EEG Monitoring Practice Test - 50 Questions
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Questions and Answers

What is the primary purpose of impedance monitoring throughout a recording session?

  • Testing for seizure activity
  • Monitoring patient compliance
  • Reducing artifacts and maintaining signal quality (correct)
  • Enhancing recording sensitivity
  • What waveform is most common in deep sleep stages?

  • Delta waves (correct)
  • Alpha waves
  • Theta waves
  • Beta waves
  • What is a critical consideration when performing EEG on pediatric patients?

  • Use of standard adult montages
  • Avoiding impedance checks
  • Age-specific recording parameters and patterns (correct)
  • Reducing recording time to 15 minutes
  • Which standard governs the confidentiality of patient information during EEG monitoring?

    <p>HIPAA (B)</p> Signup and view all the answers

    What is the purpose of safety protocols in EEG monitoring?

    <p>Safeguarding patient and technician safety (D)</p> Signup and view all the answers

    What is the most common indication for long-term EEG monitoring?

    <p>Diagnosing epilepsy (C)</p> Signup and view all the answers

    Which system is most commonly used for electrode placement in EEG monitoring?

    <p>10-20 System (A)</p> Signup and view all the answers

    What is a key goal during pre-study preparation for long-term EEG monitoring?

    <p>Reviewing patient history and monitoring orders (A)</p> Signup and view all the answers

    What is the significance of concept 4 in long-term EEG monitoring?

    <p>Understanding EEG frequency (A)</p> Signup and view all the answers

    What is the primary purpose of calibration in EEG recording?

    <p>Ensuring the equipment is functioning correctly (D)</p> Signup and view all the answers

    What is the most common artifact caused by patient movement?

    <p>EMG artifact (C)</p> Signup and view all the answers

    What should be documented during long-term EEG monitoring?

    <p>Clinical events, stimulations, and EEG changes (C)</p> Signup and view all the answers

    Which condition is commonly associated with periodic lateralized epileptiform discharges (PLEDs)?

    <p>All of the above (D)</p> Signup and view all the answers

    What is a contraindication for hyperventilation activation?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the primary safety concern with invasive electrodes?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the role of impedance checks during EEG monitoring?

    <p>To ensure proper electrode contact and reduce noise (B)</p> Signup and view all the answers

    Which artifact is most likely caused by muscle activity?

    <p>EMG artifact (C)</p> Signup and view all the answers

    Which guideline is critical for long-term EEG safety?

    <p>ACNS Guidelines (A)</p> Signup and view all the answers

    What is the primary purpose of functional mapping during EEG monitoring?

    <p>Mapping critical brain functions (A)</p> Signup and view all the answers

    What is the most effective method for managing patient anxiety during monitoring?

    <p>Providing clear communication and reassurance (C)</p> Signup and view all the answers

    Which electrode placement system is commonly used in long-term monitoring?

    <p>10-20 System (D)</p> Signup and view all the answers

    Which waveform is characteristic of generalized tonic-clonic seizures?

    <p>Spike-and-wave complexes (B)</p> Signup and view all the answers

    What is the purpose of trending analysis in EEG monitoring?

    <p>To identify patterns in brain activity over time (D)</p> Signup and view all the answers

    What safety protocol is critical for handling reusable electrodes?

    <p>Sterilizing according to infection prevention guidelines (C)</p> Signup and view all the answers

    What is the role of a differential amplifier in EEG recording?

    <p>Comparing voltages between electrodes (C)</p> Signup and view all the answers

    What is the correct electrode placement system to follow for standardized EEG recording?

    <p>10-20 or 10-10 system (B)</p> Signup and view all the answers

    What EEG finding is specifically associated with West Syndrome?

    <p>Hypsarrhythmia (B)</p> Signup and view all the answers

    What should be the initial action when faced with an artifact during EEG recording?

    <p>Check electrode connections (D)</p> Signup and view all the answers

    What is the primary risk when monitoring a patient with an implanted device?

    <p>Interference with EEG signals (A)</p> Signup and view all the answers

    In the context of long-term monitoring, what does HIPAA primarily regulate?

    <p>Confidentiality of patient information (C)</p> Signup and view all the answers

    Why is it important to perform impedance checks during EEG setup?

    <p>Ensuring high-quality signal acquisition (C)</p> Signup and view all the answers

    Which waveform is most commonly associated with a normal waking EEG?

