Histogram And Pap Downloads Quiz

1. What is the MOST LIKELY cause of the increased time spent in N1 during the first half of the histogram?

PLMD

Sleep-disordered breathing causing brief arousals from sleep.

Snoring.

Adjustment phase of PAP therapy.

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2. PAP DOWNLOAD DATATHERAPY APAP 8-14 cm H2O

Pressure cm H2O median 11.5 95th percentile 14 maximum 14
Leaks l/min median 30.4 95th percentile 40.7 maximum 60.3
AHI 7.5 central AI 0.2 obstructive AI 8.7

Using the data above, what is the MOST LIKELY cause of the patients complaint of eye irritation and increased awakenings when using PAP therapy?

Poor mask seal.

Pressure not theraputic.

Pressure too high.

Humidification set too low.

3. PAP DOWNLOAD DATA(3 weeks)USAGE

Usage days - 23 days (78%)
>= 4 hours - 18 days (60%)
< 4 hours - 5 days (17%)
Average per day: 3 hours 55 minutes
Median per day: 4 hours 10 minutes

THERAPY APAP 5-10 cm H2O

Pressure median 6.1 95th percentile 7.7 maximum 8.8
Leaks l/min median 0.6 95th percentile 10.6 maximum 14.8
AHI 4.1 central AI 0.2 obstructive AI 0.1

To optimize PAP treatment, you should advise the patient to:

Increase time using PAP each night.

Change to CPAP.

Increase humidification.

Tighten mask to improve leakage.

4. Using the histogram, what would be the BEST initial pressure setting for the patient?

CPAP of 16 cm H2O

Bilevel 20/16 cm H2O

APAP 6min / 13max cm H2O

Supplemental O2

5. What is the MOST likely cause of the patients sleep complaint of hypersomnolence?

OSA

Narcolepsy

PLMD

Nocturnal Hypoxemia

6. PAP DOWNLOAD DATA (3 weeks)USAGE

Usage days - 23 days (78%)
>= 4 hours - 18 days (60%)
< 4 hours - 5 days (17%)
Average per day: 3 hours 55 minutes
Median per day: 4 hours 10 minutes

THERAPY APAP 5-10 cm H2O

Pressure median 6.1 95th percentile 7.7 maximum 8.8
Leaks l/min median 0.6 95th percentile 10.6 maximum 14.8
AHI 4.1 central AI 0.2 obstructive AI 0.1

Using the above information what would be the most beneficial thing to discuss with the patient?

Opportunity for improved outcomes through self-management.

Concerns that inadequate interface seal is causing excessive leak.

A recommendation to speak with their physician about increasing pressure.

Recommend discontinuing PAP therapy since their AHI is less than 5.

7. Using the histogram, what is the MOST LIKELY explanation of the abnormal sleep architecture?

REM rebound due to successful treatment of respiratory events.

Sleep maintenance insomnia.

Leg movements causing increased arousals from sleep.

Long WASO time.

8. Using the histogram, the patients sleep latency is:

Normal.

Reduced.

Increased.

Cannot be determined.

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Current Version
Mar 19, 2022

Quiz Edited by
ProProfs Editorial Team
Jun 30, 2016

Quiz Created by
MichaelRPSGT