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99 Cards in this Set
- Front
- Back
which of the following filter settings are most appropriate for these channels:EEG,EOG,EKG,EMG
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EEG:0.3/35
EOG:0.1/35 EKG:1.0/35 EMG:10/70 |
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The low frequency filter is used for
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eliminating unwanted slow frequencies
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If the ROC channel on psg is 5 and the LOC channel is 6,what will it look like when the patient looks up
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move toward each other
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what is the best solution for disinfecting electrodes
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bleach
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what should the tech do first to make surre the proper test is being preformed
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review the chart for the docs orders
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a polysomnograph records what
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electric potentials from body
voltages from other devices output signal from auxilliary equipment |
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which is not a bioelectric potential recording:
EOG,EMG,RESPIRATORY AIRFLOW,EKG |
respiratory airflow
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what is the function of the differential amplifier
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to record the differences between two signal inputs
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what is it when you select 2 signal inputs applied to a differential amplifier and assigned to a specific channel
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a recording montage which shows which signals will be displayed in which channels
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G1 represents what
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the first signal inpput into a differential amplifier
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if G1 recieves an input of -100uv and G2 recieves 50uv, what is the output voltage
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-50uv, subtracting G2 form G1
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if G1 recieves -50uv, and G2 recieves +50uv, it equals what
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-100uv
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if G1&G2 both recieve an input of -50uv what is the output
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0
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how can you determine the frequency of an EEG signal
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by counting the cycles of the wavein one second
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frequency is measured how
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in cycles per second, or hertz(Hz)
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how do you determine the amplitude of an EEG signal
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by comparing the height of the recorded waveform against a calibration signal of known value
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the amplitude of a wave is a measure of
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voltage
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a low frequency filter is used to
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eliminate unwanted slow frequencies
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a high frequency filter is used to
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eliminate unwanted fast frequencies
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sensitvity
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ratio of input voltage to the amplitude of the pen deflection
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an appropriate EEG gain setting
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5uv/mm and 50uv/cm ( they are the same)
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If an EEG amplifier is calibrated to 50uv/cm, a
-75uv signal should do what |
a negative signal produces an upward pen deflection, while a positive signal produces a downward pen deflection
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an equalizer or gain control is used to
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make fine adjustments to the sensitivity of an amplifier
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the standarded paper speed used in PSG is
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10 mm/sec. which produces 30 second epochs
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what is the proper setting for recording the EEG:LFF=10hz,HFF=100hz
LFF=1hz,HFF=30hz LFF=.3hz,HFF=30hz LFF=.1hz,HFF=.5hz |
LFF=.3hz,HFF=30hz or
LFF=1hz,HFF=30hz |
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what is the proper setting for recording the EMG
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LFF=10hz,HFF=100hz
*the HFF can be set at 70hz to off and the LFF at or close to 10hz |
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what is the proper setting for recording respiratory effort and airflow
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LFF=.1hz,HFF=.5hz *usually the HFF would be set a little higher
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if the high frequency filter is 15 hz to record the EEG, how could this damage the info on the PSG
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the 15 hz HFF setting could attenuate certain types of abnormal fast frequency, (seizure spikes), and alpha activity
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a major difference between an AC&DC amplifier is
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AC has a high frequency filter while DC amplifier doesn't
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the overall quality and accuracy of a sleep study is primarily determined by
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proper electrode application and recording methodology
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a bio-calibration routine is use dto
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establish a baseline scoringreference for study,verify correct signal derivations, confirm the integritiy of derived signals
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in PSG, the recording of the eye movements is based on
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the electrical potential difference betweeen the cornea and the retna of each eye,* if the patient looks toward the electrode, the wave produced will be positive, (downward)deflection
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according to polarity convention, an eye movement to the right should result in
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a downward pen deflection in the ROC channel and an upward pen deflection in the LOC channel
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if the low freq.filter is raised from .3 hz to 1 hz in an eeg channel what will happen on the recording
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the 1 hz setting will reduce the amplitude of slow delta waves
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amplitude is the measurement of the, and is measured in
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height of the wave,microvolts
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frequency is the measurement of the ,and measured in
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speed of the wave,hertz
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sensitivity can be explained in what equation
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sensitivity =voltage/pen deflection
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the low frequency filter is most related to the
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time constant
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the electro-occulogram is the recording for what
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the corneo-retinal potential difference
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the rapid eye movement in REM sleep is detectable in the EOG of blind patients if what is normal
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the corneo-retinal potential,which is the same for all pt.
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electro-occulogram measures
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the difference between the positive electrical charge in the cornea and the negative charge in the retina
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what is the recommended impedance for EEG electrodes
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less then 5,000(5k), lower the better
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EEG signals recorded in the lab originate from
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action potentials of neurons
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polysomnography includes all but which measurements,
EMG,ERG,Respiratory,EOG |
ERG,the retina
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the distance between the nasion to the inion is 36cm, what is the distance from Cz to Pz
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7.2 cm , Cz to Pz is 20% of the total distance from the nasion to the inion.
