Long-Term EEG Monitoring Practice Test
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Questions and Answers

What is a critical step after conducting an EEG study?

  • Cleaning electrode sites and assessing the patient's scalp (correct)
  • Reviewing the patient's medical history
  • Disposing of the used electrodes
  • Documenting patient consent
  • What is the primary purpose of impedance monitoring throughout a recording session?

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

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

    <p>Age-specific recording parameters and patterns (B)</p> Signup and view all the answers

    Which standard regulates the confidentiality of patient information during EEG monitoring?

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

    What is the primary purpose of calibration in EEG recording?

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

    What ensures standardized and accurate electrode placement during EEG?

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

    Which EEG finding is characteristic of West Syndrome?

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

    What is the first step in resolving an artifact during EEG recording?

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

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

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

    What does HIPAA primarily regulate in medical contexts?

    <p>Confidentiality of patient information (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 the significance of performing impedance checks during EEG setup?

    <p>Ensuring high-quality signal acquisition (C)</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

    Which waveform is most common in a normal waking EEG?

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

    What safety protocol is essential for cleaning reusable electrodes?

    <p>Following infection prevention protocols (D)</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

    What is the primary aim of long-term video-EEG monitoring?

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

    What is the purpose of functional brain mapping?

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

    Which artifact is typical with loose electrodes?

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

    Which guideline is critical for long-term EEG safety?

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

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

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

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

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

    What is the purpose of recording annotations during EEG?

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

    Which seizure type involves a sudden loss of muscle tone?

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

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

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

    Which waveform is characteristic of generalized tonic-clonic seizures?

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

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

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

    Flashcards

    What's the main purpose of impedance monitoring?

    Regular impedance monitoring helps reduce noise and artifacts, resulting in clearer and more accurate recordings.

    Which waveform is common in deep sleep?

    Delta waves are most prominent during deep sleep, characterized by slow and high amplitude waves.

    What's critical when doing EEG on kids?

    Pediatric EEG requires specific recording parameters based on age to ensure correct interpretation.

    What standard protects patient info in EEG?

    HIPAA protects the confidentiality of patient information during EEG monitoring, similar to other healthcare settings.

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    What is the purpose of safety protocols in EEG?

    Safety protocols prioritize the safety of both the patient and the technician during the EEG procedure.

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

    The primary reason for long-term EEG monitoring is to identify and analyze seizure patterns in order to provide appropriate treatment.

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    What system is used for electrode placement in EEG monitoring?

    The 10-20 system is the standard method used for placing electrodes on the scalp during EEG monitoring. It ensures consistency and accuracy in electrode placement.

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    What is a crucial aspect of pre-study preparation for long-term EEG?

    A key step in preparing for EEG monitoring is reviewing the patient's medical history and the specific monitoring orders to tailor the procedure effectively.

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    What is the importance of Concept 4 in long-term EEG monitoring?

    Concept 4 in long-term EEG monitoring relates to understanding EEG frequencies, which helps in identifying different brain wave patterns and making accurate interpretations.

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    What is the purpose of calibration in EEG recording?

    Calibration is essential to make sure the EEG equipment is working correctly and accurately capturing brain signals.

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    What is the most common artifact caused by patient movement in EEG?

    Muscle activity, usually caused by patient movement, is the most common type of artifact seen in EEG recordings.

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    What should be documented during long-term EEG monitoring?

    Documenting clinical events, stimulations, and any changes in the EEG patterns is crucial for accurate interpretation and analysis of the recorded data.

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    Why is understanding EEG frequency important?

    EEG frequency analysis plays a vital role in distinguishing different types of brain activity and providing valuable diagnostic information.

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    10-20 System

    Ensuring standardized and accurate electrode placement for EEG recording.

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    Hypsarrhythmia

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

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    Check Electrode Connections

    The first step to troubleshoot EEG artifacts. It ensures valid recording by checking all electrode connections for tightness and proper placement.

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    Interference with EEG Signals

    A primary concern in EEG monitoring of patients with implanted devices like pacemakers or neurostimulators, as they can disrupt the EEG signals.

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    HIPAA

    A federal law protecting patient's health information, ensuring privacy and confidentiality of medical records, including EEG data.

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    Impedance Check

    A procedure during EEG setup to measure the electrical resistance between the electrode and the skin, ensuring good contact for optimal signal acquisition.

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    Alpha Waves

    The most common brainwave pattern in a relaxed, awake adult with eyes closed, appearing on the EEG as rhythmic, 8-12Hz waves.

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    Infection Prevention Protocols

    A crucial safety protocol for reusable electrodes in EEG, preventing cross-contamination and ensuring patient safety.