    <p>Alpha waves (A)</p> Signup and view all the answers

    Which protocol is essential for cleaning reusable electrodes?

    <p>Following infection prevention protocols (B)</p> Signup and view all the answers

    What is the main purpose of long-term video-EEG monitoring?

    <p>Accurate diagnosis of seizure types (C)</p> Signup and view all the answers

    What is the function of functional brain mapping?

    <p>Localizing critical functional areas (B)</p> Signup and view all the answers

    Which artifact is typically caused by loose electrodes?

    <p>Electrode pop artifact (A)</p> Signup and view all the answers

    What is the primary role of digital analysis in EEG monitoring?

    <p>Detecting spikes and seizures (D)</p> Signup and view all the answers

    Why are annotations important in EEG monitoring?

    <p>Documenting clinical and electrographic events (C)</p> Signup and view all the answers

    Which seizure type is characterized by a sudden loss of muscle tone?

    <p>Atonic seizure (A)</p> Signup and view all the answers

    Flashcards

    What is the most common indication for long-term EEG monitoring?

    The primary purpose of long-term EEG monitoring is to diagnose epilepsy by identifying seizure patterns and guiding treatment.

    Which system is most commonly used for electrode placement in EEG monitoring?

    The 10-20 system is a standard method of electrode placement for EEG monitoring, ensuring consistent and accurate recording.

    What is a key goal during pre-study preparation for long-term EEG monitoring?

    Reviewing the patient's history and monitoring orders before the EEG study helps ensure that the recording is tailored to the individual's needs and specific concerns.

    What is the significance of concept 4 in long-term EEG monitoring?

    Concept 4 in long-term EEG monitoring focuses on understanding the different frequencies present in EEG recordings, which is crucial for accurate diagnosis and analysis.

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    What is the primary purpose of calibration in EEG recording?

    Calibration in EEG recording is essential to verify that the equipment is working correctly and capturing data accurately.

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    What is the most common artifact caused by patient movement?

    Electroencephalogram (EEG) artifact is a result of unwanted signals and noise like movements, muscle activity, etc.

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    What should be documented during long-term EEG monitoring?

    Comprehensive documentation of clinical events, stimulations, and EEG changes is crucial for accurate interpretation and analysis of the recordings.

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    What is the main purpose of impedance monitoring in EEG?

    Impedance monitoring helps reduce noise and artifacts, ensuring clear EEG recordings.

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    Which brainwave pattern is most common during deep sleep?

    During deep sleep, delta waves, which are slow and large, dominate the brain's activity.

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    What is the main consideration when performing EEG on children?

    EEG procedures for children require specialized recording parameters and the understanding of age-related brainwave patterns.

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    Which standard ensures the privacy of patient information in EEG?

    HIPAA (Health Insurance Portability and Accountability Act) protects the privacy and security of patient information, including EEG data.

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    Why are safety protocols crucial in EEG?

    Safety protocols in EEG prioritize the well-being of both the patient and the technician during the procedure.

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    10-20 system or 10-10 system

    A standard electrode placement system used for EEG recordings, which ensures consistent and accurate positioning.

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    Hypsarrhythmia

    A chaotic EEG pattern characterized by high-amplitude slow waves, spikes, and sharp waves, commonly seen in infants with West Syndrome.

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    Artifact Troubleshooting: First Step

    The initial step in troubleshooting EEG artifacts is checking the connections of electrodes to ensure they are securely attached.

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    Interference from Implanted Devices

    Implanted devices such as pacemakers or neurostimulators can interfere with EEG signals, requiring careful monitoring and adjustment during EEG recordings.

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    HIPAA in EEG

    The Health Insurance Portability and Accountability Act (HIPAA) mandates the protection of patient health information, including privacy in EEG monitoring.

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    Impedance Check

    Measuring the resistance between each electrode and the skin, impedance checks ensure optimal signal acquisition and efficient EEG recording.

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    Alpha Waves

    The most prominent brain wave pattern in a relaxed adult with eyes closed, alpha waves are a regular, rhythmic pattern in the 8-12 Hz frequency.

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    Infection Prevention for Electrodes

    Following infection prevention protocols when cleaning reusable electrodes is essential to ensure patient safety and prevent cross-contamination.

