CPSGT Practice Quiz 2020 Aasm

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CPSGT Practice Quiz 2020 Aasm - Quiz
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  • 2. 

    EEG is brain activity.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The given statement is true because EEG (Electroencephalography) is a technique used to measure and record the electrical activity of the brain. It involves placing electrodes on the scalp to detect and amplify the electrical signals produced by the brain's neurons. EEG is commonly used in medical and research settings to study brain function, diagnose neurological disorders, and monitor brain activity during sleep or anesthesia. Therefore, it can be concluded that EEG is indeed a measure of brain activity.

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  • 3. 

    EMG activity is muscle movement

    • True

    • False

    Correct Answer
    A. True
    Explanation
    EMG stands for electromyography, which is a technique used to measure and record the electrical activity produced by muscles. This electrical activity is generated during muscle contraction and is directly related to muscle movement. Therefore, it is correct to say that EMG activity is muscle movement.

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  • 4. 

    EOG activity is eye movement.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    EOG activity refers to the measurement of eye movements. It is used to study various aspects of eye movement, such as saccades, fixations, and smooth pursuit. By measuring the electrical activity around the eyes, researchers can gain insights into how the eyes move and track objects. Therefore, the statement that EOG activity is eye movement is true.

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  • 5. 

    What are the 3 AC inputs in PSG?

    • EEG, ELG, ETG

    • ERG, EEG, EMG

    • EEG, EOG, EMG

    • EOT, SOT, EEG

    Correct Answer
    A. EEG, EOG, EMG
    Explanation
    EEG- electroencephalogram evaluates electrical activity in the brain, EOG - electro - oculogram records eyem ovements, EMG - electromyogram records muscle movements.

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  • 6. 

    The ground electrode is placed at T4. 

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The ground electrode is placed at Fpz, no electrodes will be read without it.

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  • 7. 

    An apnea must have a decrease of airflow of at least 90% for at least 10 seconds. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    An apnea is a temporary cessation of breathing, and it is defined as a decrease in airflow of at least 90% for a minimum duration of 10 seconds. This means that during an apnea episode, the airflow is significantly reduced, resulting in a pause in breathing for at least 10 seconds. Therefore, the statement is true.

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  • 8. 

    What MSLT montage is required by the AASM?

    • EEG, Oximetry, EKG, PAP

    • Leg EMG, EKG, EOG, EFG

    • EEG, EOG, Chin EMG, EKG

    • Whats a montage?

    Correct Answer
    A. EEG, EOG, Chin EMG, EKG
    Explanation
    The AASM (American Academy of Sleep Medicine) requires the MSLT (Multiple Sleep Latency Test) montage to include EEG (electroencephalogram), EOG (electrooculogram), Chin EMG (electromyogram), and EKG (electrocardiogram). These are the necessary channels to monitor brain activity, eye movements, chin muscle activity, and heart function during the test. This combination of measurements helps in assessing sleep disorders and determining sleep latency.

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  • 9. 

    Where is the nasian located?

    • The point between pre irricular to pre irricular

    • The point between the nape of the neck

    • The point between your left and right hip

    • The point between the forehead and nose

    Correct Answer
    A. The point between the forehead and nose
    Explanation
    The nasian is located between the forehead and nose. This is the area where the bridge of the nose meets the forehead.

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  • 10. 

    Parasomnias can make you sleep walk, have sleep terrors, or engage in sleep sex. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    They are characterized by abnormal and unnatural behaviors, movements and dreams in connection with sleep.

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  • 11. 

    Sleep paralysis may occur with narcolepsy. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Beware the sleep paralysis demon

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  • 12. 

    Pain medications like codeine, oxy, and meth, do not increase central apneas. 

    • True

    • False

    Correct Answer
    A. False
    Explanation
    THEY ABSOLUTELY DO - REMEMBER THIS. Pain meds INCREASE central apneas. They also increase TST, but decrease SWS and REM.

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  • 13. 

    What is the most stable electrode for PSG?

