i dont speak imac-
I don't think you get anywhere by holding down BOTH buttons at once, but you should be able to make progress by pressing-and-holding one button, then the other. If yours in an iMac rev A or B, or original 5-colors, this labeled map showing CUDA button may help:
http://macgurus.com/products/motherboards/mbppcimacorig.php
The reset to the PRAM with the keyboard:
With power off, hold down four keys:
Command Option p r
press the power key or power button
continue to hold down the four keys until you have heard the chimes four times.
The parameters should now be set to factory defaults.
These parameters are used before your Hard drive is accessed to make your Mac's startup pleasant and painless. When the PRAM backup battery goes dead, the parameters can easily get corrupted. If resetting the PRAM is needed more than once in a blue moon, you need a new PRAM Backup Battery.
These 3.6 volt non-recharging batteries, 1/2 the length of AA battery, will last three years or more in regular use. If your Mac is on a power strip that is switched off at night, battery life will be much shorter.
Although somewhat dated, this web site has some information on Mac batteries, and some international sources:
http://www.academ.com/info/macintosh/
Message was edited by: Grant Bennet-Alder