[PSYCH] SLEEP

Question 1

Cycle changes in sleep apnea

Answer 1

decreased
Stage 1
Stage 3,4
REM

Question 2

narcolepsy tetrad

Answer 2

sleep attacks + EDS
Cataplexy
Hypnagogic hallucinations
sleep paralysis

Question 3

REM disorder

Answer 3

Narcolepsy

Question 4

narcolepsy is linked to

Answer 4

orexin deficiency

Question 5

narcolepsy TTT

Answer 5

CNS stimulants for EDS
TCA for Cataplexy

Question 6

severe obstructive & mixed apnea TTT

Answer 6

tonsillectomy
tracheostomy

Question 7

most effective TTT in insomnia

Answer 7

behavioral therapy

Question 8

night terrors occur during

Answer 8

Stage 4

Question 9

somnambulism occurs during

Answer 9

Stage 4
first 1/3 of the night

Question 10

enuresis occurs during

Answer 10

Stage 3,4

Question 11

SIDS incidence decreased by

Answer 11

placing baby on its back

Question 12

SIDS RF

Answer 12

maternal smoking

Question 13

2ry insomnia due to

Answer 13

medication abuse
anxiety & depression

Question 14

REM
lower physiologic arousal levels
recalled after waking
waking time anxiety

Answer 14

Nightmares

Question 15

NREM Stage 4
MC in boys
high physiologic arousal levels
not recalled
waking time anxiety

Answer 15

Night terrors

Question 16

Stage 3,4
MC in boys
same-sex parent
common after change/new sibling

Answer 16

Enuresis

Question 17

Bruxism occurs during

Answer 17

Stage 2

Question 18

Bruxism TTT

Answer 18

oral devices
anxiety reduction

Question 19

sleep deprivation affects

Answer 19

cerebral cortex

Question 20

lymphocytes levels in sleep deprivation

Answer 20

DECREASED

Question 21

Cortisol levels in sleep deprivation

Answer 21

INCREASED

Question 22

chronic use of BZDs leads to

Answer 22

increased sleep latency

Question 23

awake brain
idle body

Answer 23

REM

Question 24

idle brain
awake body

Answer 24

NREM

Question 25

Recovery from sleep deprivation is marked by

Answer 25

increase in Stage 4 & REM

Question 26

responsible for Jet lag

Answer 26

Melatonin

Question 27

increased dopamine

Answer 27

increases wakefulness

Question 28

serotonin levels once sleep begins

Answer 28

INCREASE

Question 29

Dopamine levels once sleep begins

Answer 29

DECREASE

Question 30

Biochemical marker for REM

Answer 30

Ach:NE

Question 31

effects of depression on sleep cycles

Answer 31

↑REM ↓REM latency ↓ Delta sleep early morning awakenings

Question 32

alcohol intoxication effects on sleep

Answer 32

↓REM REM rebound + nightmares (on withdrawal)

Question 33

moderate alcohol consumption effect on sleep

Answer 33

early sleep onset wakefulness during second 1/2 of night

Question 34

BZDs chronic use

Answer 34

↑sleep latency

Question 35

barbiturates effect on sleep

Answer 35

↓REM REM rebound + nightmares

Question 36

males decreased Stage 1, 3, 4 , REM obesity EDS snoring

Answer 36

Sleep apnea

Question 37

60-seconds hyperventilation followed by apnea

Answer 37

Cheyne-Stokes

Question 38

old age effect on sleep

Answer 38

total sleep time= DECREASED ↓REM ↓Delta

Question 39

delta sleep is increased following

Answer 39

exercise (↑cerebral temp)

Question 40

hormonal changes occurring during sleep deprivation

Answer 40

↑PRL ↑5HT ↑TSH ↓DA

Question 41

REM deprivation affects

Answer 41

performance of complex tasks

Question 42

REM sleep functions

Answer 42

learning consolidation cerebral stimulation during sleep dampens excitement clear out brain cache

Question 43

the longer the period of wakefulness and sleep deprivation

Answer 43

the more stage 4 INCREASES the more REM DECREASES

Question 44

REM latency

Answer 44

90 minutes

Question 45

Regulates circadian rhythym

Answer 45

Suprachiasmatic nucleus

Question 46

waking up occurs during

Answer 46

REM/Stage 2

Question 47

aroused EEG associated w/ pons saccadic eye movement elaborate visual imagery

Answer 47

REM

Question 48

slowing of EEG higher muscle tone absence of eye movement absence of mental activity

Answer 48

NREM