoclonic
C) Generalized non-convulsive
D) Atonic

A

Complex partial

26
Q

SKULL DEFECT
A) Alpha squeak
B) Diffuse slowing
C) Breach rhythm
D) Periodic complexes

A

Breach rhythm

27
Q

In patients with myoclonic epilepsy of Janz, seizures are most likely to occur:
A) During exercise
B) In the evening
C) Early in the morning
D) After a meal

A

Early in the morning

28
Q

ALPHA COMA
A) Headache
B) Cardiopulmonary Arrest
C) Post traumatic stress disorder
D) Stroke

A

Cardiopulmonary Arrest

29
Q

Non-epileptic events (PNES) typically result in which of the following?
A) Injury to patient
B) Normal EEG
C) Nocturnal events
D) Clinical improvement to antiepileptic drugs

A

Normal EEG

30
Q

Patients with temporal lobe epilepsy may display ictal automatisms, which are:
A) Auditory hallucinations, such as hearing music
B) Forced head turn to the left or right
C) Stereotyped, repetitive movements, such as lip smacking or rubbing fingers together
D) Rhythmic shaking of both lower extremities

A

Stereotyped, repetitive movements, such as lip smacking or rubbing fingers together

31
Q

Beta coma most commonly results from:
A) drug overdose
B) hepatic encephalopathy
C) hypoglycemia
D) anoxic insult

A

drug overdose

32
Q

The clonic phase in a generalized tonic-clonic seizure is characterized by:
A) Diffuse rhythmic spikes followed by diffuse SSW activity
B) Diffuse rhythmic slowing without spikes
C) Diffuse delta with focal SSW discharges
D) Diffuse 3 Hz spike and wave

A

Diffuse rhythmic spikes followed by diffuse SSW activity

33
Q

Which neurologic syndrome may be associated with focal epilepsy?
A) Guillian-Barre syndrome
B) Tolosa Hunt syndrome
C) Lambert_Eaton syndrome
D) Tuberous Sclerosis Complex

A

Tuberous Sclerosis Complex

34
Q

Excessive beta frequency activity may be the result of which of the following?
A) Skull breach
B) Age
C) Drowsiness
D) Sleep deprivation

A

Skull breach

35
Q

Landau-Kleffner syndrome is characterized by
A) electrical status epilepticus of sleep
B) persistent synchronous occipital spike and wave
C) electrodecremental seizures
D) 16-20 Hz bilaterally occipital spike and wave

A

electrical status epilepticus of sleep

36
Q

What is the term that describes failure of the alpha rhythm to attenuate with eye opening?
A) Alpha imbalance
B) Bancaud’s Phenomenon
C) Modulation resistance
D) My persistence

A

Bancaud’s Phenomenon

37
Q

Photomyogenic response may be enhanced by:
A) eyes open and eyes closed
B) age
C) Alcohol or barbiturate withdrawal
D) Juvenile myoclonic epilepsy

A

Alcohol or barbiturate Withdrawal

38
Q

What feature is most diagnostic of Psychogenic Non-Epileptic Spells (PNES)
A) Post-event lethargy
B) No disruption of the posterior dominant rhythm
C) Chaotic flailing limb movements
D) Triggerable by photic stimulation

A

No disruption of the posterior dominant rhythm

ABRET Prep 2/2 (21 decks)

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