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    ABRET Normal Variant Normal Abnormal Adult EEG

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    wamaithamargaret257
    This document discusses normal variants and abnormalities that may be seen on adult EEGs. Some key points include: 1. Lambda waves, mu rhythms, alpha squeak, and wicket spikes are examples of normal variants that may be seen on adult EEGs. Rare or atypical patterns need to be interpreted in full clinical context. 2. It is important to record the EEG at the patient's maximal awake state to distinguish normal slowing from drowsiness. 3. Certain findings would be concerning for abnormalities, such as asymmetric attenuation of alpha activity, diffuse delta activity in an awake adult, or a background rhythm slower than 7Hz in a 65-year-old patient.

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    © All Rights Reserved
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    ABRET Normal Variant Normal Abnormal Adult EEG

    Uploaded by

    wamaithamargaret257
    30 views5 pages
    This document discusses normal variants and abnormalities that may be seen on adult EEGs. Some key points include: 1. Lambda waves, mu rhythms, alpha squeak, and wicket spikes are examples of normal variants that may be seen on adult EEGs. Rare or atypical patterns need to be interpreted in full clinical context. 2. It is important to record the EEG at the patient's maximal awake state to distinguish normal slowing from drowsiness. 3. Certain findings would be concerning for abnormalities, such as asymmetric attenuation of alpha activity, diffuse delta activity in an awake adult, or a background rhythm slower than 7Hz in a 65-year-old patient.

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    ABRET Normal Variant Normal Abnormal Adult EEG

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    This document discusses normal variants and abnormalities that may be seen on adult EEGs. Some key points include: 1. Lambda waves, mu rhythms, alpha squeak, and wicket spikes are examples of normal variants that may be seen on adult EEGs. Rare or atypical patterns need to be interpreted in full clinical context. 2. It is important to record the EEG at the patient's maximal awake state to distinguish normal slowing from drowsiness. 3. Certain findings would be concerning for abnormalities, such as asymmetric attenuation of alpha activity, diffuse delta activity in an awake adult, or a background rhythm slower than 7Hz in a 65-year-old patient.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views5 pages

    ABRET Normal Variant Normal Abnormal Adult EEG

    Uploaded by

    wamaithamargaret257
    This document discusses normal variants and abnormalities that may be seen on adult EEGs. Some key points include: 1. Lambda waves, mu rhythms, alpha squeak, and wicket spikes are examples of normal variants that may be seen on adult EEGs. Rare or atypical patterns need to be interpreted in full clinical context. 2. It is important to record the EEG at the patient's maximal awake state to distinguish normal slowing from drowsiness. 3. Certain findings would be concerning for abnormalities, such as asymmetric attenuation of alpha activity, diffuse delta activity in an awake adult, or a background rhythm slower than 7Hz in a 65-year-old patient.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    1 ABRET Normal Variants, Normal/Abnormal Adult EEG

    ABRET Normal Variants, Normal/Abnormal


    Adult EEG Questions With Solved Solution
    2023/2024

    What environmental factors enhance lambda?

    a. low light visual sceneb.


    noxious stimuli
    c. loud sounds
    d. scanning high intricacy visual scene Ans- scanning high complexity visual
    scene

    What is the electrical abnormality associated with breach rhythm?

    a. a focal high voltage electrical generator in the cortex


    b. a focal low impedance swelling of the scalp
    c. a focal high impedance pathway through the skull
    d. a focal low impedance pathway through the skull Ans- a focal low impedance
    pathway through the skull

    Bancauds phenomenon, alpha squeak, and paradoxal alpha all have to do with:

    a. a rejoinder of the background


    b. an abnormality of the background
    c. nonresponsiveness of the alpha rhythm
    d. drowsy effect on the alpha rhythm Ans- a reaction of the background

    What normal commotion would be seen most prominently at the C3 or C4


    electrodeposition?

    a. alpha
    b. mu
    c. POSTS
    d. FIRDA Ans- mu

    Rare 6-11 Hz undesirable sharp arciform waves, most usually seen in adults over 30
    years in the mid-temporal regions

    a. RMTD
    b. mu
    c. apertures
    2 ABRET Normal Variants, Normal/Abnormal Adult EEG

    d. midline theta rhythm Ans- wickets

    Which decoration is most likely to be seen during prolonged recordings of a


    normalawake 30 year old?

    a. OIRDA
    b. lambda
    c. SREDA
    d. FIRDA Ans- lambda

    Lambda waves are

    a. suggested by eye movement


    b. best seen just before falling asleep
    c. usually negative in bipolar derivations
    d. precursors of POSTS Ans- evoked by eye movement

