Sample Sleep Exam #1 - Polysomnography - Quiz, Flashcards & Trivia

1. The narcolepsy tetrad includes all the following except

Excessive daytime sleepiness

Nocturnal myoclonus

Cataplexy

Sleep paralysis

The narcolepsy tetrad consists of four main symptoms associated with narcolepsy: excessive daytime sleepiness, cataplexy, sleep paralysis, and hypnagogic hallucinations. Nocturnal myoclonus, on the other hand, is not a symptom commonly associated with narcolepsy. It refers to sudden, involuntary muscle jerks or twitches that occur during sleep. While it is a sleep-related movement disorder, it is not considered part of the narcolepsy tetrad.

Explanation

The narcolepsy tetrad consists of four main symptoms associated with narcolepsy: excessive daytime sleepiness, cataplexy, sleep paralysis, and hypnagogic hallucinations. Nocturnal myoclonus, on the other hand, is not a symptom commonly associated with narcolepsy. It refers to sudden, involuntary muscle jerks or twitches that occur during sleep. While it is a sleep-related movement disorder, it is not considered part of the narcolepsy tetrad.

2. A patient's EKG tracing shows an irregular R-R rhythm without alterations to the P, QRS, and T waves. Which of the following arrhythmias fits this description?

Premature atrial contractions

Third Degree AV block

Sinus arrhythmia

Second Degree AV block

Sinus arrhythmia is the correct answer because it is characterized by an irregular R-R rhythm without any alterations to the P, QRS, and T waves. In sinus arrhythmia, the heart rate varies with respiration, leading to irregularity in the R-R intervals. This is a normal finding and commonly seen in young individuals, especially during inspiration. It is important to differentiate sinus arrhythmia from other arrhythmias such as premature atrial contractions, which would show abnormal P waves, or AV blocks, which would show alterations in the conduction of the electrical impulses.

Explanation

Sinus arrhythmia is the correct answer because it is characterized by an irregular R-R rhythm without any alterations to the P, QRS, and T waves. In sinus arrhythmia, the heart rate varies with respiration, leading to irregularity in the R-R intervals. This is a normal finding and commonly seen in young individuals, especially during inspiration. It is important to differentiate sinus arrhythmia from other arrhythmias such as premature atrial contractions, which would show abnormal P waves, or AV blocks, which would show alterations in the conduction of the electrical impulses.

3. Which of the following physiological signals is not typically measured during a polysomnography (sleep study)?

Brain waves

Eye movements

Blood glucose levels

Oxygen levels in the blood

Polysomnography is a comprehensive test that monitors various physiological signals during sleep to diagnose sleep disorders. It typically records brain waves (EEG), eye movements (EOG), heart rate, muscle activity (EMG), breathing patterns, and oxygen levels in the blood (through a pulse oximeter). Blood glucose levels, however, are not part of standard polysomnographic measurements, as they do not directly impact the sleep assessment process. Instead, blood glucose monitoring is relevant to conditions like diabetes, which are outside the scope of a sleep study.

Explanation

Polysomnography is a comprehensive test that monitors various physiological signals during sleep to diagnose sleep disorders. It typically records brain waves (EEG), eye movements (EOG), heart rate, muscle activity (EMG), breathing patterns, and oxygen levels in the blood (through a pulse oximeter). Blood glucose levels, however, are not part of standard polysomnographic measurements, as they do not directly impact the sleep assessment process. Instead, blood glucose monitoring is relevant to conditions like diabetes, which are outside the scope of a sleep study.

4. According to accepted sleep scoring standards, if other scoring criteria are met, which of the following activities would be considered an event when each is 0.5 seconds in duration? 1. PLM 2. Arousal 3. Spindle 4. K-Complex

1, 2, and 3 only

1, 2, and 4 only

1, 3, and 4 only

2, 3, and 4 only

In accepted sleep scoring standards, if other scoring criteria are met, PLM (Periodic Limb Movement), Spindle, and K-Complex activities that are 0.5 seconds in duration are considered events. Arousal activity, on the other hand, is not considered an event in this case.

Explanation

In accepted sleep scoring standards, if other scoring criteria are met, PLM (Periodic Limb Movement), Spindle, and K-Complex activities that are 0.5 seconds in duration are considered events. Arousal activity, on the other hand, is not considered an event in this case.

5. The vertical position of the pens with the polysomnograph amplifiers turned off is referred to as:

Mechanical baseline

Electrical baseline

Time axis

Frequency response curve

The vertical position of the pens with the polysomnograph amplifiers turned off is referred to as the time axis. This term describes the position on a graph where time is represented along the vertical axis. The time axis is used to measure and analyze the duration and timing of various events or signals in a given system or experiment.

Explanation

The vertical position of the pens with the polysomnograph amplifiers turned off is referred to as the time axis. This term describes the position on a graph where time is represented along the vertical axis. The time axis is used to measure and analyze the duration and timing of various events or signals in a given system or experiment.