Browse all practice questions for the ABRET Certified Neurophysiologic Intraoperative Monitor (CNIM) Practice Exam. Search by topic, open any question and review its full explanation, then test yourself in the practice quiz.

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  • What is the sensitivity of peripheral nerves to injury compared to spinal cord grey matter?
  • Which of the following is NOT a type of spinal instrumentation?
  • Low frequency sounds are perceived at which part of the cochlea?
  • What is the main purpose of monitoring raw data during IONM when EP waveforms are disrupted?
  • What determines the integrity of CN VII during acoustic neuroma surgery?
  • In the lateral position, besides compression of the brachial plexus, which major nerve is at risk?
  • During a neurological procedure, which of the following would be a critical factor in monitoring?
  • Which of the following is NOT a major mechanism of action for common anesthetic agents affecting IONM?
  • What are the methods used to monitor brain perfusion during CEA?
  • What area of the body is typically targeted and stimulated to observe motor responses during intraoperative neurophysiologic monitoring?
  • What potential risk is associated with seizures occurring during mapping?
  • Which condition could negatively affect the amplitude and latency of BAER recordings?
  • How often should EP machines be calibrated and safely tested?
  • What is the most common cause of neurological deficit as a complication of spinal surgery?
  • What characteristic differentiates large diameter nerve fibers from small diameter fibers?
  • What type of forces do sublaminar wires provide to the spinal column?
  • What does distraction refer to in a surgical context?
  • What is the minimum bandpass required for an evoked potential system?
  • At what temperature is it most likely for EEG activity to disappear?
  • What type of stimulator is typically used for anatomical nerve mapping?
  • What is the importance of monitoring during IONM?
  • Which aspect can complicate monitoring efficacy during scoliosis surgery?
  • Which of the following best describes a burst fracture mechanism?
  • What does Hoffman’s Reflex involve?
  • What is the primary goal of microvascular decompression (MVD)?
  • In a case of sudden loss of SSEPs and MEPs during surgery, what does it indicate about the condition of the spinal cord?
  • What is the frequency range for Delta EEG waves?
  • What condition is indicated by thrombosis and embolism in relation to vascular complications?
  • What is the primary blood supply for the spinal cord?
  • What measurement units are used in the International 10-20 system?
  • When assessing evoked potentials, what is crucial for accurate readings?
  • What can alter structural functional anatomy in the nervous system?
  • What is the primary purpose of isolated amplifier inputs in neurophysiologic monitoring?
  • What is the primary reason platinum is used in epidural electrodes?
  • What are the characteristics of Central Cord Syndrome (CCS)?
  • A semi-critical infectious device requires what type of disinfection after each use?
  • What is a common source of air embolism introduction into the blood supply?
  • What is a significant consequence of unstable blood pressure effects on cortical SSEPs?
  • What is the frequency setting for CN VII CMAP?
  • What type of implant does Isola spinal instrumentation use?
  • What changes in SSEP would occur during a positioning effect of the left arm?
  • What frequency is commonly used for TCD transducers?
  • What is the effect of AICA vasospasm on BAER?
  • Harrington rod instrumentation utilizes which type of implants?
  • Why might visual observations of facial muscles during CN VII stimulation be misleading?
  • What is a significant predictor of outcome when there is a 30-50% decrease in D-wave amplitude but unchanged MEPs?
  • Idiopathic scoliosis is present in what percentage of pediatric patients aged 10-16 years?
  • What type of response is primarily evaluated when monitoring PTN during spinal surgery?
  • Why is a low-frequency filter (LFF) setting of 100 Hz preferred for recording spinal cord evoked potentials (SC EPs)?
  • In the presence of radio frequency energy, what do electrodes in the operating room resemble?
  • What method can be used to enhance clarity of signals in neurophysiological monitoring?
  • What is the effect of changing the HFF during a critical moment in SSEP monitoring?
  • If a patient experiences decreased PTN responses, what is the best initial step?
  • What is the risk of using toxic metals in epidural electrodes?
  • What can median nerve SSEPs help measure?
  • What is the name of the firm outer layer of the intervertebral disc?
  • What is a notable characteristic of Nitrous Oxide as an anesthetic agent?
  • What is the most effective way to stimulate the motor pathway with minimal movement in the surgical field?
  • In what area of the nervous system would you find wave IV of BAER?
  • Which frequency range is categorized as Theta waves?
  • What type of activity does Frontal Intermittent Rhythmic Delta Activity (FIRDA) respond to?
  • What does the process of sampling do in signal processing?
