Sleep Flashcards
5 yo with screaming/crying for no reason about one hour after falling asleep. Sits up in bed with eyes open, trembling, sweating, mother cannot gain his attention for 5 minutes. No new stressors. Boy has no memory of the event. PE normal. Dx?
Sleep terror
Paralysis when awakening, lasts several minutes. Can see/hear but cannot move during episodes. Disappears spontaneously or when called by his wife. No hallucinations, nightmares, daytime sleepiness, or h/o falls. Neuro exam normal
Sleep paralysis
REM sleep is first evident at which stage of development?
In utero
What sleep stage is the most important in restoring the altered functions that result from prolonged sleep deprivation?
Stage 4, NREM
Insomnia secondary to depression will more consistently affect REM sleep in which of the following ways?
Reduced latency to REM sleep
Which of the following is a characteristic change on polysomnogram associated with MDD
Short term latency
What aspect of sleep is increased in older adults?
Duration of awakenings
A pt presents with a hx of irresistible episodic sleepiness that is accompanied by a vivid, dreamlike state at the onset of an episode. Which of the following additional sleep symptoms are likely to be present?
Sleep paralysis
8 yo with persistent delayed sleep onset despite good sleep hygiene, given no indication of broader psychopathology, which med has best evidence to treat this problem and restore normal circadian rhythms?
Melatonin
REM sleep behavior disorder is commonly associated with abnormal inclusions containing which of the following proteins?
Synuclein
Medical student asks for something to help w/o attention and alertness. Taking a 2-week board review course and struggles to keep up with the pace. Sleeping 4hrs/night. Usually sleeps 8hr/night. Dx?
Dyssomnia NOS
Age related sleep pattern change
Greater wakefulness intermixed with sleep
What medication is best for decreasing nightmares in PTSD pts?
Prazosin
Pt reports insomnia, frequent nighttime awakenings, and excessive daytime sleepiness. Sleep study reveals brief lower external jerks with brief repeated arousals. Pt is unaware of these movements. Which dx is most consistent with pt presentation?
Periodic limb movement disorder
What finding on a multiple sleep latency test confirms the dx of narcolepsy?
Decreased REM sleep
