Sleep Disorders CC6 Flashcards Preview

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Flashcards in Sleep Disorders CC6 Deck (58)
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1

what do you need to have to be dx with sleep disorder?

must have next day consequences

2

what do you need to LACK to be dx with a sleep disorder

ANY organic, psych, or substance etiology

3

advanced circadian clock problems often involves what population

elderly people go to sleep and wake up early

4

delayed circadian clock problems often involves what population

third shift work, jet lag

5

what should you tx insomnia with

GABA, galanine, or psychotherapy

6

what should you tx hypersomnia with

stimulants, antidepressants, or naps

7

which sleep disorder has the strongest genetic ties?

narcolepsy

8

cause of narcelopsy

caused by autoimmune destruction of orexin (“backup generator”) neurons

9

hypnopompic hallucinations

hallucinations upon waking

10

hypnogogic hallucinations

hallucinations uponm sleeping

11

what is cataplexy often triggered by

strong emotions

12

central sleep apnea involves

the brainstem stops working in sleep

13

Obstructive sleep apnea is associated with loss of ___

muscle tone

14

obstructive sleep apnea is associated with

age, high BP, and obesity.

15

tx for sleep apnea

central psotiive airway pressure or dental devices

16

what is not recommended for tx for sleep apnea

surgery

17

cause of Restless Legs Syndrome?

combination of genes and environment

18

low Fe can be a cause of

restless legs syndrome

19

tx of restless leg syndrome?

dopamine

20

sleep terrors occur during

3/4 sleep

21

nightmare disorder occurs during

rem sleep

22

Sleepwalking/Somnambulism occurs during

stage 3/4 sleep

23

sleep talking occurs during

all sleep stages

24

Sleep Related Bruxism occurs during

stage 2 sleep

25

the ___ areas of the alteral hypothlaamus are the off switchand NREM promoting center of the CNS

ventrolateral and median preoptic

26

VLPO/MNPO causes us to sleep via increased

gaba and galanin activity

27

VLPO/MNPO turns off ___ TMN wakefulness half of the switch

histamine

28

VLPO/MNPO are silent during

wakelfulness

29

when does VLPO/MNPO fire?

during NREM

30

___ fires mostly as one drifts to sleep

MNPO