Sleep Flashcards
1
Q
- transient paralysis of skeletal muscles
- hallucinations/ illusions of someone else in the room
A
Sleep paralysis
- occurs during REM sleep
- occurs after waking up or shortly before falling asleep
2
Q
Management for sleep paralysis
A
Clonazepam
3
Q
- early onset REM sleep
- cataplexy (sudden loss of muscle triggered by emotion)
A
Narcolepsy
4
Q
Biochemistry related to narcolepsy
A
decreased levels of orexin (hypocretin)
- responsible for sleep appetite
5
Q
Investigations for narcolepsy
A
EEG
6
Q
Management for narcolepsy
A
day: modafinil
night: sodium oxybute
7
Q
Narcolepsy is associated with what genetic link?
A
HLA DR2
8
Q
- difficulty initiating or maintaining sleep
- early morning awakening
A
Insomnia
9
Q
Risk factors for insomnia
A
Female increased age low education unemployment widow/ separated substance abuse chronic illness psychiatric illness
10
Q
Investigations for insomnia
A
Sleep diary
Actigraphy (monitors gross motor activity)
Polysomnography (sleepy study)
11
Q
Management for insomnia
A
Sleep hygiene education + identify causes Short acting benzodiazepines - zopiclone - zolpidem - zaleplon