  • What is the first step in the process of Intraoperative Neuromonitoring (IONM)?
  • If no MEP responses are detected for 15-20 minutes after induction, which muscle relaxant was likely used?
  • Which of the following terms describes the cavities inside the skull?
  • What is the most important step when setting up BAERs?
  • What is the primary advantage of using intraoperative monitoring (IM) electrodes compared to surface electrodes?
  • What is the effect of inhalation agents on I-wave numbers?
  • Where do the cranial nerves emerge from?
  • How is the gain of a differential amplifier defined?
  • What is the sensitivity setting on an amplifier set to produce a vertical deflection of 1 cm with an input of 10 mV?
  • What is the primary focus of pre-stimulus triggering in SSEP?
  • What is the primary advantage of using Dural- or Direct-SSEP SC recordings?
  • How does hydrostatic pressure depend on body position?
  • What is quantization error in the context of A/D conversion?
  • Which feature is commonly referred to as the chin bone?
  • What is the purpose of using low doses of Etomidate, Ketamine, or Methohexital?
  • What predicts transient motor deficits during intramedullary spinal cord tumor resection?
  • Which EEG wave frequency is associated with alert and active states?
  • What can be a problem encountered with After Discharges (AD)?
  • What is the role of current-limiting in EP equipment leads?
  • What is the minimum vertebral level below which D-waves cannot be recorded?
  • What can cause quadraparesis in a sitting position due to neck flexion?
  • When patient cooperation is insufficient during mapping, what alternative approach can be taken?
  • Which condition is associated with motor nerve conduction blockage without axonal damage?
  • SC stimulation is used to monitor what during surgical procedures?
  • What physiological change does a decrease in high frequency waves indicate during intra-carotid sodium amytal injection?
  • Which area of the spine is characterized by small pedicles, long spinous processes, and large inter-vertebral foramina?
  • Why must subdermal needle electrodes be inserted symmetrically over homologous brain areas?
  • What is the period of a 200 Hz signal?
  • What forms the basis for artifact rejection in neurophysiologic monitoring?
  • What is the maximum time a patient without collateral blood supply can tolerate during a carotid endarterectomy before post-operative deficits occur?
  • Which anesthetic agent has the fastest elimination rate from the body?
  • What is a potential effect of structural changes in the nervous system?
  • What is the purpose of the amplifier box ground?
  • What is an advantage of bipolar stimulation over monopolar during CN VII stimulation?
  • Which method should be avoided when placing PTN stimulators?
  • What is the key element of any amplifier in terms of converting current?
  • What can excessive neck flexion in a sitting position lead to?
  • Which consideration is least important during intraoperative BAERs?
  • What is an appropriate filter range for a short-latency SSEP cortical response?
  • If PTN cortical responses attenuate over three hours while subcortical responses remain stable, what action should be taken?
  • During a pre-op study, what can be done to reduce a patient's discomfort at the wrist while maintaining adequate stimulation?
  • What is a key characteristic of electrodes when exposed to radio frequency energy?
  • During which type of surgery is the anterior vasculature of the spine at greatest risk?
  • In a C5s-Fpz montage with lower extremity stimulation, the expected response is generated at which location?
  • When aiming to optimize stimulation, what is likely to help with reducing discomfort during nerve monitoring?
  • What is the resulting sweep when a 100 ms epoch is recorded with a 10 ms post-stimulus triggering?
  • How does propofol primarily influence somatosensory evoked potentials (SSEPs)?
  • Which of the following is least likely to cause electrical interference in the operating room?
  • What is the typical sensitivity setting recommended for EEG during CEA?
  • What are the potential complications of pedicle screw placement at the cervical level?
  • Where should SSEP stimulation electrodes not be placed?
  • Which noise reduction technique is most effective at reducing EKG artifact?
  • Why does poor ground resistance pose a safety risk?
  • What is a common threshold for tolerance of cross-clamp baselines in surgical patients?
  • What are the unpaired cranial bones?
  • What does a continuous, non-accelerating tapping pattern in sEMG signify?
  • What defines a syrinx in relation to the spinal cord?
  • What phenomenon occurs when metal touches metal in relation to sEMG responses?
  • What auditory wave is typically the last to occur during BAER testing?
  • What should be monitored closely in the context of intraoperative BAERs to ensure stable results?
  • What is the point that is 20% anterior to Cz?
  • What kind of potentials are produced from changes in synaptic transmission?
  • What is one of the key benefits of employing SSEP monitoring during surgeries?