    • Gold 

    • Silver Chloride

    • Copper

    • Plastic

    Correct Answer
    A. Gold 
    Explanation
    Gold is the most stable, but most expensive. Silver Chloride is the next most stable, but constantly has to be rechlorided.

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  • 14. 

    How many nap opportunities are there during the MSLT?

    • 7-8

    • 4-5

    • 3

    • 2

    Correct Answer
    A. 4-5
    Explanation
    The patients are typically given nap opportunities at 2 hour intervals

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  • 15. 

    When is HSAT testing INAPPROPRIATE?

    • Central Sleep Apnea

    • Neuromuscular disorders

    • Other Sleep Disorders - Narcolepsy, Parasomnias, PLMD

    • Pediatrics

    • Cardio-Pulmonary Comorbidities

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    HSAT testing is inappropriate in all the mentioned conditions. Central sleep apnea, neuromuscular disorders, other sleep disorders (narcolepsy, parasomnias, PLMD), pediatrics, and cardio-pulmonary comorbidities can all affect the accuracy and reliability of the results obtained from HSAT testing. Therefore, it is not recommended to use HSAT testing in these cases.

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  • 16. 

    What is the "10-20" system?

    • The standard method used to describe the location of scalp glue.

    • The only method to read your mind.

    • The amount of time used to sleep with EEG electrodes.

    • The standard method used to describe the location of scalp electrodes. 

    Correct Answer
    A. The standard method used to describe the location of scalp electrodes. 
    Explanation
    The "10-20" system is a standard method used to describe the location of scalp electrodes. This system is commonly used in electroencephalography (EEG) to ensure consistent and accurate electrode placement across different individuals. The system divides the scalp into regions based on percentages of specific anatomical landmarks, such as the nasion (the midpoint between the forehead and the bridge of the nose) and the inion (the external occipital protuberance at the back of the head). The "10-20" system allows for precise and standardized electrode placement, which is essential for accurate interpretation of EEG data.

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  • 17. 

    Hallucinations never occur during Narcolepsy. 

    • True

    • False

    Correct Answer
    A. False
    Explanation
    They may occur.

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  • 18. 

    The hypoxic drive occurs at high altitudes. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Under normal conditions, the response to hypoxia is virtually non existent. hypoxia is vital at extreme altitudes or in certain disease processes.

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  • 19. 

    What is Respiration?

    • The exhalation of CO2

    • The exhalation of O2

    • The exchange of gasses (CO2 & O2) at the alveolar capillary level of the lung

    • Breathing humidity

    Correct Answer
    A. The exchange of gasses (CO2 & O2) at the alveolar capillary level of the lung
    Explanation
    The correct answer is the exchange of gases (CO2 & O2) at the alveolar capillary level of the lung. Respiration refers to the process of exchanging gases between the body and the environment. In the lungs, oxygen from the inhaled air enters the bloodstream through the alveoli, while carbon dioxide, a waste product, is removed from the bloodstream and exhaled. This exchange of gases occurs at the alveolar capillary level, where oxygen is taken up by red blood cells and carbon dioxide is released into the alveoli to be exhaled.

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  • 20. 

    The circadian clock regulates the timing of sleep.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The circadian clock is an internal biological clock that regulates various physiological processes, including sleep-wake cycles. It helps to regulate the timing of sleep by signaling the body to feel sleepy at night and awake during the day. This internal clock is influenced by external cues such as light and darkness, helping to synchronize our sleep patterns with the natural day-night cycle. Therefore, the statement "The circadian clock regulates the timing of sleep" is true.

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  • 21. 

    Odd numbered electrode positions are only on the LEFT side of the head. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The explanation for the given correct answer is that odd numbered electrode positions are indeed only on the left side of the head. This means that the electrodes are placed in a specific pattern, with odd numbers being assigned to the left side and even numbers being assigned to the right side. This pattern helps in accurately measuring and recording brain activity during various medical procedures or tests.

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  • 22. 