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the distance between the nasion to the inion is 32 cm,what is the distance from inion to Oz
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3.2 cm, The inion to Oz is 10% of the distance from the inion to the nasion
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The distance from ear to ear is 40 cm, what is the distance from Cz to C3
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8.0cm, Cz to C3 is 20% of the distance from ear to ear, 20% of 40cm is 8.0cm
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the distance from Cz to T4 is 14cm, what is the distance from C4 to T4
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7.0cm, C4 is halfway between Cz and T4, so half of 14 is 7
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The total circumference of the head is 56cm,what is the distance from Oz to O1
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2.8cm, OZ to O1 is 5% of the total circumference of the head
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the total o circumference of the head is 60cm, what is the distance from O2 to T4
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12.0,O2 to O4 is 205 of the total circumference of the head,20% of 60 is 12
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What electrode site is half the distance from T5 to Pz
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P3,which is located half way between T5 and Pz
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What electrode site is half the distance from O1 to T3
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T5, which is located half way from O1 and T3
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What electrode site is half of the distance fromF8 to Fz
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F4, which is half way
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the distance from Fp1 through C3 to O1 is 24cm, what is the distance from C3 to P3
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6.0cm,C3 to P3 represents 25% of this measurement
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What electrode site is half way between Fp2 and C4
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F4
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The total circumference of the head is 50cm, what is the distance from T3 to Oz
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12.5cm, T3 to Oz is 25% of the total circumference of the head
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the distance from Fp2 to T4 is 10cm, what is the distance from Fp2 to F8
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5.0cm, half of 10 is 5
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what electrode site is half the distance from T3 to T4
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Cz is located half way
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G1=60uV,G2=10uV, what is the total output voltage
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50 uV, 60-10
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Which of these is a DC channel
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SpO2
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what type of wire is best for recording the EEG activity
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gold cups, lower impedence, great fit on the scalp
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The rate at which a wave repeats itself or osccillates is
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frequency
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what is the disadvatage to using gold cups
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increased cost
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a change in sensitivity produces a change in
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the height of the wave
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the amplitude of an EEG wave is generally measured in
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microvolts(uV)
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cycles per second is synonymous with
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Hertz(Hz)
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the frequency of a waveform can be altered by changing
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the filters
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changing the sensitivity setting from 20uV/mm to 40uV/mm will do what to the wave
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cut it in half
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what is the best LFF setting for an EEG channel
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0.5Hz, is recommended
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what is the best HFF setting for an EMG channel
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70Hz
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what is the best HFF setting for an EEG channel
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35Hz
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what is the best HFF setting for a respiratory channel
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5.0Hz
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the shape of the wave matters most for which: EMG,EEG,Sp02,body postion
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EEG, detail helps in determining sleep stages
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what is the best sensitivity setting for an EEg channel
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70uV/mm(7uV/mm),is best ,for pts. with low amplitude it should be changed to 50uV/mm(5)
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which montage includes the full EEG hookup to rule out seizure activity
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REM behavior disorder
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which montage includes extra eye hookups,above and below the eye
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MSLT,staging is very important, extra eye leads increase EOG reliability
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what montage usually includes a pressure channel and additional flow channel
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CPAP
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what montage is most commonly used for overnite diagnostic studies
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Baseline, used in diagnosing common sleep disorder,OSA & PLMS
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polysomnography is the study of
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physiologic parameters as they relate to sleep
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what %of the total circumference of the head is T5 away from T3
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10%
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what 2 muscles should the chin EMG be placed over
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mentalis and submentalis, above and below the chin line
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what electrod esite is not used in a baseline study:
leg EMG,ROC,arm EMG,thoracic belt |
arm EMG, are used in REM behavior disorders
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the exploring electrode recieves a voltage of -20uV,the output voltage is 50uV,what voltage did the refence electrode recieve at this time
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-70uv,out put voltage is = to the exploring electrodes voltage - the reference electrodes voltage(-20-70,or-20+70=50)
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what muscle should the leg EMG electrode be placed on
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anterior tibialis,runs along the outside of the shin bone
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the recording of electrical activity generated by the eyes is abbreviated
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EOG,electro-occolography
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G1=-25uV,G2=-25uV, what is the output voltage
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0uV,when the inputs are identical thery cancel each other out
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which electrode is 20% of the horizontal measurement of the head to the left of Cz (pre-auricular point to pre-auricular point)
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C3
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if the montage has the ROC as channel 5 and the LOC as channel 6, what will the waves on these channels do when the pt. looks up
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move toward each other,looking up causes aa positive charge for ROC and neg. for LOC,so, ROC goes down and LOC goes up,moving towards each other
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G1=-80uV the output is 20uV what is the voltage at G2
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-100uV,(-80--100,is also-80+100) which is equal to the output voltage of 20uV
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what electrode site is half the distance fromFp2 to T4
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F8
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what % of the entire vertical measurement of the head is Pz away from the inion
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30%, Oz is 10% of this distance from the inion,Pz is another 20%,making it 30%
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G2=-70uV,output is 15uV,what is the voltage in G1
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-55uV,(-55--70 = -55+70)
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the distance from ear to ear is 36cm, what is the distance from the left ear to T3
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3.6cm,the distance from the left ear is 10% of the total distance from ear to ear,10% of 36 is 3.6cm
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the distance from T6 to Pz is 8cm, what is it from P4 to Pz
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4cm,P4 is halfway between T6 and Pz, hlaf of 8 is 4cm
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what electrode site is located half the distance from O2 to C4
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P4,which is halfway between O2 and C4
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the distance from F7 to F3 is 6cm, what is the distance from F3 to Fz
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6cm, F7 and Fz are equidistant to F3
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what electrode site is 10% of the inion
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Oz,placed 10% of hte vertical measurement of the head above the inion
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a stress loop is often helpful when applying which electrodes
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leg EMG,reduces them getting pulled off
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what is the best sensitivity setting for EEGs in adults
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7uV/mm
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