  • In monopolar CN VII stimulation, which way does the charge flow?
  • When converting analog signals to digital, what process involves discretizing the signal?
  • What vascular condition is associated with BAER latency abnormalities in the posterior fossa?
  • In the context of IONM, why is documenting findings essential?
  • Which aspect of the spinal cord's blood supply is true?
  • How many averages are needed to achieve a 2:1 SNR if the signal amplitude is 5 uV and the noise amplitude is 20 uV?
  • How much does the latency of BAER wave V increase for each degree Celsius drop in temperature?
  • What is the primary focus of surgical distraction?
  • Which aspect of an amplifier directly influences the size of the output current based on a small input current?
  • What type of sEMG pattern is indicative of permanent injury?
  • What is a common effect of high thresholds in areas with structural damage during monitoring?
  • What is phenytoin (Dilantin) primarily used for?
  • What is the frequency of a signal if the interval between each cycle of the signal is 0.3 ms in a 30 ms sweep?
  • What is the main source of airborne bacteria in the operating room?
  • In MEP stimulation, where should the anode be placed?
  • What is a significant advantage of using grid or strip electrodes over the "crown of thorns" in ECoG monitoring?
  • Why is it important to prep the skin before electrode application?
  • Which of the following is a characteristic of dexmedetomidine (Precedex)?
  • On an equi-MAC basis, which anesthetic has the greatest effect on the Motor Evoked Potentials (MEPs) of recorded muscles?
  • In the context of neurophysiologic monitoring, what does a higher amplitude waveform indicate?
  • MAC is most accurately approximated by the effect of anesthesia on which reflex?
  • Where does Meckle's Cave sit?
  • What type of gait issues may a patient with an acoustic neuroma experience?
  • What is the primary characteristic of EEG activity during anesthesia?
  • What is the stim intensity for activating a sensory nerve in the OR?
  • What is the most common source of patient infection in the operating room?
  • To avoid ground loops, how should the patient be grounded?
  • Which facial muscle is not monitored for CN VII sEMG?
  • What type of electrode is considered sensitive during CN VII recordings?
  • What classification does Succinylcholine fall under?
  • What is one function of Cotrel-Dubousset and Isola instrumentation?
  • M-waves are more effectively stimulated by which type of stimulation?
  • What is the significance of pre-operative SSEP baselines?
  • Which anesthetic agent is noted for being the least depressant on SSEPs?
  • What effect does Propofol have on the latencies of BAERs?
  • What does the term "cortical ischemia" refer to in the context of CEA monitoring?
  • Why should raw (unprocessed) EEG be available for review during quantitative EEG monitoring?
  • Compression fractures typically result in which type of injuries?
  • What does the sound stimulus intensity at the tympanic membrane depend on?
  • What characterizes a burst fracture?
  • During a thoracic laminectomy, what should be the first response to rapid loss of right PTN cortical responses?
  • What is the effect of nitroprusside on blood pressure during surgery?
  • In a bipolar EEG montage, what signifies a localizing sign?
  • What aspect of large diameter nerve fibers makes them vulnerable?
  • What characteristic is typical of normal TCD waveforms?
  • What does the CCT for median nerve SSEP refer to?
  • What does TOF refer to in the context of PTN stimulation?
  • According to the Nyquist Frequency, what is the sampling rate required for an analysis?
  • Why is it important to have matching impedances in neurophysiologic monitoring?
  • What is the characteristic effect of barbiturates on an EEG?
  • What is the primary purpose of recording spinal potentials?
  • What is Lhermittes Sign?
  • What effect do opioids have on myogenic MEPs?
  • What type of responses should surgical staff look for when a patient is asleep during mapping?
  • How is motor neuron damage classified?
  • What contraindications exist for TCeMEP?
  • What is one effective way to reduce EKG-related artifact during monitoring?
  • What is primarily responsible for the initial recruitment of large diameter nerve fibers during stimulation?
  • What is the mechanism of action of TIVA in affecting patient movement?
  • What is the maximum leakage current allowed through each patient lead in the operating room equipment?
  • How do most sources of electrical artifact emit noise into the air?
  • What are the first three waveform components at the onset of Brainstem Auditory Evoked Responses (BAERs)?
  • What effect may Isoflurane 1.7% induce during neurophysiologic monitoring?
  • What percentage of the brainstem area do BAERs and SSEPs monitor?
  • What abnormality in latency may be seen with vascular malformations in the posterior fossa?
  • What must be done to electrode lead wires in the operating room?