    Marijuana - an illicit substance - can incrase sleep efficiency. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    It can also increase SWS , decrease SOL, REM, and eyemovements.

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  • 23. 

    What is ventilation?

    • The act of H20 entering and exiting the lungs

    • The act of C02 exiting the lungs

    • The act of air entering and exiting the lungs

    • The act of breathing every bit of air out of the lungs

    Correct Answer
    A. The act of air entering and exiting the lungs
    Explanation
    Breathe in! Breathe out! Thats ventilation!

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  • 24. 

    During Theta activity, it is normal for adults to feel drowsy. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    During Theta activity, the brain is in a state of deep relaxation and is associated with drowsiness. This brainwave pattern is commonly observed during meditation, hypnosis, and deep sleep. Therefore, it is normal for adults to feel drowsy during Theta activity.

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  • 25. 

    Thermocouples measure airflow by detecting the rate of temperature change. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Thermocouples are temperature sensors that work based on the principle of the Seebeck effect. They consist of two different metals joined together, and when there is a temperature difference between the junctions, a voltage is generated. By measuring this voltage, the rate of temperature change can be determined. Therefore, it is true that thermocouples can measure airflow by detecting the rate of temperature change.

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  • 26. 

    You associate an arousal with a scored movement if there is < 0.5 sec between the end of one event, and the onset of another event, regardless of which is first. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    If there is less than 0.5 seconds between the end of one event and the onset of another event, regardless of which event occurs first, an arousal is associated with a scored movement. Therefore, the statement is true.

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  • 27. 

    Where is the inian located?

    • The lowest point of the skull from the back of the head as indicated by a prominent bump

    • The point between the forehead and nose

    • The point between your upper lip and lower lip

    • The point between your left and right eye

    Correct Answer
    A. The lowest point of the skull from the back of the head as indicated by a prominent bump
  • 28. 

    What 2 anatomical landmarks are used for essential EEG electrode positioning?

    • The pre irricular to pre irricular

    • Left to right eye

    • From top lip to bottom lip

    • The nasian and inian

    Correct Answer
    A. The nasian and inian
    Explanation
    The correct answer is the nasian and inian. These two anatomical landmarks are commonly used for essential EEG electrode positioning. The nasian refers to the nasion, which is the depression between the forehead and the bridge of the nose. The inian refers to the inion, which is the external occipital protuberance at the back of the skull. These landmarks help in accurately placing the EEG electrodes on the scalp for recording brain activity.

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  • 29. 

    What are the 5 sleep stages?

    • Stage W

    • Stage R

    • Stage N3

    • Stage N2

    • Stage N1

    • Stage 4

    • Stage 5

    • There are not 5 sleep stages

    Correct Answer(s)
    A. Stage W
    A. Stage R
    A. Stage N3
    A. Stage N2
    A. Stage N1
    Explanation
    The correct answer is Stage W, Stage R, Stage N3, Stage N2, Stage N1. These are the five sleep stages according to the standard classification system. Stage W refers to the wakefulness stage, where the person is fully awake. Stage R is the rapid eye movement (REM) stage, characterized by rapid eye movements and vivid dreaming. Stage N3 is the deep sleep stage, also known as slow-wave sleep. Stage N2 is a lighter stage of sleep, and Stage N1 is the transition between wakefulness and sleep.

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  • 30. 

    What is the Suprachiasmatic Nucleus (SCN) and what does it do?

    • A small region in the CNS that is responsible for storing sleep debt.

    • A small region in the pons that is responsible for most brain activity. 

    • A small region in the hypothalamus that is responsible for controlling every hormone released in the brain.

    • A small region in the hypothalamus that is responsible for controlling circadian rhythms. Also known as the pacemaker of the sleep/wake cycle.

    Correct Answer
    A. A small region in the hypothalamus that is responsible for controlling circadian rhythms. Also known as the pacemaker of the sleep/wake cycle.
    Explanation
    The Suprachiasmatic Nucleus (SCN) is a small region in the hypothalamus that controls circadian rhythms, which are the body's internal clock that regulates sleep and wake cycles. It acts as the pacemaker for the sleep/wake cycle, coordinating the timing of various physiological and behavioral processes throughout the day. This region helps synchronize the body's functions with the external environment, such as light and darkness, to maintain a regular sleep schedule.

