CNIM FINAL EXAM AND PRACTICE EXAM LATEST ACTUAL EXAM 600 QUESTRIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

CNIM FINAL EXAM AND PRACTICE EXAM

LATEST 2023-2024 ACTUAL EXAM 600

QUESTRIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A+

What is the most likely effect of isoflurane at MAC 1.5 on

tibialis anterior CMAP amplitude in response to spinal

stimulation?

1. Marked increase

2. Marked decrease

3. Minimal decrease

4. Minimal increase - ANSWER- 2. Marked decrease

It is most important for intraoperative monitoring records to

include notions of?

1. Surgical events

2. periodic impedance checks

3. serial changes in hematocrit

4. changes in anesthesia personnel - ANSWER- 1. Surgical

events

Which of the following is a critical surgical event?

1. Drilling of burr hole in skull

2. Decortication of vertebral elements

3. Placing of muscle plug in the internal auditory canal

4. Resecting of tumor fragments during acoustic neuroma

resection - ANSWER- 4. Resecting of tumor fragments during

acoustic neuroma resection

Which of the following should be reported to the surgeon?

1. Loss of response

2. Change in time base

3. Switch to backup electrodes

4. increase in stimulus intensity - ANSWER- 1. loss of response

D waves are recorded from which of the following electrodes?

1. Epidural electrodes over the spinal cord

2. Subdural electrodes over the motor strip

3. Surface electrodes over peripheral nerves

4. Needle electrodes in distal extremity muscles - ANSWER- 1.

Epidural electrodes over the spinal cord

An objective measure of meaningful change to use to warn the

surgeon is the ?

1. latency decrease

2. 50% amplitude decrease

3. IPL decrease

4. 10% amplitude decrease - ANSWER- 2. 50% amplitude

decrease

Changes can be reported to the surgeon as quickly as possible

when the surgeon is asked to?

1. alert the technologist when cautery is in use

2. keep the field dry of fluids

3. inform the technologist when critical structures are

approached

4. avoid monopolar cautery use - ANSWER- 3. inform the

technologist when critical structures are approached

Pedicle screws are used for?

1. Spinal fixation

2. correction of curve

3. anterior fusion

4. derotation of spine - ANSWER- 1. spinal fixation

The purpose of interbody cages is often?

1. employ multiple point fixation

2. restore lost disc height

3. restore sagittal contours

4. prevent migration prior to fixation - ANSWER- 2. restore lost

disc height

Transcranial motor evoked potentials are best elicited when

using?

1. a train of stimuli

2. complete neuromuscular blockade

3. halogenated agents

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