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    Long-Term Video-EEG Monitoring

    Long-term video-EEG monitoring allows for continuous recording and analysis of brain activity, providing crucial information for accurate diagnosis of seizure types and patterns.

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    Functional Brain Mapping

    Functional brain mapping identifies areas responsible for specific functions like language, movement, and sensation, helping to understand localized brain activity.

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    Electrode Pop Artifact

    An EEG artifact often caused by loose electrode placement, resulting in a sudden, sharp spike in the recording.

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    Digital Analysis in EEG

    Digital analysis in EEG enhances the identification of spikes and seizures by processing and highlighting specific electrical patterns in the brain.

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    Recording Annotations in EEG

    Annotations in EEG recordings document clinical events, describe observed EEG patterns, and provide a comprehensive record for later analysis.

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    Atonic seizure

    A type of seizure characterized by a sudden loss of muscle tone, causing the patient to collapse.

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    Data Archiving in EEG

    Data archiving in EEG ensures long-term accessibility of recordings for legal, medical, and research purposes, adhering to regulations and standards.

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    What are PLEDs associated with?

    Periodic lateralized epileptiform discharges (PLEDs) are a type of electrical activity seen on an EEG that can be associated with various neurological conditions, including stroke, brain tumors, and status epilepticus.

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    What is a contraindication for hyperventilation activation?

    Hyperventilation activation involves having the patient breathe rapidly and deeply, which can sometimes trigger epileptiform activity in those with epilepsy. This technique is not safe for patients with asthma, recent stroke, or cardiovascular disease, due to the potential risks.

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    Why are impedance checks important during EEG monitoring?

    Impedance checks measure the resistance between an electrode and the skin. A good impedance reading indicates a strong connection, minimizing noise and improving the accuracy of EEG recordings.

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    What causes electrode pop artifact?

    Electrode pop artifact is a sudden, sharp spike on the EEG caused by a sudden change in contact between the electrode and the skin. This can be caused by muscle movement, electrode displacement, or a loose connection.

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    What causes EMG artifact?

    EMG artifact is a high-frequency, noisy signal on the EEG that is caused by muscle activity. It can interfere with the interpretation of brain activity and needs to be minimized.

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    What information should be documented during long-term EEG monitoring?

    Long-term EEG monitoring involves recording brain activity for an extended period (often days or weeks), allowing for a more comprehensive view of brain activity and patterns. This documentation should include all important events, stimulations, and changes in the EEG signal.

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    Which guideline is critical for long-term EEG safety?

    The American Clinical Neurophysiology Society (ACNS) provides guidelines for safe and effective practices in long-term EEG monitoring.

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    What is the purpose of functional mapping during EEG monitoring?

    Functional mapping involves using EEG to identify critical brain regions responsible for specific functions, such as language or motor control. This is important for pre-surgical planning to avoid damaging vital areas.

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    Which electrode placement system is commonly used in long-term monitoring?

    The 10-20 System is a standard electrode placement system used for EEG recordings. It is based on the distances between key anatomical landmarks on the head.

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    Which waveform is characteristic of generalized tonic-clonic seizures?

    Spike-and-wave complexes are a distinctive pattern of brainwave activity often seen during generalized tonic-clonic seizures. They consist of a sharp, high-amplitude spike followed by a slower, lower-amplitude wave.

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    What is the purpose of trending analysis in EEG monitoring?

    Trending analysis involves examining changes in brain activity over time based on the EEG recordings. This can help identify patterns, such as seizure frequency or progression of brain activity changes.

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    What safety protocol is critical for handling reusable electrodes?

    Reusable electrodes should be sterilized according to infection prevention guidelines to ensure patient safety and prevent the spread of infections.

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    What is the role of a differential amplifier in EEG recording?

    A differential amplifier is a component of the EEG recording system that compares the electrical potentials between two electrodes, generating the EEG signal. This helps to reduce noise and amplify the brain's electrical activity.

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    Which seizure type involves sudden muscle stiffening?

    Tonic seizures are characterized by sudden muscle stiffening and increased muscle tone, lasting for a short period.

