Download Sleep Disorders: Multiple Choice Questions and Answers and more Exams Nutrition in PDF only on Docsity!
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A periodic limb movement series is defined as 4 leg movements with a duration between 5 and 60 seconds. - correct answer ✔False
Arousals are scored with PLMs as long as they occur within ____ seconds of the movement. - correct answer ✔0.
A series of repetitive bruxism movements is called "alternating masticatory muscle activity." - correct answer ✔False
Excessive fragmentary myoclonus is described as a benign movement because it does not have any clinical consequences - correct answer ✔True
For the leg activity to be considered alternative leg muscle activation, there must be a series of at least 3 alternating limb movements. - correct answer ✔False
In order to score rhythmic order disorder, there must be ___ individual clusters of moments that are ___ the amplitude of the background EMG activity. - correct answer ✔4, 2x
Leg movements should not be scored if they are within 0.5 seconds of a respiratory event. - correct answer ✔True
PLMs in sleep are defined as leg movements with a duration between ____ and ____? - correct answer ✔0.5 and 10 Sec
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ⪛⪴⪴⪷ ⪱⪘⪞⪴⪸ε ΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ
REM behavior disorder can be identified by a sustained chin EMG activity in REM. The epoch will show at least 50% duration of the amplitude increase than the maximum amplitude seen in NREM sleep. - correct answer ✔False
The best placement to record movement activity typical of rhythmic movement disorder (RMD) is over the ____ muscles. - correct answer ✔Paraspinal
The minimum amplitude of a leg movement in a PLM series, to classify it as a leg jerk, it must be ___ microvolts above the baseline limb EMG signal - correct answer ✔ 8
CO2 monitoring, using either end-tidal or transcutaneous sensors, is mandatory in children for the scoring of - correct answer ✔Hypoventilation
Hypnagogic hypersynchrony - correct answer ✔Occurs at sleep onset
In a limited channel study in infants, apneas associated with severe oxygen desaturation may lead the scorer to infer that the infant - correct answer ✔is in REM
In children, central apneas lasting less than 20 seconds and not accompanied by a 3% oxygen desaturation or arousal are - correct answer ✔normal
In contrast to alpha rhythm in adults, the dominant posterior rhythm in infants is - correct answer ✔Slower
Infants less than 2 months of age, a distinctive EEG pattern associated with NREM or quiet sleep and consisting of high-voltage slow waves separated by 4 to 8 seconds of lower-voltage mixed frequency waves is called - correct answer ✔trace alternant
In infants, episodes of 3 or more central apneas lasting more than 3 seconds and separated by less than 20 seconds of normal breathing are called - correct answer ✔Periodic Breathing
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ⪛⪴⪴⪷ ⪱⪘⪞⪴⪸ε ΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ
For the most accurate diagnosis, ___ MSLT naps should be conducted ___ hours apart. - correct answer ✔5, 2
For the most accurate diagnosis, ____ MWT naps should be conducted lasting ____ minutes each, separated by ____ hours. - correct answer ✔4, 40, 2
In comparison to normal control subjects, narcoleptics have ___% shorter REM onsets on the MSLT. - correct answer ✔84%
Indications for the conduction of MWTs include which of the following: - correct answer ✔patient's ability to remain awake in safety conditions to determine treatment success
It is estimated the ___% of the US workforce work night shifts - correct answer ✔4%
Narcolepsy can be inferred based on the sleep history, and the results of the MSLT. Which MSLT outcomes suggest a diagnosis of narcolepsy? - correct answer ✔2 SOREMs and MSL of 5 or less
Scheduled MSLT series should be cancelled if the patient showed apnea on the PSG. Once treated with CPAP, the nap study can be run with the CPAP in place - correct answer ✔True
The Epworth Sleepiness Scale and Stanford Sleepiness Scale, used alone, are both excellent objective tools for measuring the sleepiness level of patients - correct answer ✔False
The determination to run 4 or 5 naps in an MSLT is based on what - correct answer ✔Occurrence of 2 or more SOREMS
The duration of the MWT naps have not been definitely set by the AASM. Both 20- and 40- minute naps are being run throughout the country. Which of the two time periods avoids the
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ⪛⪴⪴⪷ ⪱⪘⪞⪴⪸ε ΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ
"ceiling effect" and are probably more instructive in diagnosing inability to maintain wakefulness? - correct answer ✔40 min nap
The MSLT is used primarily to diagnose narcolepsy and idiopathic hypersomnia - correct answer ✔True
When scoring a nap, sleep onset begins after the first 30 second period of _____ stage of sleep. If no sleep occurs, the nap opportunity ends after ___ minutes. - correct answer ✔any, 20
Which classifications of drugs should be discontinued before conducting a MSLT because of REM suppression, but not necessarily before an MWT? - correct answer ✔SSRIs
If a patient has both an in-lab PSG and home HST and shows 200 respiratory events on both studies, the AHI will be the same. - correct answer ✔False
If there is a suspicion of Cheynes-Stokes Respiration, a PSG should be performed instead of a HST. - correct answer ✔True
Requirements for reimbursement for HST include all of the following EXCEPT - correct answer ✔raw data reviewed by licensed board certified RPSGT
The CMS and the AASM uses different terminology to describe the number of apneas and hypopneas per hour for Types 3 and 4 HST devices. Which of the following does the CMS prefer? - correct answer ✔RDI
The indications and conditions for use of unattended HST using Type 3 devices include all of the following EXCEPT - correct answer ✔typical associated co-morbid diseases such as COPD and CHF
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ⪛⪴⪴⪷ ⪱⪘⪞⪴⪸ε ΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ
Sleep study reports often include sleep stage reported in: - correct answer ✔Both percentage of TST and total minutes.
