Free REEGT Practice Questions

Question 1

In a longitudinal bipolar montage, a transient deflects downward in Fp1-F7 and simultaneously upward in F7-T7. The display plots a negative input-1-minus-input-2 difference upward. Within this three-electrode segment, the phase reversal identifies:

Accepted Answer

A negative voltage maximum at F7

Answer

A negative voltage maximum at Fp1

Answer

A positive voltage maximum at F7

Answer

A negative voltage maximum at T7

Question 2

A 17-year-old is referred after a tonic-clonic seizure shortly after awakening. When asked about earlier events, the patient recalls brief jerks of both arms while getting ready for school, sometimes dropping a toothbrush. The jerks are more frequent after late nights. Development and neurological examination are normal. Which EEG finding would best support a single syndrome explaining this history?

Accepted Answer

Generalized 4-Hz polyspike-and-wave bursts on a normal background

Answer

Persistent temporal delta slowing on an asymmetric background

Answer

Sleep-activated centrotemporal spikes on a normal background

Answer

Generalized 1.5-Hz spike-and-wave bursts on a diffusely slow background

Question 3

An outside neurologist treating the patient requests the complete EEG and synchronized video. The laboratory has verified the recipient and treatment relationship and has an approved secure transfer method. No additional legal restriction applies. A coworker says HIPAA requires a new patient authorization and permits only selected abnormal clips. How should the request be handled?

Accepted Answer

Use the approved secure process to release the requested EEG and video.

Answer

Obtain a signed authorization naming the neurologist before releasing the study.

Answer

Send only the abnormal clips under HIPAA's minimum-necessary rule.

Answer

Remove the video because facial images require separate treatment consent.

Question 4

Immediately after conductive paste is replenished, F3-C3 becomes nearly flat. In a referential montage, F3 and C3 still show substantial activity, but their waveforms are almost identical. The measured impedance between F3 and C3 is 70 ohms. Other electrodes are unchanged. Which fault best unifies these findings?

Accepted Answer

A conductive bridge between the F3 and C3 electrodes

Answer

An open circuit in the C3 electrode lead

Answer

Common-mode interference from a loose ground electrode

Answer

Cortical attenuation in the left frontocentral region

Question 5

After electrode removal, a reusable cup is found to have contacted a superficial scalp abrasion. It did not enter sterile tissue. The manufacturer provides a validated reprocessing method appropriate for this contact. After thorough cleaning, what is the minimum processing level required before the cup is reused?

Accepted Answer

High-level disinfection

Answer

Low-level disinfection

Answer

Intermediate-level disinfection

Answer

Sterilization

Question 6

Two occurrences of a temporal transient are compared using unchanged montage and filter settings. The first measures 6 mm peak-to-peak at 7 microvolts/mm; the second measures 3 mm peak-to-peak at 14 microvolts/mm. Both measurements use the calibrated display scale. What does this comparison show?

Accepted Answer

42 microvolts in both; the height difference is due to sensitivity.

Answer

42 to 21 microvolts; the second transient has half the voltage.

Answer

84 to 42 microvolts; the second transient has half the voltage.

Answer

42 to 84 microvolts; the second transient has twice the voltage.

Question 7

Before an EEG for staring episodes, the caregiver of a nonverbal 8-year-old explains that the child rarely follows spoken instructions but reliably imitates a raised hand. The child demonstrates this response during preparation. To make responsiveness testing during a spell interpretable, the technologist should:

Accepted Answer

Document the gesture response and repeat that task during a spell.

Answer

Use verbal word recall to keep event testing standardized.

Answer

Compare spontaneous eye opening before and during a spell.

Answer

Postpone event testing until a cognitive assessment is available.

Question 8

A clinically stable 2-day-old infant born at 39 weeks is recorded without sedating medication. During sleep with regular breathing and no rapid eye movements, bilateral 80-120-microvolt bursts alternate with 3-5-second intervals of mixed activity measuring 35-45 microvolts. The background becomes continuous during active sleep and wakefulness. What is the alternating pattern?

Accepted Answer

Age-appropriate tracé alternant

Answer

Pathological burst suppression

Answer

Immature preterm tracé discontinu

Answer

Continuous active-sleep activité moyenne

Question 9

While completing the technical summary, a technologist reviews an event in which the patient reported the usual rising abdominal sensation for 20 seconds, followed commands, and recalled a test word afterward. Video and artifact-free scalp EEG were recorded throughout, without an evolving ictal pattern. Which entry preserves the observations without making an unsupported diagnosis?

Accepted Answer

The habitual sensation was captured with preserved responses and no definite scalp ictal correlate.

Answer

The habitual event was a nonepileptic seizure because the scalp EEG remained unchanged.

Answer

The sensation confirmed a focal temporal seizure despite the absence of a scalp discharge.

Answer

Preserved responsiveness established that the event was unrelated to an epileptic seizure.

Question 10

A patient has a bilateral tonic-clonic seizure during an EEG. The technologist summons assistance, protects the patient from injury, and times the event. Jerking stops after 80 seconds, but the patient remains unresponsive. Forty seconds later, a second convulsion begins. Which response is indicated now?

Accepted Answer

Activate the emergency seizure response; maintain seizure precautions.

Answer

Wait until a single convulsion lasts five minutes before activating an emergency response.

Answer

Restore a readable EEG before escalating the response.

Answer

Give the patient's usual oral antiseizure dose as soon as the second convulsion pauses.

Free REEGT Practice Questions

Domain 1: Pre-Study Procedures 15% of exam

Question 1

Question 2

Domain 2: Performing the EEG Study 46% of exam

Question 3

Question 4

Question 5

Question 6

Domain 3: Post-Study Procedures 19% of exam

Question 7

Question 8

Domain 4: Ethics and Professional Issues 20% of exam

Question 9

Question 10

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