E2 Sleep Disorders

Question 1

What are the two types of Sleep-Wake Disorders?

Answer 1

Dyssomnia and Parasomnia

Question 2

Difficulties getting enough sleep, problems with sleeping when you want

Answer 2

Dyssomnias

Question 3

What are the three dyssomnias?

Answer 3

1. Insomnia
2. Circadian Rhythm
3. Narcolepsy

Question 4

Abnormal sleep events/activity during sleeping

Answer 4

Parasomnia

Question 5

What is sleep onset lacency?

Answer 5

The time it takes to fall asleep

Question 6

What is a normal sleep onset lancency?

Answer 6

less than 30 minutes

Question 7

What is wake time after sleep onset?

Answer 7

The time it takes to fall back asleep after waking in the middle of the night

Question 8

What is a normal wake time after sleep onset?

Answer 8

Less than 30 mins

Question 9

What is the sleep efficiency formula?

Answer 9

Time sleeping/Time in bed X 100

Question 10

Problems initiating/maintaining sleep, while possibly having early morning awakenings

Answer 10

Insomnia

Question 11

What is secondary insomnia? Does it still exist?

Answer 11

Insomnia that is better explained by a different condition
NO

Question 12

Is it difficult to determine is insomnia is primary or secondary ?

Answer 12

Yes; often intertwined with other illnesses

Question 13

What are the 3 Ps in triple P model?

Answer 13

1. Predisposition
2. Precipitate
3. Perpetuate

Question 14

What is predisposition in the triple P model?

Answer 14

Diathesis (biological determinant)

Question 15

What is Precipitate in the triple P model?

Answer 15

Mind racing; inability to control one’s thoughts in the evening

Question 16

What is Perpetuate in the triple P model?

Answer 16

Sleep hygiene/sleep model

Question 17

What is compensation for insomnia?

Answer 17

Participating in behaviors like smoking weed or napping to aid sleeping

Question 18

What is conditioned bedtime arousal?

Answer 18

Time spent around the bedroom doing tasks shifts the brain from thinking the bed=sleepy to bed=work

Question 19

What is perpetuating insomnia?

Answer 19

Unrealistic sleep expectations lead to anxiety which leads to poor sleep (leading to insomnia)

Question 20

What disorder is a mismatch between a person’s endogenous sleep-wake schedule and that required by social or professional schedule

Answer 20

Circadian Rythm Disorder

Question 21

What is melatonin?

Answer 21

A hormone that is produced to evoke sleep behavior

Question 22

What time is peak melatonin? Is it released in light or dark conditions ?

Answer 22

2-4 AM
Dark

Question 23

What CRD is late bedtime and late rise times?

Answer 23

Delayed sleep phase syndrome

Question 24

What is a cure for delayed sleep phase?

Answer 24

Evening melatonin supplement or early light exposure

Question 25

Delayed sleep phase is most common in ?

Answer 25

Adolescence

Question 26

What CRD is characterized by Early bedtimes and Early rise times?

Answer 26

Advanced sleep phase syndrome

Question 27

What is a cure for advanced sleep phase syndrome?

Answer 27

Evening light

Question 28

How many sleep cycles are there? How long do they each last?

Answer 28

4-5 90 minutes

Question 29

What are the different stages of sleep (stage 1 is ________)

Answer 29

Stage 1 is light sleep Stage 2 is slightly deeper sleep Stage 3 is deep sleep

Question 30

What is REM sleep?

Answer 30

Rapid Eye movement Sleep most commonly associated with dreams

Question 31

What is an irrepressible need to sleep ?

Answer 31

Narcolepsy

Question 32

What is a sudden loss of muscle tone that is associated with Narcolepsy?

Answer 32

Cataplexy

Question 33

Cataplexy is usually triggered by

Answer 33

Strong emotions (Fear or sadness response)

Question 34

what is hypocretin Orexin?

Answer 34

A drug commonly related to sleep wakefulness

Question 35

Do Narco patients have a hypocretin (orexin) deficiency or surplus?

Answer 35

Deficiency (issues waking up fully)

Question 36

Do Narco patients hit REM sooner or later than the average person?

Answer 36

Sooner

Question 37

What is Hypnagogic or hypnopompic hallucinations?

Answer 37

Vivid sensory experiences while falling asleep (dreams experienced as reality)

Question 38

When falling asleep, you suddenly jolt awake thinking you actually just fell from a bridge. This is called a

Answer 38

Hypnopompic hallucination

Question 39

What is a brief, often frightening period after waking up when unable to move or speak

Answer 39

Sleep paralysis

Question 40

What does Polysomnography determine?

Answer 40

Sleep habits

Question 41

True or False: Benzadiopienze is useful as a long term remedy for insomnia

Answer 41

False; short term solution

Question 42

True or False: Benzadiopienze can cause rebound insomnia if overused

Answer 42

True

Question 43

True or False: Psychological Treatments, like relaxation therapy, does not help insomnia patients

Answer 43

False, they help greatly

Question 44

What stage of sleep do nightmares happen?

Answer 44

REM