The AHI can be evaluated - correct answer ✔during REM and NREM.
during TST.
at each PAP pressure level.
The calculation of total sleep time / total recording time - correct answer ✔Sleep Efficiency
TRT - TST - Sleep Latency =? - correct answer ✔wake after sleep onset
When interpreting the sleep study, which data is important to make an accurate diagnosis? - correct answer ✔TST, AHI, SE
When scoring a sleep study, the __________ portion is scored first, followed by the ____________ portion. - correct answer ✔EEG, respiratory
A condition in which the atria and ventricles beat independently of one another. - correct answer ✔Third-degree heart block
A dangerous rhythm in which there are three or more PVCs in a row - correct answer ✔Ventricular tachycardia
A dangerous rhythm in which the ventricles are quivering, not contracting. - correct answer ✔Ventricular fibrillation
A regular rhythm with normal rate in which the PR interval is prolonged is defined as - correct answer ✔First-degree heart block
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ⪛⪴⪴⪷ ⪱⪘⪞⪴⪸ε ΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ
Heart rhythm refers to - correct answer ✔how regular the beats appear
Premature ventricular contractions with various morphologies are called - correct answer ✔multifocal
Regular rhythm with a rate of >100 bpm - correct answer ✔Tachycardia
The heart consists of these chambers - correct answer ✔atria and Ventricles
The P wave represents - correct answer ✔atrial depolarization
The QRS complex represents - correct answer ✔ventricular depolarization
This is known as the "pace maker" of the heart. - correct answer ✔SA node
Unorganized activity of the atria with no identifiable P waves - correct answer ✔Atrial fibrillation
Ventricular repolarization - correct answer ✔T wave
When the heart beats it is actually contracting, which is also called - correct answer ✔depolarization
Which of the following demonstrates normal electrical conduction through the heart? - correct answer ✔SA node - AV node - bundle branches - Purkinje fibers
Alcohol can affect sleep by increasing - correct answer ✔Apneic episodes
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ⪛⪴⪴⪷ ⪱⪘⪞⪴⪸ε ΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ
A main disadvantage to working as a sleep technician is - correct answer ✔Shift work
Commonly used products in the sleep lab such as EEG paste, alcohol swabs, and cleaners must have information listed on - correct answer ✔MSDS
. Eligibility requirements for the various sleep credentialing examinations can include - correct answer ✔All of these are correct. completion of a formal training program. holding a BLS certification. prior clinical experience in the field.
HIPAA stands for - correct answer ✔Health Insurance Portability Accountability Act
HIPAA was developed to - correct answer ✔protect health information
Knowing what to do in the event of an emergency, fire, tornado, or bomb threat is good - correct answer ✔Disaster planning
Non-disposable equipment should be ___________ after each use. - correct answer ✔disinfected
Professional biomedical inspections should be performed on all electrical equipment at least:
- correct answer ✔once a year
Technicians are encouraged to obtain their sleep registry (RPSGT), which is granted through: - correct answer ✔BRPT
The best "precaution" to use for universal precautions is: - correct answer ✔handwashing
The national organization supporting and advocating for sleep technologists is: - correct answer ✔AAST
⪛⪴⪴⪷⪱⪘ ⪞⪴⪸εΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ⪛⪴⪴⪷ ⪱⪘⪞⪴⪸ε ΘΙΙμλΜιΙππππ ιΤΜΜτλμτΧ
This governing body states that there must be distinct separate areas for clean versus soiled equipment and linen. - correct answer ✔OSHA
While preparing for patients to arrive at the lab you notice a frayed cord on the CPAP machine. Whose is responsible for taking this equipment out of service? - correct answer ✔You
Your administrator asks you to put some measurable quality control practices in place and report on them each quarter. You could - correct answer ✔All of these are correct. have the scoring techs re-score one another's studies to determine their accuracy. have the scoring techs rate the overall quality of the nighttime studies. track the time it takes to schedule the patient from the time the referral is received.
Your patient is a 55-year-old male in the lab for a polysomnography study. The patient's concerned supervisor calls asking about the patient. She seems very nice and cares deeply about his welfare. You tell her he is showing signs of OSA, but otherwise he is doing fine. - correct answer ✔This is a HIPAA violation