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    Accurate Seizure Diagnosis

    A key purpose of long-term video-EEG monitoring, aiming to capture and accurately diagnose different types of seizures.

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    Functional Brain Mapping

    A technical procedure used to identify areas in the brain essential for language, motor control, and sensory functions.

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    Electrode Pop Artifact

    An artifact commonly caused by loose electrode connections. It appears as a sudden change in the EEG signal.

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    Detecting Spikes and Seizures

    The primary function of digital analysis in EEG monitoring, aiding in identifying spikes, seizure events, and other abnormalities in the brainwaves.

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    Data Archiving

    An important aspect of EEG monitoring that helps researchers understand the underlying electrical activity in the brain.

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    ABRET

    The organization responsible for setting ethical standards and certifying EEG technologists, ensuring professional conduct in the field and promoting patient safety.

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    Rhythmic Theta Activity

    The most common ictal pattern seen in temporal lobe epilepsy, characterized by rhythmic slow waves (theta waves) between 4-7Hz during seizures.

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    What are PLEDs?

    Periodic Lateralized Epileptiform Discharges (PLEDs) are temporary, abnormal electrical activity in the brain that can be seen on an EEG. They are often associated with conditions that affect brain function such as stroke, brain tumors, and status epilepticus.

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    What is hyperventilation activation and why is it contraindicated in certain patients?

    Hyperventilation activation is a procedure used to induce brain activity and identify potential seizure activity in an EEG. Hyperventilation involves rapid, deep breathing that can trigger epileptiform discharges. Due to the potential risks, it should not be performed in patients with asthma, recent stroke, or cardiovascular disease.

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    Why are impedance checks crucial for EEG monitoring?

    Impedance checks are essential for ensuring that electrodes are properly placed and maintain a good connection with the skin to collect accurate brain activity during an EEG. Poor electrode placement can cause inaccurate readings and affect the quality of the recording.

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    Name one type of artifact in EEG recordings and what causes it?

    EMG artifact is a type of noise in an EEG recording that is caused by muscle activity. It can appear as high-frequency noise on the signal. Proper grounding of the electrodes and techniques to reduce muscle tension can minimise EMG artifact.

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    What key guidelines are critical for long-term EEG safety?

    ACNS or the American Clinical Neurophysiology Society provides guidelines that ensure safe and effective practices for long-term EEG monitoring. This includes things like proper electrode placement, infection control, and documentation of results for accurate interpretation.

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    What is functional mapping during EEG monitoring?

    Functional mapping in EEG monitoring involves identifying key brain regions, such as those responsible for motor function, language, and memory. This helps to understand which areas of the brain are critical and can be preserved during surgical procedures.

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    What is the standard electrode placement system for EEG monitoring?

    The 10-20 system is a standardised method for placing electrodes on the scalp during an EEG. The system is based on anatomical landmarks, ensuring that electrodes are positioned consistently and accurately.

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    What EEG wave pattern accompanies a generalized tonic-clonic seizure?

    Spike-and-wave complexes are a type of electrical activity seen in the brain during an EEG. These bursts of electrical activity can signify a generalized tonic-clonic seizure, a type of seizure with sudden muscle stiffening and jerking movements.

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    What is trend analysis in EEG?

    Trend analysis involves reviewing and analysing EEG data over time to identify patterns. This helps to identify changes in brain activity such as seizure onset, frequency, or progression of brain activity.

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    What is essential safety protocol when handling reusable electrodes?

    When using reusable electrodes, proper sterilization is critical in preventing infections and ensuring patient safety. Sterilization protocols should follow strict guidelines for cleaning and disinfection to ensure no pathogens remain, preventing the spread of disease.

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    Explain the role of a differential amplifier in EEG recording?

    A differential amplifier is an essential component of an EEG recording system. It compares the voltage differences between two electrodes to produce the EEG signal that is then amplified. This method helps to reduce noise and ensure that the signal is clear and accurate.

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    What is the best way to reduce 60 Hz interference in EEG recordings?

    60 Hz interference is noise that originates from power lines and can be problematic in EEG recordings. Proper grounding of the EEG equipment is essential for reducing this interference and ensuring clear signals of brain activity.

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    What is a distinctive feature of a tonic seizure?

    Tonic seizures are a type of seizure characterized by sudden muscle stiffening and increased muscle tone. This causes a prolonged period of muscle contraction, often resulting in the body assuming an unusual posture.

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    What is the purpose of seizure provocation techniques in EEG monitoring?

    Seizure provocation techniques are used to help identify potential seizure activity in an EEG. In this, procedures such as hyperventilation, sleep deprivation, or photic stimulation are used to trigger brain activity for diagnostic purposes.

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    Why are critical values reported during EEG monitoring?

