ABRET Certification For Neurophysiological Intraoperative Monitoring (CNIM) Exam

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The optimal anesthetic protocol for intraoperative neurophysiological monitoring (IONM) when MEP monitoring is required is:

High-dose volatile agent with neuromuscular blockade Total intravenous anesthesia (TIVA) with propofol and remifentanil, avoiding NMB Ketamine infusion with 70% nitrous oxide Halothane at 0.5 MAC with pancuronium

Correct Answer:

Total intravenous anesthesia (TIVA) with propofol and remifentanil, avoiding NMB

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