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  • 31. 

    Ventrical fibrillation is the most dangerous cardiac disturbance. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Ventricular fibrillation is a life-threatening cardiac rhythm disturbance characterized by rapid and chaotic electrical activity in the ventricles of the heart. This condition prevents the heart from effectively pumping blood to the body, leading to a lack of oxygen supply to vital organs. Without immediate medical intervention, ventricular fibrillation can result in cardiac arrest and death. Therefore, it is considered the most dangerous cardiac disturbance.

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  • 32. 

    Even numbered electrode positions are only on the LEFT side of the head. 

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Even numbered electrode positions are only on the RIGHT side of the head.

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  • 33. 

    Is insomnia a sign or a symptom?

    • A sign of insomnia

    • A symptom of insomnia

    • Both

    Correct Answer
    A. Both
    Explanation
    Insomnia can be considered both a sign and a symptom of a sleep disorder. As a sign, it indicates the presence of insomnia and serves as an observable indication of the condition. On the other hand, as a symptom, insomnia is experienced by the individual and is a subjective manifestation of the sleep disorder. Therefore, insomnia can be seen as both a sign and a symptom, depending on the context in which it is being discussed.

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  • 34. 

    Unequal electrode impedance is the most common form of impedance.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The more equal the better!

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  • 35. 

    Biocalibrations are done to test the patients signals, as well as to get a baseline for the PSG.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Any channels not working should be fixed at this point.

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  • 36. 

    What is the ground electrode, and why is it important?

    • 3 prong plug, placed at Fpz

    • Used to protect the patient

    • Stops any stray current from shocking the patient

    • Must be on, or electrodes will not be read

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    The ground electrode is an important component in medical settings as it serves multiple purposes. Firstly, it is a 3 prong plug that is typically placed at Fpz (a specific location on the head) to ensure proper grounding. This helps protect the patient from any stray current that could potentially shock them. Additionally, the ground electrode must be on for the electrodes to be read accurately, ensuring accurate readings and measurements. Therefore, all of the given options are correct explanations for the importance of the ground electrode.

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  • 37. 

    Beta Blockers like Propanolol can increase REM fragmentation and dream recall/nightmare frequency. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Other beta blockers with the same effects are Atenolol, metoprolol, lipophyllic (think the OLOLS)

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  • 38. 

    Delta activity is only seen in Stage N2 Sleep.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Delta is seen in Stage 3 - Deep sleep. It is only normal if seen in an adult patient in a deep sleep. if it is seen any other time, it would indicate a brain dysfunction.

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  • 39. 

    What frequency is Theta activity?

    • 4 Hz - 7 Hz

    • 8 Hz - 13 Hz

    • > 13 Hz

    • 2 Hz - 4 Hz

    Correct Answer
    A. 4 Hz - 7 Hz
    Explanation
    Theta activity refers to a specific frequency range of brain waves that occur during certain states of consciousness, such as deep relaxation or meditation. The correct answer, 4 Hz - 7 Hz, falls within this frequency range and is commonly associated with the theta state. This frequency range is also associated with increased creativity, intuition, and access to subconscious information.

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  • 40. 

    What LFF settings are recommended for EEG/EOG activity by the AASM? 

    • 0.3 Hz / 70 Hz

    • 0.3 Hz / 35 Hz

    • 10 Hz / 100 Hz

    • 0.3 Hz / 30 Hz

    Correct Answer
    A. 0.3 Hz / 35 Hz
    Explanation
    The AASM recommends using a low-frequency filter (LFF) setting of 0.3 Hz to remove slow wave artifacts and a high-frequency filter (HFF) setting of 35 Hz to eliminate high-frequency noise. This combination allows for accurate analysis and interpretation of EEG/EOG activity.

