question

primary benefit of heated humidification

answer

help reduce nasal congestion

question

Recommended starting pressure for peds & adult CPAP titration?

answer

4cm H20

question

Excessive warming and humidification will cause?

answer

water to pool in the CPAP tubing

question

the best candidate for oral appliance therapy would have

answer

mild osa

question

most common reason for changing the PAP interface during titration

answer

unacceptable leak value

question

a side effect of CPAP is

answer

aerophagia

question

maxillomandibular advancement treats osa by

answer

bilateral reshaping of the jaw bone and enlarging and stabilizing the upper airway

question

best sampling rate to use when recording psg eeg in a pt with suspected nocturnal seizures

answer

500Hz

question

breathing pattern characterized by at least 3 cycles of crescendo decrescendo breathing with duration of at least 10 min.

answer

cheyne-stockes respiration

question

distance from pre-auricular to pre-auricular is 35cm. what is the distance between c3 & c4

answer

14cm

question

coexisting sleep stages occur in a single epoch, how should it be scored

answer

stage it by the greatest portion of the epoch

question

apea + hypops / min of sleep x 60 is the formula for

answer

AHI

question

The electrode array used for recording physiological activity is

answer

Montage

question

Primary function of EPAP

answer

Prevent upper airway occlusion

question

pts with severe sleep disordered breathing, the most commonly seen response resulting from successful PAP titration

answer

REM & SWS rebound

question

The responsibility for electrical safety within any sleep disorders center/clinic rest with

answer

Admin, biomedical engineers, techs, all staff, nursing, ancillary support staff

question

One of the greatest contributors to the potential for PT microshock is

answer

Broken power/plugs, faulty power receptacles, poor ground connections

question

define "microshock"

answer

Low value current passing directly through the heart with a potential difference existing between two separate points of contact

question

A chest compression landmark for an adult is the

answer

Lower half of the sternum

question

In the event of a major tonic clinic seizure while the pt is in the lab, the tech is responsible to

answer

Leave the recording running & keep the PT from physical harm, leave side rails up, carefully observe & document all clinical signs

question

per BLS protocol where is the place for a pulse in an adult

answer

carotid at the neck

question

minimum number of naps performed during an mslt

answer

4

question

SOREM stands for

answer

sleep onset rem

question

CPAP pressures set to low may result in

answer

continued hypoventilation and hypoxemia

question

Epileptiform activity during the PSG is

answer

best displayed utilizing additional EEG channels

question

pt position that usually requires higher CPAP pressure

answer

supine

question

when determining proper CPAP mask size for the pt its important to check

answer

leaks

question

a process to decrease fear of artificial circumstances by repeated and controlled exposure to a feared situation

answer

desensitization

question

sleep debt

answer

cumulative effect of insufficient sleep

question

largest impact on adherence to PAP therapy

answer

PAP education

question

CPAP

answer

Constant positive airway pressure- one level of pressure for inspiration and expiration

question

per recommended guidelines, the minimum duration of significant leg movement

answer

.5 seconds

question

treatment for narcolepsy

answer

nuvigil, Adderall, xyrem, Dexedrine, focalin

question

The amount of space needed to archive digitized data is most impacted by?

answer

Sampling rate

question

An important responsibility of the scoring tech

answer

Confirm accuracy of report components

question

Calculate AHI based on: 25 OSA, 5 CSA, 23 MSA, 15 hypops, 48 RERAS, 65 arousal with 360 min of TST

answer

53 + 15 = 68 / 360 = 11 (answer)

question

Per recommended guidelines, which should be included when recording pediatric pts

answer

End tidal CO2

question

Most important reason for performing MWT

answer

Measure ability to resist urge to fall asleep

question

A PT with mild dementia becomes more confused/agitated in the early evening is experiencing

answer

sundowning

question

Recommended guidelines for bilevel IPAP titration, the max IPAP for a PT >12 yrs should be

answer

30cm/H2O

question

Your sleeping PT has 5 PVC's in a row and then 4 PVC's in a row 20 min. later, what do you do?

answer

Contact supervisor or medical director for further instructions

question

When performing a CPAP titration you can increase pressure for

answer

snoring

question

Absence of a heart beat is called

answer

asystole

question

Number of events that occur within a particular period of time

answer

frequency

question

Narcolepsy is NOT characterized by

answer

muscle twitching

question

Brain structure involved in autonomic functions, homeostasis, endocrine processes, emotions, and regulation of sleep

answer

Hypothalamus

question

For home treatment w/positive airway pressure, proper humidifier care

answer

Rinsing and air-drying the reservoir

question

Part of good sleep hygiene

answer

Getting up to do something relaxing after 20min. in bed

question

Nocturnal hypoxemia associated with sleep disordered breathing may contribute to

answer

Cardiac arrhythmias Pulmonary hypertension Cognitive dysfunction NOT: manic depression

question

An increase in 14-18Hz spindles has been noted in

answer

Hypnotic dependent sleep disorders

question

What does NPT stand for

answer

Nocturnal penile tumescence

question

Eye monitors are used to determine

answer

REM sleep

question

A complete absence of effort in respiratory monitoring channels indicate

answer

Central event

question

With the right outer canthus lead 1cm lateral and 1cm above, eye opening will in the ROC to become

answer

Negatively charged

question

standard screen duration for a PSG

answer

30 seconds

question

each epoch represents how many seconds

answer

30 seconds

question

short time constants should be used when recording

answer

EEG

question

minimal study duration for accurate assessment of neonatal sleep

answer

3 hours or 3 feedings

question

during the PSG the following should be monitored and documented EXCEPT

answer

sleep stages, physiological calibrations, dream content

question

an alternating EEG pattern seen in full term, sleeping NREM infants consisting of both high and low voltage activity is termed

answer

trace alternate

question

a leg movement must be between what seconds in duration

answer

.5-10

question

what is the minimum recording time required for a PSG from lights out to lights on

answer

6 hours

question

the recording of a pt with an artificial eye will not detect eye movement

answer

an artificial eye does not generate electrical potential changes as would a normal eye

question

REM sleep tends to predominate

answer

during the latter third of the sleep period

question

when scoring an MSLT the mean sleep latency is defined as

answer

average of the sleep latency for all naps required

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