    Posterior leading rhythm (PDR) or alpha rhythm should not be calculatedimmediately


    upon eye closure because of what normal variant?

    a. Subsequent slow waves of


    youthb. slow alpha variant
    c. alpha squeak
    d. clenoids Ans- alpha squeak

    What do mittens, midline rhythmic theta, and trace aternans have in common?

    a. they all appear solely from wakefulnessb.


    they are all markers of neonatal immaturity c.
    they are all consistent with encephalopathy
    d. they are all normal waveforms Ans- they are all normal waveforms

    Which normal wave form is not typically seen in the posterior leads?

    a. lambda
    b. POSTS
    c. photic driving
    d. wickets Ans- wickets (they are rare variant found in midtemporal regions)

    Mu rhythm

    a. C3/C4
    b. T5/T6
    c. O1/O2
    d. P3/P4 Ans- C3/C4

    An uncommon, but normal variant seen in adults 50 and older that may be mistaken
    for epileptiform activity

    a. SIRPIDs
    3 ABRET Normal Variants, Normal/Abnormal Adult EEG

    b. ciganek rhythm
    c. SREDA
    d. BETS Ans- SREDA (subclinical recurring EEG discharges of adults)

    Mu rhythm and alpha rhythm differ from each other in all of the following respects
    EXCEPT:

    a. frequency
    b. form
    c. topography
    d. incidence Ans- frequency (they have the same frequency)

    EEG with a very tense and anxious patient shows

    a. burst of rhythmic slow over posterior regions


    b. unusually high amplitude alpha
    c. unusually widespread alpha
    d. widespread low voltage activity Ans- widespread low voltage actvity

    What is most important when evaluating the background activity?

    a. record with patient's eyes open


    b. ensure the patient is sleep deprived
    c. record the maximal state of alertness
    d. have the patient hyperventilate Ans- record the greatest state of alertness

    Which of the following should not be seen in the normal awake adult?

    a. no alpha background
    b. 14 Hz
    c. delta
    d. wicket spikes Ans- delta

    Which would be of concern in the EEG of a 65 year old patient?

    a. no alpha background
    b. no EEG change during HV
    c. fronto-central beta
    d. 7 Hz background Ans- 7 Hz background (too slow for a background rhythm)

    Normal EEG in adults of age 70 or older is comparable to those younger with the
    followingexception:

    a. beta is rarely seen


    b. alpha becomes more reactive
    c. slow waves are less prominent
    d. REM sleep is less than 20% of total sleep time Ans- REM sleep is less than 20%
    of total sleep time

    Which of the following represents an abnormal EEG pattern?


    4 ABRET Normal Variants, Normal/Abnormal Adult EEG

    a. alpha aqueak
    b. alpha frequency of 9 Hz in O1 and 11.5 Hz in O2
    c. well formed posterior dominant rhythm of 17 Hz
    d. alpha voltage amplitude of 20uV in O1 and 28uV in O2 Ans- alpha frequency of 9
    Hz in O1 and 11.5 Hz in O2 (amplitude asymmetry is only abnormal if there is over a
    50% difference)

    Which of the following is abnormal?

    a. asymmetric attenuation of the alpha activity


    b. asymmetric mu rhythm
    c. asymmetric lambda waves
    d. asymmetric POSTS Ans- asymmetric attenuation of the alpha activity

    What is the value of recording a patient's maximal awake state?

    a. to identify background frequencies


    b. to evaluate reactivity of the background
    c. to distinguish slowing from drowsiness
    d. all are correct Ans- to distinguish slowing from drowsiness

    When the posterior background rhythm does not attenuate with eye opening it is
    referred to as:

    a. Uhthoff's phenomenon
    b. Bancaud phenomenon
    c. Dejerine phenomenon
    d. Tullio phenomenon Ans- Bancaud phenomenon

    An abnormal EEG finding in an awake 55 year old patient would be

    a. posterior delta rhythm of 8.5 Hz


    b. FIRDA during hyperventilation
    c. temporal theta
    d. delta activity Ans- delta activity

    What would you expect to see in the frontal regions of a normal adult?

    a. low voltage slow activity and high voltage eye movement artifact
    b. low voltage fast activity and eye movement artifact
    c. high amplitude fast activity and eye movement
    d. high amplitude delta activity Ans- low voltage fast activity and eye movement
    artifact

    The prevalent activity seen in this adult EEG recording is indicative of:

    a. intractable epilepsy
    b. slow wave sleep
    c. sleep apnea
    5 ABRET Normal Variants, Normal/Abnormal Adult EEG

    d. encephalopathy Ans- encephalopathy

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