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  • 41. 

    PSG calibrations only need to be completed at the beginning of the study. 

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Calibrations need to be done at the beginning and end of every study to verify the signals.

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  • 42. 

    Which sleep stage do you spend the last third of your night in?

    • N1

    • N2

    • Stage R

    • N3

    Correct Answer
    A. Stage R
    Explanation
    The correct answer is Stage R. Stage R, also known as REM (Rapid Eye Movement) sleep, is the stage of sleep where most dreaming occurs. It typically happens in the last third of the night and is characterized by rapid eye movements, increased brain activity, and muscle paralysis. During this stage, the brain is highly active, and the body experiences increased heart rate and irregular breathing. REM sleep is essential for memory consolidation, learning, and emotional processing.

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  • 43. 

    Arousal and PLM are associated if start 0.5 sec before or after. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    This statement suggests that there is a relationship between arousal and periodic leg movements (PLM) if they occur within a 0.5 second window before or after each other. In other words, if there is a change in arousal level, it is likely to be accompanied by PLM within this specific time frame.

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  • 44. 

    If you have a creepy crawly feeling while awake or falling asleep, you have ________ . - Acronym in CAPS

    Correct Answer
    RLS
    Explanation
    RLS stands for Restless Leg Syndrome. Restless Leg Syndrome is a neurological disorder characterized by an uncomfortable sensation in the legs, often described as a creepy crawly feeling. This sensation typically occurs when a person is awake or trying to fall asleep, leading to an irresistible urge to move the legs. RLS can cause discomfort and disrupt sleep, making it difficult to relax and get restful sleep.

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  • 45. 

    Absent effort throughout the entire period of absent airflow is a ________ apnea.

    Correct Answer
    central
    Explanation
    In this question, the correct answer is "central." The question is asking for the type of apnea that occurs when there is an absence of effort throughout the entire period of absent airflow. Central apnea is characterized by a lack of respiratory effort, where the brain fails to send the necessary signals to the muscles that control breathing. This is different from obstructive apnea, which is caused by a physical blockage of the airway.

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  • 46. 

    What is hypercapnea?

    • Increased levels of 02

    • Increased levels of CO2

    • Increased levels of SPO2

    • Decreased levels of CO2

    Correct Answer
    A. Increased levels of CO2
    Explanation
    Hypercapnea refers to increased levels of carbon dioxide (CO2) in the bloodstream. This condition can occur due to various factors such as hypoventilation, impaired lung function, or respiratory disorders. When there is an excess of CO2 in the body, it can lead to symptoms like shortness of breath, confusion, and increased heart rate. Therefore, the correct answer is "Increased levels of CO2."

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  • 47. 

    What does the (RAS) Reticular Activating System do?

    • Relays signals

    • Aids in maintaining consciousness

    • Controls the circadian rhythm

    • A & B

    Correct Answer
    A. A & B
    Explanation
    The (RAS) Reticular Activating System relays signals and aids in maintaining consciousness. It is responsible for filtering and relaying important sensory information to the brain, allowing us to stay alert and aware of our surroundings. Additionally, it helps regulate our sleep-wake cycle and plays a crucial role in maintaining our overall level of consciousness.

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  • 48. 

    Thermistors use nasal and oral sensors to detect a change in temperature. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Thermistors are temperature sensors that use a special type of resistor made from semiconductor materials. They work by measuring changes in electrical resistance as the temperature changes. They do not use nasal and oral sensors, as mentioned in the statement. Therefore, the given answer is incorrect.

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  • 49. 

    What reasons should PLMS should not be scored?

    • If they are isolated, aperiodic movements

    • If they are followed by respiratory events

    • Muscle activity during REM

    • Need 5 events per hour or greater

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    The reasons why PLMS should not be scored include if they are isolated, aperiodic movements, if they are followed by respiratory events, and if there is muscle activity during REM. Additionally, PLMS should not be scored if there are less than 5 events per hour. Therefore, all of the above reasons should be considered for not scoring PLMS.

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