Polysomnography II General Quiz

60 Questions | Total Attempts: 453

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Polysomnography II General Quiz


Questions and Answers
  • 1. 
    Select all recommendations for VIEWING THE STUDY
    • A. 

      50 uV toggle switch

    • B. 

      Each channel must have 60 hz filter, impedance meter, montage-changing controls, and sample rate selector.

    • C. 

      1600 x 1200 pixel screen resolution

    • D. 

      Video data synched w/ PSG 1 frame per second

    • E. 

      25-30 cm viewing screen

    • F. 

      15mm vertical spacing between channels

    • G. 

      2 pixels resolution for each vertical mm

    • H. 

      Changes to sensitivity, filters, montage, and derivation must be displayed and retained

    • I. 

      Must be able to manually score

  • 2. 
    PSG IS routinely indicated for evaluation of children w/ sleep-related bruxism.
    • A. 

      True

    • B. 

      False

  • 3. 
    PSG IS routinely indicated for diagnosing children suspected of having PLMD.
    • A. 

      True

    • B. 

      False

  • 4. 
    MSLT can provide meaningful results in developmentally normal children, age 5 and older, when narcolepsy is suspected, as well as other causes of hypersomnia. 
    • A. 

      True

    • B. 

      False

  • 5. 
    Mean sleep latencies in children w/ narcolepsy are generally....
    • A. 

      Under 5 minutes

    • B. 

      Under 3 minutes

    • C. 

      Under 8 minutes

    • D. 

      Not consistent

  • 6. 
    MSLT's in adolescents must be interpreted w/ caution due to...
    • A. 

      48% of subjects had at least 1 SOREMP

    • B. 

      Average sleep latency

    • C. 

      Confusion with hypersomnia

    • D. 

      Sleep paralysis

  • 7. 
    Children who have narcolepsy w/ cataplexy had mean sleep latencies...
    • A. 

      Less than 5 minutes and at least 1 SOREMP

    • B. 

      Less than 5 minutes and at least 2 SOREMP

    • C. 

      Less than 5 minutes and at least 3 SOREMP

    • D. 

      Less than 7minutes and at least 2 SOREMP

  • 8. 
    A subject must have at least 6 hours  (sufficient) of sleep before an MSLT can be administered.
    • A. 

      True

    • B. 

      False

  • 9. 
    PLMD in children  includes a complaint of sleep disturbance or daytime fatigue but also documentation of PLMS at a rate of at least...
    • A. 

      1 per hour

    • B. 

      4 per hour

    • C. 

      3 per hour

    • D. 

      5 per hour

  • 10. 
    PSG may be helpful to differentiate  atypical cases of nocturnal behaviors from nocturnal seizures OR to identify when SDB's or other sleep disorder contribute to parasomnia's or affect control of seizures
    • A. 

      True

    • B. 

      False

  • 11. 
    In several studies of children referred for sleep issues, the prevalence of PLMSI (periodic limb movement syndrome index) greater than 5/hour was generally....
    • A. 

      7 - 16 %

    • B. 

      35-40%

    • C. 

      W/ most subjects initially referred for SDB

    • D. 

      A and C are correct

  • 12. 
    For patients with compensated respiratory acidosis, if titrating supplemental O2, it should be added at a rate less than 1 Liter/minute and maintain SPO2...
    • A. 

      At or below 90%

    • B. 

      At or below 85%

    • C. 

      At or below 95%

    • D. 

      At or below 80%

  • 13. 
    Supplemental O2 is used to treat hypoventilation.
    • A. 

      True

    • B. 

      False

  • 14. 
    One way to meet CPAP criteria for a split night study, would be to have an AHI/RDI of at least 15 events per hour for at least 2 hours.
    • A. 

      True

    • B. 

      False

  • 15. 
    Nasal pillows should not be used in patients if....
    • A. 

      They have a mustache.

    • B. 

      They require a high CPAP pressure.

    • C. 

      They are a mouth breather.

    • D. 

      Both B and C are correct.

  • 16. 
    Spontaneous timed refers to BPAP w/ a back up rate. 
    • A. 

      True

    • B. 

      False

  • 17. 
    Approxiamately what percentage of patients with SDB's have complex apnea?
    • A. 

      10

    • B. 

      15

    • C. 

      20

    • D. 

      25

  • 18. 
    What must you do before switching to BPAP w/ a backup rate to treat complex apnea?
    • A. 

      Add supplemental oxygen

    • B. 

      Increase CPAP pressure and wait to see if CA's stop.

    • C. 

      Decrease CPAP pressure and wait to see if CA's stop..

    • D. 

      Check for over titration.

    • E. 

      C and D are correct

  • 19. 
    Chose all synonymous names for the CPAP expiration comfort feature...
    • A. 

      EZ Breathe

    • B. 

      CFlex

    • C. 

      Expiratory Pressure Relief

    • D. 

      Pressure Waveform Modification

    • E. 

      Carbon Gone

    • F. 

      Pressure relief CPAP

  • 20. 
    The AV node has an intrinsic beat of...
    • A. 

      20 - 40 BPM

    • B. 

      40 - 60 BPM

    • C. 

      60 - 80 BPM

    • D. 

      80 - 100 BPM

  • 21. 
    Ballous Lung Disease is the presence of a bubble like cavity filled with fluid OR air in one OR both lung fields.
    • A. 

      True

    • B. 

      False

  • 22. 
    Periodic breathing is normal in premature and full term infants. 
    • A. 

      True

    • B. 

      False

  • 23. 
    Periodic breathing is defined as...
    • A. 

      A pause in breathing for no more that 10 seconds, followed by a series of rapid shallow breaths before normal breathing resumes.

    • B. 

      A pause in breathing for no more that 10 seconds,.

    • C. 

      A pause in breathing for no more that 10 seconds, followed by a series of long, deep breaths before normal breathing resumes.

    • D. 

      A pause in breathing for no more that 8 seconds, followed by a series of rapid, deep breaths before normal breathing resumes.

  • 24. 
    After the age of 40 what parts of sleep are likely to decrease?
    • A. 

      N1

    • B. 

      N2

    • C. 

      N3

    • D. 

      REM

    • E. 

      REM Latency

    • F. 

      TST

    • G. 

      Sleep Efficiency

    • H. 

      WASO

    • I. 

      Sleep Latency

  • 25. 
    After the age of 40 what parts of sleep are likely to increase?
    • A. 

      N1

    • B. 

      N2

    • C. 

      N3

    • D. 

      REM

    • E. 

      REM Latency

    • F. 

      TST

    • G. 

      Sleep Efficiency

    • H. 

      WASO

    • I. 

      Sleep Latency