NEW RPSGT EXAM- 2018 STUDY GUIDE
AND PRACTICE TEST WITH COMPLETE
SOLUTIONS
The vpurpose vof van vintentional vmask vleak vis vto... v- vcorrect vanswers v-Wash vout
vCO2 vand vprevent vrebreathing
Recommended vguidelines vstate vthat vHSV vcan vbe vconsidered vwhen.... v- vcorrect
vanswers v-Cheyne vStokes vand vcentral vApneas vhave vnot vbeen veliminated.
What vis vaerophagia? v- vcorrect vanswers v-The vswallowing vof vair
What vis vmaxillomandibular vadvancement? v- vcorrect vanswers v-Treatment vthat
vinvolves vcutting vand vadvancing vthe vupper vand vlower vjaw vbones; venlarging vand
vstabilizing vthe vposterior vairway.
What vis vthe vPRIMARY vfunction vof vthe vEPAP vsetting? v- vcorrect vanswers v-To
veliminate vdesaturations vand varousals.
,According vto vguidelines, vhow vmany vHypopneas vneed vto voccur vin vpeds vpts vprior
vto vincreasing vpressure? v- vcorrect vanswers v-1
What vare vthe vAASM vguidelines vfor vsupplemental vO2 vduring vPAP vstudies? v-
vcorrect vanswers v-1lmp vduring vPAP vtitration vwhen vSPO2 vis vless vthan vor vequal vto
v88% vfor v5 vor vmore vminutes vand vin vthe vabsence vof vobstructive vevents.
If va vpts vApneas vare vfixed vat v10cm, vbut vHypopneas vand vsnoring vstill voccur vat
v16cm, vwhat vlevels vof vBiLevel vshould vbe vused? v- vcorrect vanswers v-IPAP: v14
EPAP: v10
Which vof vthe vfollowing vcan vreduce vthe veffectiveness vof vCPAP vand vwhy: vNasal
vspray, vAlcohol, vAnti vdepressants. v- vcorrect vanswers v-Alcohol: vimpairs varousal
vresponse vwhich vcan vlead vto vlonger vthan vnormal vevents vand vsevere vdesats.
vInhibits vupper vairway vactivity
What vsyndrome vwould va vpt vwith vCOPD vand vOSA vhave? v- vcorrect vanswers v-
Overlap vsyndrome
What vare vhypoxemia vand vhypercapnia? v- vcorrect vanswers v-Hypoxemia: vvery vlow
v02 vin vthe vblood
Hypercapnia: vvery vhigh vCO2 vin vthe vblood.
What vwould va vpatient vwith vboth vhypoxemia vand vhypercapnia vmost vlikely vbe
vdiagnosed vwith? v- vcorrect vanswers v-Hypoventilation
What vis van vMWT's vMOST vimportant vuse? v- vcorrect vanswers v-Measure vpatients
vability vto vresist vthe vurge vto vfall vasleep
Tricyclic vantidepressants, vlarge vamounts vof vcaffeine vand vlarge vamounts vof
vchocolate vhave vbeen vknown vto vtrigger vwhat? v- vcorrect vanswers v-REM vsleep
vbehavior vdisorder
Recommended vimpedance vfor veeg vand veog v- vcorrect vanswers v-5k vohms
The vamount vof vspace vneeded vto varchive vdigitized vdata vis vMOST vimpacted vby? v-
vcorrect vanswers v-Sampling vrate
Cortical vactivity vis vbest vdescribed vas v- vcorrect vanswers v-Spontaneous varousal
Calculate vthe vAHI vbased von vthe vfollowing vdata
25 vobstructive vapneas
5 vcentral vapneas
23 vmixed vapneas
15 vhypopneas
,48 vRERAS
65 varousals
360 vmin vof vsleep v- vcorrect vanswers v-11
