Long-Term EEG Monitoring Practice Test
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Questions and Answers

What is the leading cause of temporal lobe epilepsy in adults?

  • Cerebral contusion
  • Primary brain tumor
  • Ventricular enlargement
  • Hippocampal sclerosis (correct)

    • What step should be taken post-EEG recording to ensure the patient's comfort and safety?

  • Notify the medical team
  • Review the recording data
  • Change the patient’s position
  • Remove and clean electrode sites (correct)

    • Why is impedance monitoring crucial during EEG recordings?

  • To optimize electrode placement
  • To assess neurological function
  • To enhance patient comfort
  • To reduce artifacts and maintain signal quality (correct)

    • Which type of brain waves are primarily seen during deep sleep stages?

    <p>Delta waves</p> Signup and view all the answers

    What is an essential consideration for performing EEG on pediatric patients?

    <p>Using age-specific recording parameters and patterns</p> Signup and view all the answers

    Which standard is critical for protecting patient information during EEG monitoring?

    <p>HIPAA</p> Signup and view all the answers

    What do safety protocols in EEG monitoring primarily aim to ensure?

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

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

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

    Which system is primarily used for electrode placement in EEG monitoring?

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

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

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

    What does Concept 4 signify in long-term EEG monitoring?

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

    What is the primary purpose of calibration in EEG recording?

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

    What is the most common artifact resulting from patient movement during EEG monitoring?

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

    Which factor is critical to document during long-term EEG monitoring?

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

    Why is understanding EEG frequency significant in long-term EEG monitoring?

    <p>It enhances diagnostics and patient care</p> Signup and view all the answers

    What is the best method to ensure proper electrode placement?

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

    Which EEG finding is typically associated with West Syndrome?

    <p>Hypsarrhythmia</p> Signup and view all the answers

    What should be the first step in troubleshooting an artifact during EEG recording?

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

    What does HIPAA regulate in the context of long-term monitoring?

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

    What is the significance of performing impedance checks during EEG setup?

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

    What is the most common waveform seen in a normal waking EEG?

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

    Which safety protocol is crucial for cleaning reusable electrodes?

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

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

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

    What is the purpose of functional brain mapping?

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

    Which artifact is commonly caused by loose electrodes?

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

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

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

    What is the purpose of recording annotations in EEG monitoring?

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

    Which seizure type involves a sudden loss of muscle tone?

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

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

    <p>Stroke</p> Signup and view all the answers

    Which condition is considered a contraindication for hyperventilation activation?

    <p>Asthma</p> Signup and view all the answers

    What is the primary safety concern when using invasive electrodes?

    <p>Preventing infection</p> Signup and view all the answers

    What is the purpose of impedance checks during EEG monitoring?

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

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

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

    What is a key reason for conducting trending analysis during EEG monitoring?

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

    What is the appropriate safety protocol for handling reusable electrodes?

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

    What characteristic waveform is indicative of generalized tonic-clonic seizures?

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

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

    <p>To map critical brain functions</p> Signup and view all the answers

    What method is most effective for reducing 60 Hz interference in EEG recordings?

    <p>Properly grounding the EEG equipment</p> Signup and view all the answers

    What is the primary purpose of seizure provocation techniques like hyperventilation?

    <p>To trigger potential seizure activity</p> Signup and view all the answers

    Which artifact is primarily caused by muscle activity during EEG recording?

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

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

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

    Which guideline is critical for ensuring long-term EEG safety?

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

    Study Notes

    Long-Term EEG Monitoring Practice Test

    • Common Indication: Diagnosing epilepsy (identifying seizure patterns, tailoring treatment).

    • Common Electrode Placement System: 10-20 System for standard non-invasive monitoring.

    • Pre-Study Preparation Goal: Reviewing patient history and monitoring orders to plan the study effectively.

    • Concept 4 Significance: Understanding EEG frequency for accurate diagnostics.

