CLTM Certification Examination – Certified Long-Term Monitoring Technologist – American Board of Registration of Elect

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The CLTM Certification Examination for Certified Long-Term Monitoring Technologists, administered by the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET), consists of 200 questions and answers. It covers four core domains, with a focus on the 2026/2027 academic year.
Domain I: Preparation (10% of the exam) includes 18 operational questions and 2 pretest questions. It evaluates the technologist's ability to plan and prepare for a safe and effective long-term monitoring (LTM) study. Key knowledge areas include ACNS Guidelines and Terminology, and techniques for establishing rapport. The domain emphasizes planning the recording strategy and communicating the monitoring plan.
Sample questions explore topics such as the technologist's role during ICU LTM studies, identifying EEG patterns that indicate prognosis, and actions to take when periodic epileptiform discharges are noted. The exam also addresses data management, including the importance of archiving video data with EEG recordings.
Additional questions cover logistical aspects, such as rescheduling fees for the CLTM exam, and procedures for handling missing data during post-study reviews.
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