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    Study Notes

    EEG Monitoring Practice Test - 50 Questions

    • Question 1: Most common indication for long-term EEG monitoring is diagnosing epilepsy.
    • Question 2: The 10-20 system is the most common for electrode placement.
    • Question 3: Pre-study preparation involves reviewing patient history and monitoring orders.
    • Question 4: Concept 4 in long-term EEG monitoring focuses on understanding EEG frequency.
    • Question 5: EEG recording calibration ensures accurate equipment function.
    • Question 6: Patient movement most commonly causes EMG artifacts.
    • Question 7: Documentation during long-term monitoring includes clinical events, stimulations, and EEG changes.
    • Question 8: Periodic lateralized epileptiform discharges (PLEDs) are associated with stroke, brain tumors, and status epilepticus.
    • Question 9: Contraindications for hyperventilation activation include asthma, recent stroke, and cardiovascular disease.
    • Question 10: Invasive electrodes necessitate monitoring for proper placement, infection, and tissue damage.
    • Question 11: Impedance checks ensure proper electrode contact and reduced noise.
    • Question 12: Muscle activity typically causes EMG artifacts.
    • Question 13: Comprehensive documentation during long-term monitoring includes all stimulations, clinical events, and EEG changes.
    • Question 14: ACNS Guidelines are crucial for long-term EEG safety.
    • Question 15: Functional mapping during EEG monitoring localizes critical brain functions.
    • Question 16: Managing patient anxiety during monitoring involves clear communication and reassurance.
    • Question 17: The 10-20 system is widely used for non-invasive electrode placement in long-term monitoring.
    • Question 18: Spike-and-wave complexes are characteristic of generalized tonic-clonic seizures.
    • Question 19: Trending analysis in EEG monitoring identifies patterns in brain activity over time.
    • Question 20: Reusable electrodes require sterilization per infection prevention guidelines.
    • Question 21: A differential amplifier in EEG recording compares voltages between electrodes.
    • Question 22: Proper grounding of EEG equipment minimizes 60 Hz interference.
    • Question 23: Tonic seizures are defined by sudden muscle stiffening.
    • Question 24: Seizure provocation techniques like hyperventilation trigger potential seizure activity to diagnose.
    • Question 25: Reporting critical values during EEG monitoring notifies the care team of significant changes.
    • Question 26: Following the 10-20 or 10-10 electrode placement system ensures accurate positioning.
    • Question 27: West Syndrome is characterized by the EEG pattern hypsarrhythmia.
    • Question 28: Troubleshooting EEG artifacts starts with checking electrode connections.
    • Question 29: Monitoring patients with implanted devices requires vigilance for signal interference.
    • Question 30: HIPAA regulates the confidentiality of patient information in EEG monitoring.
    • Question 31: Impedance checks ensure high-quality signal acquisition.
    • Question 32: Alpha waves are the most common waveform in a normal, waking EEG.
    • Question 33: Cleaning reusable electrodes follows infection prevention protocols.
    • Question 34: Long-term video-EEG monitoring accurately diagnoses seizure types.
    • Question 35: Functional mapping locates critical functional areas(language, motor, sensory).
    • Question 36: Electrode pop artifacts are commonly linked to loose electrodes.
    • Question 37: Digital analysis in EEG monitoring detects spikes and seizures.
    • Question 38: EEG annotations document clinical and electrographic events.
    • Question 39: Atonic seizures feature sudden loss of muscle tone.
    • Question 40: Data archiving ensures long-term accessibility of EEG data.
    • Question 41: ABRET sets ethical standards for EEG technologists.
    • Question 42: Temporal lobe epilepsy often shows rhythmic theta activity during seizures.
    • Question 43: Intracranial EEG monitoring requires ongoing vigilance for infection signs.
    • Question 44: Hippocampal sclerosis is a main cause of temporal lobe seizures in adults.
    • Question 45: Post-EEG recording, electrode sites' cleaning and evaluation is essential.
    • Question 46: Impedance monitoring ensures stable signal quality by eliminating artifacts.
    • Question 47: Delta waves are prevalent in deep sleep stages.
    • Question 48: Pediatric EEG monitoring uses age-appropriate recording parameters.
    • Question 49: HIPAA governs patient information confidentiality.
    • Question 50: Safety protocols in EEG monitoring safeguard both patient and technician well-being.

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    This quiz is designed to test your knowledge and understanding of EEG monitoring, focusing on key concepts such as electrode placement, patient preparation, and common artifacts. Covering 50 questions, it is perfect for students and professionals looking to enhance their expertise in electroencephalography. Tackle essential topics related to long-term monitoring practices.

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