Exam 2 Flashcards

1
Q

All of the following areas must be monitored during routine Polysomnography except:

A. C 3 - A2

B. Mentalist / submentalis

C. ECG

D. F3-A2

A

F3-A2

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2
Q

During instrumentation calibration, one pen deflection lagging behind the others requires correction of the

A. Mechanical

B. Time axis

C. Electrical baseline

D. Pen damping

A

B. Time axis

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3
Q

REM periods become shorter and less intense throughout the sleep period

A. True

B. False

A

B. False ( not shorter but longer)

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4
Q

Sleep staging in infants can be defined as

A. Indeterminate, active REM sleep, quiet sleep

B. Intermediate sleep, active REM sleep, delta sleep

C. Indeterminate sleep, wake, quiet sleep

D. Intermediate active REM sleep, quiet sleep

A

A. Indeterminate sleep, active REM sleep, quiet sleep

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5
Q

The following are hallmarks if stage 1 except

A. Slow rolling

B. Low voltage, mix frequency

C. Decrease in amount, amplitude, and frequency alpha activity

D. Rhythmic 12-14 hertz activity lasting > 0.5 seconds

A

D. Rhythmic 12-14 hertz activity lasting > 0.5 seconds

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6
Q

When scoring the MSLT, REM latency is defined as the

A. Time from sleep onset to the first epoch that can be scored as REM

B. Time from lights out to 3 consecutive epochs of REM

C. Time from lights out to the first epoch of REM

D. Elapsed time from eye closure to the first epoch that can be scored as REM

A

A. Time from sleep onset to the first epoch that can be scored as REM

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7
Q

Following MSLT s, a mean sleep latency of less than 5 min indicates

A. A pathological level of daytime sleepiness

B. Narcolepsy

C. Depression

D. A normal mean sleep latency

A

A. A pathological level of daytime sleepiness

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8
Q

Amplitude criteria for scoring of stage 3/4 sleep are influenced by

A. Electrode resistance

B.time constants

C. Interelectrode distances

D. All if the above

A

D. All if the above

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9
Q

Delta sleep also know as ?

A

N3 / N4
75uv amplitude
.2 - 5hz

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10
Q

The staging of REM sleep requires

A. Rapid eye movement occurring in bursts

B. Suppressed chin EMG

C. Desynchronized, relatively low voltage EEG activity

D. A coincidence of all of the above

A

D. A coincidence of all of the above

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11
Q

Movement time is scored when

A

B. 50% of the epoch contains movement artifact and epochs before and after are scored as sleep

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12
Q

An MSLT nap period during which no sleep is recorded would be scored as

A. 0 minutes in duration

B. 15 min in duration

C. 20 min in duration

D. None of the above

A

C. 20 min in duration

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13
Q

An epoch with 20% delta activity ( > 75 uv ) combined with relatively amplitude 7-10 HZ activity

A. Is termed alpha- delta sleep

B. May be seen in pt with fibrositis

C. Us frequently associated with subjectivity non-restorative sleep

D. All the above

A

D. All the above

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14
Q

Limb movements must include the following to qualify as PLMs

A. Four or more consecutive movements

B. Duration if three seconds minimum.

C. An associated arousal

D. All the above

A

A. Four or more consecutive movements

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15
Q

All of the following devices monitor airflow on a polysomnogram except:

A. Thermistors with electrical resistance changes as a function of temperature

B. Thermocouple that vary with temperature changes caused by expired air

C. A cannula measuring the CO 2 content of expired air

D. Inductive Plethysomnography utilizing a conductive wire

A

D. Inductive Plethysomnography utilizing a conductive wire

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16
Q

AHI hypopnea index

Mild

A

Mild > 5 events/hour

17
Q

AHI > 5 events

Must have documented

1

2

3

4

A

1 eds excessive daytime sleepiness

2- htn hypertension

3- chf congestive heart failure

4- cva cerebral vascular accident

18
Q

AHI moderate

A

> 15 events/ hour 15- 29

19
Q

AHI Severe. >

A

> 30 events/hour

20
Q

Titration Goal

A

AHI 90%

– eliminate scoringj

Arousal index

21
Q

Pen blocking

Occurs when?

A

Gain set too high

22
Q

To increase the waveform

What to do

A

Increase the gain

23
Q

If sensitivity is increased the wave form

A

The waveform is shorter in height

24
Q

If gain is increased the wave form is

A

The waveform is increased in height

25
Q

Electro popping

Recognized by

A

Sharp positive or negative waves

High voltage deflection

No physiological artifact mostly caused by 60 HZ