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

Question 1

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

Answer 1

3-6 Hz generalized polyspike and wave

Question 2

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

Answer 2

Moyamoya Disease

Question 3

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

Answer 3

BIPLEDS

Question 4

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

Answer 4

Phantom spike and wave

Question 5

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

Answer 5

Photomyogenic Response

Question 6

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.

Answer 6

low voltage rhythmic beta.

Question 7

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

Answer 7

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

Question 8

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

Answer 8

Episodic rhythmic activity

Question 9

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

Answer 9

Cardiac arrest

Question 10

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.

Answer 10

acute cerebral infarction.

Question 11

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

Answer 11

Temporal epileptiform discharges

Question 12

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

Answer 12

Rhythmic activity

Question 13

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

Answer 13

Normal activity

Question 14

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.

Answer 14

status epilepticus.

Question 15

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

Answer 15

Normal activity

Question 16

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

Answer 16

anterior temporal spike focus

Question 17

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

Answer 17

Gelastic seizure

Question 18

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

Answer 18

Complex partial

Question 19

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

Answer 19

Prolonged duration loss of consciousness

Question 20

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

Answer 20

cardiac arrest

Question 21

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.

Answer 21

deviation of head and eyes.

Question 22

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

Answer 22

TIRDA

Question 23

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

Answer 23

Centro-temporal spikes

Question 24

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

Answer 24

Automatisms and impaired consciousness

Question 25

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

Answer 25

Complex partial

Question 26

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

Answer 26

Breach rhythm

Question 27

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

Answer 27

Early in the morning

Question 28

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

Answer 28

Cardiopulmonary Arrest

Question 29

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

Answer 29

Normal EEG

Question 30

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

Answer 30

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

Question 31

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

Answer 31

drug overdose

Question 32

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

Answer 32

Diffuse rhythmic spikes followed by diffuse SSW activity

Question 33

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

Answer 33

Tuberous Sclerosis Complex

Question 34

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

Answer 34

Skull breach

Question 35

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

Answer 35

electrical status epilepticus of sleep

Question 36

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

Answer 36

Bancaud's Phenomenon

Question 37

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

Answer 37

Alcohol or barbiturate Withdrawal

Question 38

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

Answer 38

No disruption of the posterior dominant rhythm