    The primary purpose of reporting critical values is to alert the care team to significant changes in the patient's condition as observed in the EEG recordings. This ensures a timely and appropriate medical response to address the patient's needs, potentially preventing worsening symptoms.

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    Study Notes

    Long-Term EEG Monitoring Practice Test - 50 Questions

    • Question 1: Most common indication for long-term EEG monitoring is diagnosing epilepsy.
    • Question 2: Standard electrode placement system for EEG monitoring is the 10-20 System.
    • Question 3: Pre-study preparation focuses on reviewing patient history and monitoring orders.
    • Question 4: Concept 4 in long-term EEG monitoring involves understanding EEG frequency.
    • Question 5: EEG recording calibration ensures accurate equipment function.
    • Question 6: The most common artifact from patient movement is EMG artifact.
    • Question 7: Documentation during long-term EEG monitoring includes clinical events, stimulations, and EEG changes.
    • Question 8: Periodic lateralized epileptiform discharges (PLEDs) are linked to stroke, brain tumors, and status epilepticus.
    • Question 9: Hyperventilation activation is contraindicated in patients with asthma, recent stroke, and cardiovascular disease.
    • Question 10: Invasive electrodes pose risks of infection, tissue damage, and improper placement.
    • Question 11: Impedance checks ensure electrode contact and reduce noise.
    • Question 12: EMG artifact results from muscle activity, evidenced by high-frequency noise.
    • Question 13: Documentation during long-term monitoring covers all stimulations, clinical events, and observed EEG changes.
    • Question 14: ACNS Guidelines are critical for long-term EEG safety.
    • Question 15: Functional mapping identifies critical brain functions, used in pre-surgical evaluation.
    • Question 16: Managing patient anxiety involves clear communication and reassurance.
    • Question 17: The 10-20 System is a common electrode placement system for long-term monitoring.
    • Question 18: Spike-and-wave complexes are associated with generalized tonic-clonic seizures.
    • Question 19: Trending analysis identifies patterns in EEG activity over time.
    • Question 20: Proper sterilization based on infection prevention guidelines is needed for reusable electrodes.
    • Question 21: Differential amplifiers compare electrode voltages to produce the EEG signal.
    • Question 22: Proper grounding of EEG equipment minimizes 60 Hz interference.
    • Question 23: Tonic seizures involve sudden muscle stiffening.
    • Question 24: Seizure provocation techniques, like hyperventilation, trigger potential seizure activity.
    • Question 25: Reporting critical values alerts the care team to significant changes in patient status.
    • Question 26: The 10-20 or 10-10 electrode placement system ensures standard placement.
    • Question 27: Hypsarrhythmia is common in West Syndrome.
    • Question 28: Troubleshooting artifacts starts by checking electrode connections.
    • Question 29: Implanted devices can interfere with EEG signals, requiring careful monitoring.
    • Question 30: HIPAA addresses the confidentiality of patient information.
    • Question 31: Impedance checks verify electrode function for improved signal acquisition.
    • Question 32: Alpha waves are common in a normal, waking EEG, with eyes closed.
    • Question 33: Cleaning reusable electrodes follows infection prevention protocols.
    • Question 34: Long-term video-EEG monitoring accurately diagnoses seizure types.
    • Question 35: Functional brain mapping identifies critical functional areas.
    • Question 36: Loose electrodes produce electrode pop artifacts.
    • Question 37: Digital analysis detects EEG spikes and seizures.
    • Question 38: Annotations document clinical and electrographic events in EEG recordings.
    • Question 39: Atonic seizures involve sudden loss of muscle tone.
    • Question 40: Data archiving ensures long-term accessibility
    • Question 41: ABRET sets ethical standards for EEG technologists.
    • Question 42: Rhythmic theta activity is common in temporal lobe epilepsy seizures.
    • Question 43: Safety in intracranial EEG monitoring involves monitoring for infection.
    • Question 44: Hippocampal sclerosis is a common cause of temporal lobe seizures.
    • Question 45: Post-EEG, electrode sites are cleaned and checked.
    • Question 46: Impedance monitoring maintains signal quality by reducing artifacts.
    • Question 47: Delta waves are common in deep sleep stages.
    • Question 48: Pediatric EEG requires age-specific parameters.
    • Question 49: HIPAA governs patient information confidentiality.
    • Question 50: Safety protocols protect patients and technicians.

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    Test your knowledge on long-term EEG monitoring with this comprehensive 50-question practice exam. Covering topics like electrode placement, patient preparation, and common EEG artifacts, this quiz is essential for anyone preparing for a career in neurology or clinical neurophysiology. Assess your understanding of critical concepts in EEG monitoring.

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