    • EEG Recording Calibration Purpose: Ensuring accurate data capture.

    • Common Movement Artifact: EMG artifact (high-frequency noise from patient movement).

    • Documentation Requirements: Clinical events, stimulations, and EEG changes.

    • Conditions Associated with PLEDs: Stroke, brain tumor, and status epilepticus.

    • Hyperventilation Activation Contraindications: Asthma, recent stroke, and cardiovascular disease.

    • Invasive Electrode Safety Concerns: Proper placement, preventing infection, and monitoring for tissue damage.

    • Impedance Checks Role: Ensuring proper electrode contact and reducing noise.

    • Muscle Activity Artifact: EMG artifact.

    • Long-Term Monitoring Documentation: All stimulations, clinical events, and EEG changes.

    • EEG Safety Guideline Importance: ACNS Guidelines.

    • Functional Mapping Goal (EEG): Mapping critical brain functions (motor, language) during pre-surgical evaluation.

    • Managing Patient Anxiety: Clear communication and reassurance.

    • Common Electrode Placement System: 10-20 System.

    • Generalized Tonic-Clonic Seizure Waveform: Spike-and-wave complexes.

    • Trending Analysis Purpose: Identifying patterns in brain activity over time.

    • Reusable Electrode Safety Protocol: Sterilization.

    • Differential Amplifier Role in EEG: Comparing voltages between electrodes to produce the EEG signal.

    • 60 Hz Interference Reduction: Proper grounding of EEG equipment.

    • Tonic Seizure Characteristics: Sudden muscle stiffening.

    • Seizure Provocation Technique Purpose: Triggering potential seizure activity.

    • Reporting Critical Values: Notifying the care team about significant changes.

    • Precise Electrode Placement Method: Following the 10-20 or 10-10 system.

    • EEG Finding for West Syndrome: Hypsarrhythmia (chaotic EEG pattern in infants).

    • Troubleshooting First Step for Artifacts: Checking electrode connections.

    • Patient with Implanted Device Monitoring: Interference with EEG signals.

    • HIPAA Regulation in Long-Term Monitoring: Protecting patient information confidentiality.

    • Impedance Check Purpose: High-quality signal acquisition.

    • Common Normal Waking EEG Waveform: Alpha waves (relaxed, awake adult, eyes closed).

    • EEG Electrode Cleaning Protocol: Following infection prevention protocols.

    • Long-Term Video-EEG Monitoring Purpose: Accurate seizure type diagnosis.

    • Functional Brain Mapping Purpose: Localizing critical functional areas of the brain.

    • Loose Electrode Artifact: Electrode pop artifact.

    • Digital Analysis in EEG Monitoring Purpose: Detecting spikes and seizures.

    • Annotations Purpose in EEG: Documenting clinical and electrographic events.

    • Seizure Type with Sudden Muscle Loss: Atonic seizure.

    • EEG Data Archiving Purpose: Ensuring long-term data accessibility.

    • Ethical Standards Organization: ABRET.

    • Common Temporal Lobe Epilepsy Waveform: Rhythmic theta activity.

    • Intracranial EEG Safety Measure: Monitoring for signs of infection.

    • Common Cause of Adult Temporal Lobe Epilepsy: Hippocampal sclerosis.

    • Post-EEG Recording Action: Cleaning electrode sites.

    • Impedance Monitoring Purpose: Reducing artifacts and maintaining signal quality.

    • Deep Sleep Waveform: Delta waves.

    • Pediatric EEG Considerations: Age-specific recording parameters.

    • Patient Information Confidentiality Standard: HIPAA.

    • Purpose of EEG Safety Protocol: Safeguarding patient and technician safety.

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    Test your knowledge on long-term EEG monitoring with this practice quiz. Explore topics such as common indications for EEG, electrode placement systems, and preparation goals. This quiz is ideal for those preparing for clinical roles in neurology and EEG diagnostics.

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