According vto vRECOMMENDED vguidelines, vthe vminimum vduration vof va vsignificant
vleg vmovement vis v- vcorrect vanswers v-.5
According vto vRECOMMENDED vguidelines, van voptional vparameter vto vinclude vin
vthe vreport vfor van vadult vpolysomnogram vis v- vcorrect vanswers v-Occurrence vof
vhypoventilation vduring vthe vdiagnostic vstudy vin vadult
The vrespiratory vevent vthat vrequires voxygen vdesaturation vand/ vor van varousal vas
vpart vof vthe vscoring vcriteria vis v- vcorrect vanswers v-Obstructive vhypopnea
An vECG varrhythmia vcommonly vseen vwhen vrecording vPSG's, vparticularly vin
vpatients vthat vhave vobstructive vsleep vapnea vand vcardiac vdisease. vIt vcan vbe
videntified vby vthe vmorphology vof van virregularly virregular vventricular vrhythm
vassociated vwith vreplacement vof vconsistent vP vwaves vby vrapid voscillations vthat
vvary vin vsize, vshape, vand vtiming v- vcorrect vanswers v-Atrial vfibrillation
The vstage vthat vis vthe vgreatest vportion vof vthe vepoch v- vcorrect vanswers v-The
vstage vthat vis vthe vgreatest vportion vof vthe vepoch
What vis vthe vbest vresponse vwhen va vpatient vasks vthe vtechnologist vif vthey vhave
vsleep vapnea vand vwill vneed vto vwear va vCPAP vmask? v- vcorrect vanswers v-Provide
vthe vpatient vwith veducational vmaterial vabout vsleep vapnea
Which vof vthe vfollowing vis vthe vMOST vLIKELY vcause vof va v35 vminute vREM
vlatency v- vcorrect vanswers v-Untreated vdepression
A vbreathing vpattern vcharacterized vby vat vleast vthree vcycles vof vcrescendo
vbreathing vwith vduration vof vat vleast v10 vminutes vis v- vcorrect vanswers v-Cheyne
vStokes vrespiration
An vimportant vresponsibility vof vthe vscoring vtech vis vto v- vcorrect vanswers v-Confirm
vaccuracy vof vreport vcomponents
Which vtype vof vcalibration vis vbased von va vseries vof vpatient vinstructions vintended vto
vverify vthe vsignal vresponse vand vquality v- vcorrect vanswers v-Physiological
The vmost vimportant vreason vfor vperforming va vMWT vis vto v- vcorrect vanswers v-
Measure vthe vpatient's vability vto vresist vthe vurge vto vfall vasleep
The vimportance vof vselecting vsampling vrates vaccording vto vRECOMMENDED
vguidelines vis vto v- vcorrect vanswers v-Minimize valiasing veffect
, The vsyndrome vcharacterized vby vprolonged vepisodes vof vsevere vhypoxemia vand
vassociated vPaCO2 velevation vthat vworsens vduring vsleep vis v- vcorrect vanswers v-
Obesity vhypoventilation
The vpatient's vmedical vhistory vindicates vthe vpatient vhas vbeen vtaking vtricyclic
vantidepressants vfor vthe vpast v5 vyears. vThe vtechnologist vshould vanticipate vthat vthe
vpatient vmay vhave van vincreased vlikelihood vof v- vcorrect vanswers v-REM vSleep
vBehavior vDisorder
According vto vRECOMMENDED vguidelines, vthe vsampling vrate vto vprovide vthe
