This CNIM ABRET Practice Questions quiz assesses knowledge on short-latency SSEP nerve stimulation, electrode placement, and warning criteria. It is designed for professionals aiming to certify or recertify in neurophysiological monitoring.
Median nerve
Ulnar nerve
Posterior tibial nerve
Radial nerve
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Vertex (Cz)
Fpz
C3'
C4'
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50% decrease in amplitude and/or 10% increase in latency
50% increase in amplitude and/or 10% increase in latency
10% decrease in amplitude and/or 50% increase in latency
50% decrease in amplitude and/or 10% decrease in latency
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10-20 system
Touch and feel
20-10 system
10-15 system
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P14-N20
N13-N20
EP-N20
EP-P14
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EP-P14
P14-N20
N13-N20
EP-N20
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LP-P37
PF-LP
N34-P37
P31-P37
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PF-LP
LP-N37
P31-P37
N34-P37
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15 cc/min / 100 grams of tissue
20 cc/min / 100 grams of tissue
15 cc/min / 150 grams of tissue
25 cc/min / 150 grams of tissue
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0.1uV to 10uV
0.5uV to 10uV
0.1uV to 20uV
0.01uV to 10uV
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Check arm positioning
Check anesthesia
Check impedance
Wait for the response to return
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Anesthesia/hypothermia
Technical failure
Surgical manipulation
All of the above
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The sensory cortex (contralateral to the stimulation side)
The sensory cortex (ipsilateral to the stimulation side)
The motor cortex (contralateral to the stimulation side)
The motor cortex (ipsilateral to the stimulation side)
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Caudal medial lemniscus
Sensory cortex
Brainstem
Brachial plexus
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Near field
Far field
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True
False
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Absence of the obligate waveforms
Prolongation of the inter-peak latencies
Both
Neither
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Far field
Near field
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An orthodromic sensory potential
An antidromic motor action potential
Both
Neither
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PF, LP, P31, N34, & P37
EP, LP, P31, N34, & P37
N9, N13, P14, N18, & N20
EP, N13, P14, N18, & N20
N9, N13, P14, N18, & N20
EP, N13, P14, N18, & N20
PF, LP, P31, N34, & P37
EP, LP, P31, N34, & P37
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Brainstem / Thalamus
Brachial Plexus
Motor Cortex
Somatosensory Cortex
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Proprioception
Stereognosis
Temperature
All of the above
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MCA: Middle cerebral artery
ACA: Anterior cerebral artery
VBA: Veterbo-Basilar artery
FA: Femoral artery
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V=IR
I=RV
R=IV
V=I/R
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Glass
Rubber
Wood
All of the above
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Less than 300uA RMS with ground open
Less than 400uA RMS with ground open
Less than 350uA RMS with ground open
Less than 325uA RMS with ground open
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10ums
100ums
1ums
0.1ums
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100:1
300:1
10:1
30:1
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Macroshock
Microshock
Megashock
Minishock
Microshock
Macroshock
Megashock
Minishock
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60Hz notch filter
Band-pass filter
HF filter
LF filter
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60Hz
50Hz
70Hz
40Hz
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25ms
30ms
12ms
2.5ms
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Increased noise
Current leakage
Normal responses
Chassis leakage
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Capacitance
Impedance
Inductance
Amperage
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Inductance
Amperage
Capacitance
60Hz noise
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Stability during stimulation & MRI compatible
Able to be stimulated at lower values
Flexibility for bundling electrodes together
None of these
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True
False
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Between stimulation and recording electrodes
Before stimulation and recording electrodes
After stimulation and recording electrodes
Depends on how much artifact is present
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Platinum
Gold
Silver
Nickel
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50Hz
60Hz
40Hz
70Hz
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Cochlear Microphonic (CM), Summating Potentials (SP), and auditory nerve compound action potentials
Somatosensory Evoked Potentials (SSEP) and Summating Potentials (SP)
Somatosensory Evoked Potentials (SSEP) and Motor Evoked Potentials (TcMEP)
Summating Potentials (SP) and auditory nerve compound action potentials
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Unilaterally
Bilaterally
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10-30Hz to 2500-3000Hz
10-50Hz to 1500-2000Hz
1-30Hz to 2000-3000Hz
1-30Hz to 2500Hz
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12dB/octave for low frequency filter & 24dB/octave for high frequency filter
10dB/octave for low frequency filter & 22dB/octave for high frequency filter
12dB/octave for low frequency filter & 22dB/octave for high frequency filter
10dB/octave for low frequency filter & 24dB/octave for high frequency filter
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1000-4000
500-2000
100-300
2000-5000
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Primary auditory nerve fibers
Auditory cortex
Pinna
(Cz) Vertex
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