  • What physiological response is typically measured by TCeMEPs and H-reflexes?
  • In which scenario can BAER waveforms not be recorded?
  • Which statement is true regarding the action of different anesthetic agents?
  • If your initial signal amplitude is 0.5 uV inside a background noise level of 2 uV, what will the signal-to-noise ratio (SNR) be after 400 averages?
  • Given a differential amplifier with a gain of 1,000,000 and inputs of 0.2 uV and 0.8 uV, what is the output?
  • Within what time frame do 80% of clamp-related EEG changes during CEA occur?
  • What is the term for the (+) input of a differential amplifier?
  • Which SSEP component would be most affected by a tumor in the spinal cord/medulla intersection?
  • In SSEP monitoring, why is it critical to maintain appropriate filter settings?
  • When preparing a patient for IONM, how should wires be positioned?
  • What does the term 'glia' originate from?
  • Which cranial nerve is most commonly injured?
  • Where are BAER waves III-V generated?
  • What is the likely physiological cause when SSEPs and MEPs are lost after the surgeon slips and hits the spinal cord, but responses return after a few minutes?
  • Which of the following is NOT a potential complication associated with lumbar pedicle screw placement?
  • What effect does Fentanyl generally have on SSEPs?
  • What advantage do platinum epidural electrodes have over other types?
  • If a patient’s threshold is 25 dB and the stimulator is set to 85 dB, what is the intensity in dB SL?
  • What is most likely to be produced by movement artifact in EEG monitoring?
  • What is the purpose of Fast Fourier Transformation (FFT) in EEG analysis?
  • What is a common artifact source in a subcortical channel that can be resolved using a specific technique?
  • What is stimulated by the posterior tibial nerve (PTN) contractions?
  • What does soft, intermittent flutter in sEMG indicate?
  • What is a disadvantage of using PTN SSEPs during scoliosis surgery?
  • What type of activity does cardiac monitoring on the CSA/CDSA primarily display?
  • What are two potential vascular complications related to CEA?
  • What is a key aspect of monitoring patients in the epilepsy unit after surgical procedures?
  • Where is the most productive electrode placement for an ECochG?
  • What does a decrease in the power of Spectral Edge indicate?
  • What is the purpose of placing an Ivalon/Teflon pad in MVD procedures?
  • What is the purpose of taking baselines in IONM?
  • Why is glucose monitored and treated during surgery?
  • What is a consequence of increased venous pressure in the body?
  • Are pre-positional recordings valid as baselines for the surgical monitoring case?
  • What is a key differentiator between an sEMG train and a burst?
  • In terms of electrical safety, what maximum current flow is typically allowed to prevent patient harm during monitoring?
  • What kind of sEMG response is characterized by enhanced activity in the presence of compression?
  • Which factor is crucial in determining effective SSEP response recording?
  • To accurately represent the amplitude of an EP waveform, what must be matched?
  • What is a common consequence of thoracic pedicle screw placement?
  • What indicates adequate stimulation of the median nerve during IONM?
  • Which muscles are typically targeted for sEMG monitoring of the Trigeminal nerve?
  • What do universal precautions involve in the context of patient care?
  • What shared characteristics do TCeMEPs and H-reflexes exhibit?
  • What does aliasing refer to in signal processing?
  • What is the recommended secure method for applying surface cup electrodes?
  • To stimulate both PTN asynchronously, what is required?
  • What effect do surface electrodes have on compound muscle action potential (CMAP) amplitude?
  • What condition is associated with a normal curve of the lumbar spine that develops early in life?
  • Which time constant is more effective for cutting out low frequency noise from a signal?
  • How many pairs of cranial nerves are there?
  • What is the gain of an amplifier set to give an output signal of 1 V for an input of 10 mV?
  • What is the masking level required to eliminate crossover response?
  • Why is high input impedance important for a differential amplifier?
  • Which anesthetic agents do not act on the same neuronal receptors?
  • What indicates a failure in normal wave generation in BAER testing?
  • When recording SSEP responses in an awake patient, what is the motor threshold?
  • What is a key feature of Texas Scottish Rite Hospital spinal instrumentation?
  • What is the most likely cause of 60 Hz artifact?
  • If motor twitch cannot be evaluated, what should be done?
  • What type of hearing loss is presbycusis primarily associated with?
  • In SSEP, which electrode is closest to the post-central gyrus?
  • What type of drug is Ketamine categorized as?
  • What EEG change is expected following the intra-carotid injection of sodium amytal?
  • If the SNR is 1:2, averaging 64 responses will improve the ratio to what?