voptimal vresolution vfor vrecording vEEG vin va vpatient vwith vsuspected vnocturnal
vseizure vis v- vcorrect vanswers v-500Hz
The velectrode vlocated v30% vabove vthe vleft vpre-a vcrease vis v- vcorrect vanswers v-C3
According vto vRECOMMENDED vguidelines, vfour vnap vopportunities von va vMSLT
vwould vbe vacceptable vwhen vthe vpatient v- vcorrect vanswers v-Had vREM von vat vleast
vtwo vnap vopportunities
A vpatient's vhistory vindicates va vdiagnosis vof voverlap vsyndrome. vThe vtech vcan
vanticipate vthat vthe vpatient vhas v- vcorrect vanswers v-COPD vAND vOSA
ACCORDING vTO vRECOMMENDED vGUIDELINES, vWHICH vOF vTHE vFOLLOWING
vSHOULD vBE vINCLUDED vWHEN vRECORDING vPEDIATRIC vPATIENTS v- vcorrect
vanswers v-END-TIDAL vCO2
THE vABILITY vTO vREMONTAGE vWHILE vRECORDING vON vDIGITAL vEQUIPMENT
vIS vTHE vRESULT vOF v- vcorrect vanswers v-SYSTEM vREFERENCING
WHEN vREVIEWING vA vPATIENT'S vHISTORY vIN vPREPARATION vFOR vA
vPOLYSOMNOGRAM, vPHYSIOLOGIC vFINDINGS vSUGGESTIVE vOF
vHYPOVENTILATION vINCLUDE v- vcorrect vanswers v-HYPOXEMIA vAND
vHYPERCAPNIA
WHEN vTHE vAMPLITUDE vOF vA vSIGNAL vEXCEEDS vTHE vPHYSICAL
vLIMITATIONS vOF vA vCHANNEL vTHE vMOST vIMPORTANT vADJUSTMENT vTHE
vTECH vCAN vMAKE vTO vOPTIMIZE vWAVEFORM vDISPLAY vIS vTO v- vcorrect
vanswers v-DECREASE vSENSITIVITY
WHEN vINTERMITTENT v60 vHZ vACTIVITY vOCCURS vIN vTHE vF4-M1
vELECTRODES vDURING vREM vSLEEP vTHE vBEST vIMMEDIATE vACTION vWOULD
vBE vTO v- vcorrect vanswers v-RELY vON vF3-M2
A vPATIENT vWITH vMILD vDEMENTIA vBECOMES vMORE vCONFUSED vAND/OR
vAGITATED vIN vTHE vEARLY vEVENING. vTHE vPATIENT vIS vMOST vLIKELY
vEXPERIENCING v- vcorrect vanswers v-SUNDOWNING
AND PRACTICE TEST WITH COMPLETE
SOLUTIONS
The vpurpose vof van vintentional vmask vleak vis vto... v- vcorrect vanswers v-Wash vout
vCO2 vand vprevent vrebreathing
Recommended vguidelines vstate vthat vHSV vcan vbe vconsidered vwhen.... v- vcorrect
vanswers v-Cheyne vStokes vand vcentral vApneas vhave vnot vbeen veliminated.
What vis vaerophagia? v- vcorrect vanswers v-The vswallowing vof vair
What vis vmaxillomandibular vadvancement? v- vcorrect vanswers v-Treatment vthat
vinvolves vcutting vand vadvancing vthe vupper vand vlower vjaw vbones; venlarging vand
vstabilizing vthe vposterior vairway.
What vis vthe vPRIMARY vfunction vof vthe vEPAP vsetting? v- vcorrect vanswers v-To
veliminate vdesaturations vand varousals.
,According vto vguidelines, vhow vmany vHypopneas vneed vto voccur vin vpeds vpts vprior
vto vincreasing vpressure? v- vcorrect vanswers v-1
What vare vthe vAASM vguidelines vfor vsupplemental vO2 vduring vPAP vstudies? v-
vcorrect vanswers v-1lmp vduring vPAP vtitration vwhen vSPO2 vis vless vthan vor vequal vto
v88% vfor v5 vor vmore vminutes vand vin vthe vabsence vof vobstructive vevents.
