Sleep Flashcards

1
Q

When do brain waves slow down?

A

Non-REM stages 1-4

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2
Q

Non-REM sleep is?

A

Deep sleep

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3
Q

Most important part of sleep?

A

Non-REM

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4
Q

Sleep onset and the responses?

A

Homeostatic response: Longer you are awake, sleepier you become
Emotional response: Emotionally ready to go to sleep
Circadian rhythm: body clock has to be in line

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5
Q

What does circadian rhythm do?

A

Controls sleepiness

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6
Q

Missing one day of sleep is equivalent to?

A

3 pints of beer

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7
Q

Parasomnia?

A

Sleep disorder

Can be REM or non-REM

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8
Q

Non-REM parasomnias?

A

Involve partial awakenings from deep sleep

-Don’t involve dreaming and often person can perform complex tasks they may not remember

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9
Q

Examples of non-REM parasomnias?

A
Confessional arousals 
Sleep walking 
Sleep terrors 
Sleep paralysis 
Bruxism 
Restless legs 
Periodic limn movement
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10
Q

REM parasomnias involve?

A

Dreaming and behaviour is usually more simple

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11
Q

What do REM parasomnias often preced?

A

Parkinson’s disease but can occur on their own

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12
Q

What is narcolepsy?

A

Abnormalities of brain NT hypocretin/orexin which is a regulator of sleep

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13
Q

What is narcolepsy characterised by?

A
  • XSive daytime sleepiness
  • Cataplexy
  • Hypnagogic hallucinations
  • Sleep paralysis
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14
Q

Cataplexy?

A

Sudden loss of muscle tone leading to head droop or even falling with intact awareness
-Basically paralysed but can still hear

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15
Q

Investigations with narcolepsy?

A

Overnight polysomnography

Multiple sleep latency tests shows rapid transition from wakefulness to sleep and a short time to onset of REM sleep

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16
Q

Management of narcolepsy?

A

Good sleep hygiene
Modanfinil dexamphetamine or methylphenidate for xsive daytime sleepiness

Tricylic antidepressants or SSRIs can improve cataplexy

17
Q

Treatment for chronic insomnia?

A

Stay in bed for 30 mins, get up do something boring, come back when sleepy, stay for 30 mins, repeat