  • Which of the following is used to measure residual "stump" pressure during CEA?
  • What must the amplifier input impedance of a differential amplifier be at a minimum?
  • If a system has a sampling rate of 10 kHz, what is the shortest sine wave that can be resolved?
  • Latency changes are primarily caused by effects on which type of receptors?
  • Which electrophysiological modality is most affected by propofol?
  • Where should the ground electrode be placed for peroneal nerve SSEP stimulation?
  • What condition is characterized by high frequency hearing loss that gradually occurs in older individuals?
  • What should be the best recommendation when SSEPs and MEPs are lost after a surgical incident?
  • During a robotic da Vinci thyroidectomy, what is the optimal arm angle for the patient?
  • How many discrete voltage values does a 10-bit A/D converter have in its range?
  • How far is C3 located from the left pre-auricular point?
  • What effect does high-dose maintenance of Fentanyl have on EEG?
  • What is the percentage of successful surgical outcomes for tethered cord release?
  • What does the presence of muscle activity in the response during sEMG monitoring indicate?
  • What is the function of collodion in electrode application?
  • How long is the post-stimulus recording window typically for SSEP?
  • Which anesthetic enhances the effect of neuromuscular blockers at the neuromuscular junction?
  • Which of the following is typically a consequence of central cord syndrome?
  • What is the maximum allowable chassis leakage current in an operating room setup?
  • Which anesthetic agents are most compatible with myogenic MEPs?
  • What does the Spectral Edge represent in EEG analysis?
  • What is one advantage of direct CN VIII recordings?
  • How does HFF reduction affect SSEP latency?
  • If a pedicle screw tests above the accepted threshold, what should you do?
  • Which anesthetic has effects consistent with actions at the level of the cortex?
  • What characteristic is true regarding short-latency SSEP responses compared to longer latency responses?
  • Which of the following describes a condition occurring during After Discharges (AD)?
  • What type of muscle relaxant is Rocuronium classified as?
  • What is the significance of increased latencies observed during BAER testing?
  • What is the minimum number of trials (sweeps) that an EP recording system should allow for averaging?
  • When electrocautery affects EP waveforms, what should be continued to monitor the signals?
  • What is the primary outcome of prolonged hypoxia related to increased venous pressure?
  • What is the main action of propofol concerning EEG readings?
  • Which of the following steps is NOT part of the IONM process?
  • What must be ensured for the grounding device under normal conditions?
  • True or False: A 50% drop from pre-cross-clamp baselines indicates hypoperfusion.
  • Which settings are typical for brainstem tEMG?
  • What is the key factor in confirming a loss of response is not artifact but a real change?
  • Which gender is more likely to experience progression of scoliosis in pediatric patients?
  • What is essential for minimizing artificial amplitude asymmetries when using subdermal needle electrodes?
  • Which symptom is commonly associated with an acoustic neuroma?
  • At what rate does the average person shed skin cells?
  • At what frequency does an increase in latency and decrease in amplitude occur for BAER?
  • Which cranial bone is paired among the cranial bones?
  • What type of surgical technique is primarily avoided in translabyrinthine approaches?
  • What type of fibers are present in cranial nerves?
  • How do filter settings differ between cortical and peripheral responses in SSEPs?
  • Which electrode application material is not permitted for use in the operating room?
  • What does the stimulation of the apex of the cochlea primarily relate to?
  • In cranial nerves, where is motor nuclei typically located?
  • Which anesthetic agent is particularly desirable for pediatric patients during TCeMEP monitoring?
  • What characterizes apraxia?
  • How is muscle relaxation assessed during monitoring?
  • Upon transfer from surgery to the epilepsy monitoring unit, what is one of the potential outcomes that can occur?
  • What is the ideal blood pressure management in a craniotomy procedure?
  • Where should an electrode be placed to record the compound action potential (AP) of the MN intra-operatively?
  • What is the minimum common-mode rejection ratio (CMRR) for amplifiers used in EP recording?
  • In the event of a detected fall in PTN responses during surgery, what is the protocol?
  • What phenomenon can cause random spike discharges during CN VII dissection?
  • How does Nitrous Oxide impact Intraoperative Neurophysiologic Monitoring (IONM) when mixed with Isoflurane?
  • In what scenario would you expect accelerated firing in sEMG patterns?
  • What happens to the spinal cord at the level of the conus medullaris?
  • Why are pre-operative SSEP baseline values essential in intraoperative neuromonitoring (IONM)?
  • What is the risk associated with compression of the brachial plexus in the lateral position?
