2019 Electrodiagnostic Self-Assessment Examination-Exam Answers

Exam Answers

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The 2019 AANEM Electrodiagnostic Medicine Self-Assessment Examination review provides an in-depth analysis of the electrodiagnostic principles and practice through a series of multiple-choice questions (MCQs) and corresponding summaries. The exam is divided into two parts: a video clip examination and a written examination.<br /><br />**Video Clip Examination:** This part focuses primarily on the analysis and interpretation of various electromyography (EMG) recordings and nerve conduction studies. Questions cover a range of topics, including fasciculation potentials, motor unit action potentials (MUAPs), jitter, myokymic discharges, positive sharp waves (PSWs), complex repetitive discharges (CRDs), polyphasia, myotonic discharges, endplate spikes, voluntary motor units, and single-fiber electromyography. Each question is accompanied by a summary of the concept under review, and a reference to literature sources such as "Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice" by Kimura J., and other scholarly sources.<br /><br />**Written Examination:** This section comprises more extensive MCQs covering diverse topics in electrodiagnostic medicine, including physiological principles, diagnostic criteria, pathological characteristics, and technical nuances. Questions delve into:<br />- Concepts like slow rates of repetitive nerve stimulation, active versus old radiculopathies, and the significance of needle electromyography.<br />- Interpretation of nerve conduction study results, such as those indicating axonal versus demyelinating neuropathies.<br />- Patient presentations with specific clinical findings and the corresponding electrodiagnostic anomalies.<br />- Detailed cases that require the application of pathophysiological principles, such as in Guillain-Barré syndrome, Lambert-Eaton myasthenic syndrome, and chronic inflammatory demyelinating polyneuropathy.<br />- Anatomical and neurophysiological considerations necessary for identifying compressive neuropathies, distinguishing focal neuropathies from systemic neuropathies, and understanding neuromuscular transmission disorders. <br /><br />The setup includes references to landmark texts like "Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic Correlations" by Preston DC and Shapiro BE, among others. The questions guide through the systematic approach to diagnosis, involving both theoretical knowledge and practical skills in electromyography, nerve conduction studies, and autonomic testing, essential for board certification and clinical practice.<br /><br />In summary, the self-assessment examination encapsulates core and advanced concepts in electrodiagnostic medicine, combining visual aids, interactive learning, and detailed literature references—ensuring a comprehensive review for practitioners and trainees in the field.

Keywords

Electrodiagnostic Medicine

Self-Assessment Examination

Electromyography

Nerve Conduction Studies

ncs

Multiple-Choice Questions

Pathophysiological Principles

Compressive Neuropathies

Neuromuscular Transmission Disorders

Clinical-Electrophysiologic Correlations

Board Certification

nerve conduction studies

nerve conduction study

ncs

EMG