If va vpts vApneas vare vfixed vat v10cm, vbut vHypopneas vand vsnoring vstill voccur vat
v16cm, vwhat vlevels vof vBiLevel vshould vbe vused? v- vcorrect vanswers v-IPAP: v14
EPAP: v10
Which vof vthe vfollowing vcan vreduce vthe veffectiveness vof vCPAP vand vwhy: vNasal
vspray, vAlcohol, vAnti vdepressants. v- vcorrect vanswers v-Alcohol: vimpairs varousal
vresponse vwhich vcan vlead vto vlonger vthan vnormal vevents vand vsevere vdesats.
vInhibits vupper vairway vactivity
What vsyndrome vwould va vpt vwith vCOPD vand vOSA vhave? v- vcorrect vanswers v-
Overlap vsyndrome
What vare vhypoxemia vand vhypercapnia? v- vcorrect vanswers v-Hypoxemia: vvery vlow
v02 vin vthe vblood
Hypercapnia: vvery vhigh vCO2 vin vthe vblood.
What vwould va vpatient vwith vboth vhypoxemia vand vhypercapnia vmost vlikely vbe
vdiagnosed vwith? v- vcorrect vanswers v-Hypoventilation
What vis van vMWT's vMOST vimportant vuse? v- vcorrect vanswers v-Measure vpatients
vability vto vresist vthe vurge vto vfall vasleep
Tricyclic vantidepressants, vlarge vamounts vof vcaffeine vand vlarge vamounts vof
vchocolate vhave vbeen vknown vto vtrigger vwhat? v- vcorrect vanswers v-REM vsleep
vbehavior vdisorder
Recommended vimpedance vfor veeg vand veog v- vcorrect vanswers v-5k vohms
The vamount vof vspace vneeded vto varchive vdigitized vdata vis vMOST vimpacted vby? v-
vcorrect vanswers v-Sampling vrate
Cortical vactivity vis vbest vdescribed vas v- vcorrect vanswers v-Spontaneous varousal
Calculate vthe vAHI vbased von vthe vfollowing vdata
25 vobstructive vapneas
5 vcentral vapneas
23 vmixed vapneas
15 vhypopneas
,48 vRERAS
65 varousals
360 vmin vof vsleep v- vcorrect vanswers v-11
According vto vRECOMMENDED vguidelines, vthe vminimum vduration vof va vsignificant
vleg vmovement vis v- vcorrect vanswers v-.5
According vto vRECOMMENDED vguidelines, van voptional vparameter vto vinclude vin
vthe vreport vfor van vadult vpolysomnogram vis v- vcorrect vanswers v-Occurrence vof
vhypoventilation vduring vthe vdiagnostic vstudy vin vadult
The vrespiratory vevent vthat vrequires voxygen vdesaturation vand/ vor van varousal vas
vpart vof vthe vscoring vcriteria vis v- vcorrect vanswers v-Obstructive vhypopnea
An vECG varrhythmia vcommonly vseen vwhen vrecording vPSG's, vparticularly vin
vpatients vthat vhave vobstructive vsleep vapnea vand vcardiac vdisease. vIt vcan vbe
videntified vby vthe vmorphology vof van virregularly virregular vventricular vrhythm
vassociated vwith vreplacement vof vconsistent vP vwaves vby vrapid voscillations vthat
vvary vin vsize, vshape, vand vtiming v- vcorrect vanswers v-Atrial vfibrillation
The vstage vthat vis vthe vgreatest vportion vof vthe vepoch v- vcorrect vanswers v-The
vstage vthat vis vthe vgreatest vportion vof vthe vepoch
What vis vthe vbest vresponse vwhen va vpatient vasks vthe vtechnologist vif vthey vhave
vsleep vapnea vand vwill vneed vto vwear va vCPAP vmask? v- vcorrect vanswers v-Provide
vthe vpatient vwith veducational vmaterial vabout vsleep vapnea
Which vof vthe vfollowing vis vthe vMOST vLIKELY vcause vof va v35 vminute vREM
