Ohs

Question 1

Define ohs

Answer 1

Presence of obesity bmi 30
Chronic alveolar hypoventilation with day time hypercapnia awake 45
Sleep related breathing disorder in absence of any other causes of hypoventilation

Day time hypercarbia 10 more than night
Cor pulmonale, phtn,

Question 2

Ohs

Answer 2

Inadequate compensatoru ventilation response to offload the co2 taht accumulated during apnea and hypopnea events in sleep

Question 3

Parasomnias

Answer 3

Abnormal movt or behaviours in sleep or during arousal from sleep

Question 4

Parasomnias seen in nrem

Answer 4

Confusional arousal
Walking
Terrors

Question 5

Rem

Answer 5

Begavioural
Sleep paralysis
Mares

Question 6

Mx

Answer 6

No specific rx
Protection
If frequent/violent- tca ,bzd/melatonin
If resistant- clona+melatonin
Iron- rls/plm

Question 7

Narcolepsy

Tetrad

Answer 7

Chronic eds+symptoms of sleep disordered breathing
Ass with cataplexy
Tetrad- eds+cataplexy+sleep paralysis+hallucinations

Question 8

Diagnosis of narcolepsy

Answer 8

History
Subjective test - ess
Objective- mslt
Psg for soremps

Question 9

Diagnosis of narcolepsy

Answer 9

History
Subjective test - ess
Objective- mslt
Psg for soremps

Question 10

Diagnostic criteria

Answer 10

Mslt morethsn 8min
Sorem morethan 2
Sleep onset random eye movements

Question 11

Mx

Answer 11

Scheduled naps during day
Modafinil
Cataplext- sodium oxybate/tad

Question 12

Periodic limb movt disorder

Answer 12

Stereottpical flexion, extension nocturnal myoclonus

Series of >_ 4 MOVT with 8mm amplitude ina row lasting 0.5 ti 10 sec and recurrence every 5-90 sec

Question 13

Plm index

Rx

Answer 13

No of plm/hours of total sleep
More than 5- abn
Dopaminergic drugs

Question 14

Restless leg syndrome

Answer 14

Urge to move legs ,sometimes involves disturbing sensation in limbs ,motor restlessness with inactivity
Relief with movt
Worsen in evening

Question 15

Rx

Answer 15

Dopa
Iron
Anti confulsants
Sleep hygiene
Yoga
Exercise