  • Why is skin/scalp prep necessary before applying surface electrodes?
  • What is the goal of AV fistula surgery?
  • Which statement is true regarding the effect of ketamine on SSEPs and MEPs?
  • What does neurapraxia refer to?
  • What is the primary risk to the spinal cord during Luque instrumentation?
  • What is the effect of Etomidate on MEPs and SSEPs?
  • Which factor is least likely to affect the neurogenic response to spinal cord stimulation?
  • Which frequency range is most commonly utilized for cortical ischemia monitoring in EEG?
  • What pulse width (PW) is known to excite more motor fibers than sensory fibers?
  • What is the percentage distance of Fp1 and Fp2 from Fpz?
  • What defines the neuroforamen?
  • Which inhalation agent is known to prominently suppress myogenic MEPs?
  • In which areas is the sterile table with instruments and implants considered sterile?
  • What should be done if subcortical responses remain stable while cortical responses decrease?
  • When it comes to Etomidate, which statement is accurate?
  • Why are most evoked potentials (EPs) considered far-field responses?
  • According to nursing guidelines, what is the minimum distance required from the sterile field?
  • What is the acceptable stimulation rate range for BAER?
  • Which surgical approach sacrifices hearing during the dissection for vestibular schwannoma?
  • What is the initial waveform recorded of a near-field potential?
  • During a surgical procedure, if a surgeon hits the spinal cord, what is an immediate step that should be taken?
  • What is the optimal stimulation rate for BAER?
  • What is the required horizontal resolution of an EP system?
  • Where can P31 responses to PTN stimulation be recorded?
  • What device is primarily responsible for transforming small input signals to larger output signals in monitoring equipment?
  • In which situations do most strokes associated with CEA occur?
  • What area does the middle cerebral artery primarily supply in the cerebral cortex?
  • In TCD monitoring, what is the primary quantitative value measured?
  • What is a consequence of using a notch filter in SSEP recordings?
  • What is the optimal BIS range for anesthesia?
  • What device is used in robotic da Vinci thyroidectomy to simultaneously dissect and cauterize?
  • Why do stimulators used for direct nerve stimulation have Teflon coating at the tip?
  • What is a defining feature of micro-embolic signals in TCD?
  • To protect the patient from electrical shock, how much current flow is limited to by the circuitry in an isolated input board?
  • What could potentially cause a false negative during a T10 surgery?
  • What is the maximum time to expect EEG changes following carotid cross-clamping?
  • What might happen to cortical peaks when lowering the high-frequency filter (HFF) from 500 Hz to 200 Hz?
  • In cases of severely elevated ICP, which modalities remain unaffected?
  • What is the expected post-operative motor outcome for a T7 tumor resection with complete loss of upper extremity responses and intact lower extremity responses?
  • What is defined as a ground loop?
  • If you receive a shock from the chassis of your machine during monitoring, what is the first step you should take?
  • What is a possible effect of high/low glucose levels during surgery?
  • According to the International 10-20 system, which landmark is the most challenging to locate?
  • A BAER latency increase of 0.9 ms for both left and right wave V in a 10 minute period most likely indicates what?
  • Which device typically produces electrical interference due to the cycling of electric alternating current?
  • What happens if SSEP responses show significant variability during monitoring?
  • What are cavernous angiomas characterized by?
  • Can boiling water be effectively used to sterilize surgical instruments?
  • What could a positive Babinski sign indicate?
  • What should be done for a patient with conductive hearing loss in relation to BAER stimulation?
  • Distraction on the spinal cord using Harrington rod instrumentation cannot be tested by which modality?
  • At which vertebral level does the spinal cord typically end?
  • Which of the following is an advantage of general anesthesia during carotid endarterectomy (CEA)?
  • What indicates significant changes in cervical and cortical SSEPs during IONM?
  • Which of the following tests is least likely to be affected by elevated intracranial pressure?
  • Which muscle groups are most appropriately monitored for L5 and S1 nerve roots in sEMG?
  • What is suggested by the presence of sEMG trains?
  • What should be monitored closely if stimulus delivery is initiated during mapping?
  • Which brain structure corresponds to the generation of wave III of BAER?
  • During a carotid endarterectomy (CEA), what are the suggested EEG filter, time-base, and sensitivity settings for monitoring cortical ischemia?
  • What happens to the SNR if you average a set of signals together?
  • What is the prevalence of temporal bone hyperostosis in the geriatric population?
  • At what age does the normal curve of the lumbar spine take place?
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