vlatency v- vcorrect vanswers v-Untreated vdepression
A vbreathing vpattern vcharacterized vby vat vleast vthree vcycles vof vcrescendo
vbreathing vwith vduration vof vat vleast v10 vminutes vis v- vcorrect vanswers v-Cheyne
vStokes vrespiration
An vimportant vresponsibility vof vthe vscoring vtech vis vto v- vcorrect vanswers v-Confirm
vaccuracy vof vreport vcomponents
Which vtype vof vcalibration vis vbased von va vseries vof vpatient vinstructions vintended vto
vverify vthe vsignal vresponse vand vquality v- vcorrect vanswers v-Physiological
The vmost vimportant vreason vfor vperforming va vMWT vis vto v- vcorrect vanswers v-
Measure vthe vpatient's vability vto vresist vthe vurge vto vfall vasleep
The vimportance vof vselecting vsampling vrates vaccording vto vRECOMMENDED
vguidelines vis vto v- vcorrect vanswers v-Minimize valiasing veffect
, The vsyndrome vcharacterized vby vprolonged vepisodes vof vsevere vhypoxemia vand
vassociated vPaCO2 velevation vthat vworsens vduring vsleep vis v- vcorrect vanswers v-
Obesity vhypoventilation
The vpatient's vmedical vhistory vindicates vthe vpatient vhas vbeen vtaking vtricyclic
vantidepressants vfor vthe vpast v5 vyears. vThe vtechnologist vshould vanticipate vthat vthe
vpatient vmay vhave van vincreased vlikelihood vof v- vcorrect vanswers v-REM vSleep
vBehavior vDisorder
According vto vRECOMMENDED vguidelines, vthe vsampling vrate vto vprovide vthe
voptimal vresolution vfor vrecording vEEG vin va vpatient vwith vsuspected vnocturnal
vseizure vis v- vcorrect vanswers v-500Hz
The velectrode vlocated v30% vabove vthe vleft vpre-a vcrease vis v- vcorrect vanswers v-C3
According vto vRECOMMENDED vguidelines, vfour vnap vopportunities von va vMSLT
vwould vbe vacceptable vwhen vthe vpatient v- vcorrect vanswers v-Had vREM von vat vleast
vtwo vnap vopportunities
A vpatient's vhistory vindicates va vdiagnosis vof voverlap vsyndrome. vThe vtech vcan
vanticipate vthat vthe vpatient vhas v- vcorrect vanswers v-COPD vAND vOSA
ACCORDING vTO vRECOMMENDED vGUIDELINES, vWHICH vOF vTHE vFOLLOWING
vSHOULD vBE vINCLUDED vWHEN vRECORDING vPEDIATRIC vPATIENTS v- vcorrect
vanswers v-END-TIDAL vCO2
THE vABILITY vTO vREMONTAGE vWHILE vRECORDING vON vDIGITAL vEQUIPMENT
vIS vTHE vRESULT vOF v- vcorrect vanswers v-SYSTEM vREFERENCING
WHEN vREVIEWING vA vPATIENT'S vHISTORY vIN vPREPARATION vFOR vA
vPOLYSOMNOGRAM, vPHYSIOLOGIC vFINDINGS vSUGGESTIVE vOF
vHYPOVENTILATION vINCLUDE v- vcorrect vanswers v-HYPOXEMIA vAND
vHYPERCAPNIA
WHEN vTHE vAMPLITUDE vOF vA vSIGNAL vEXCEEDS vTHE vPHYSICAL
vLIMITATIONS vOF vA vCHANNEL vTHE vMOST vIMPORTANT vADJUSTMENT vTHE
vTECH vCAN vMAKE vTO vOPTIMIZE vWAVEFORM vDISPLAY vIS vTO v- vcorrect
vanswers v-DECREASE vSENSITIVITY
WHEN vINTERMITTENT v60 vHZ vACTIVITY vOCCURS vIN vTHE vF4-M1
vELECTRODES vDURING vREM vSLEEP vTHE vBEST vIMMEDIATE vACTION vWOULD
vBE vTO v- vcorrect vanswers v-RELY vON vF3-M2
A vPATIENT vWITH vMILD vDEMENTIA vBECOMES vMORE vCONFUSED vAND/OR
vAGITATED vIN vTHE vEARLY vEVENING. vTHE vPATIENT vIS vMOST vLIKELY
vEXPERIENCING v- vcorrect vanswers v-SUNDOWNING
