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ABDSM Final Exam 2026 Update – Actual Questions with 100% Correct Solutions & Rationales Rated A+ (American Board of Dental Sleep Medicine Certification Prep)

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Secure your ABDSM certification and excel in dental sleep medicine with this indispensable 2026 final exam update, delivering actual questions, precisely verified correct solutions, and comprehensive rationales that earn a stellar A+ rating while equipping you with mastery over obstructive sleep apnea (OSA) diagnosis, treatment, and management. Delve into pivotal topics such as modified Mallampati classifications and their correlation to severe OSA risk, the STOP-BANG questionnaire for perioperative screening, airway stability factors like increased lung volume, oral appliance therapy exclusions for conditions including central sleep apnea and edentulism, hypertension links to untreated OSA via intermittent hypoxia and sympathetic activation, polysomnography (PSG) versus home sleep testing (HST) indications, sleep stage specifics from NREM to REM with features like sleep spindles and sawtooth waves, chemoreceptor roles in ventilation control, AHI/RDI distinctions incorporating RERAs, craniofacial predictors like retrognathia, hypoglossal nerve stimulation candidacy excluding concentric collapse, pediatric considerations such as adenotonsillectomy outcomes and rapid maxillary expansion, myofunctional therapy's AHI reductions, and long-term oral appliance effects including occlusal changes and compliance strategies. This all-encompassing resource not only sharpens your exam readiness through evidence-based insights and clinical scenarios but also empowers you to deliver transformative patient care, mitigate risks like cardiovascular complications, and thrive in the specialized field of sleep-disordered breathing—your definitive guide to certification success and professional excellence in 2026.

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ABDSM FINAL EXAM 2026 UPDATE| ACTUAL
EXAM QUESTIONS WITH CORRECT
SOLUTIONS| RATED A+


Which of the following statements is true regarding a modified
mallampati classification of the oral pharynx?


A. Mallampati II allows visualization of only the hard palate
B. Malampati III allows visualization of only the hard palate
C. Malampati classifications are taken with the patient sedated and
reclined
D. Mallampati classifications of IV have greater odds ratio than
Mallampati classifications of I for severe OSA - correct answer-
D. Mallampati classifications of IV have greater odds ratio than
Mallampati classifications of I for severe OSA




What 8 item questionnaire was developed to perioperatively screen for
risk of OSA?


A. ESS
B. STOP-BANG
C. MSLT
D. Berlin - correct answer- B. STOP-BANG




In the pathophysiology of sleep apnea, airway patency and stability is
promoted by which factor?

,A. Increased lung volume
B. Shorter mandible
C. Increased parapharyngeal fat deposition
D. Negative inspiratory pressure
E. Reduced pharyngeal muscle dilator activity - correct answer-
A. Increased lung volume




Oral appliance therapy commonly provides successful sole therapy for
which of the following sleep-related breathing disorders?


A. Primary central sleep apnea
B. Cheyne-Stoke periodic breathing
C. Obesity hypoventilation
D. Overlap syndrome (OSA and COPD)
E. None of the above - correct answer- E. None of the above




Which of the following is true about OSA and HTN?


A. Ambulatory BP is increased in OSA patients primarily due to
increased salt intake associated with elevated ghrelin levels
B. Ambulatory BP normally increases in the early AM before
awakening - this increase is blunted in OSA

,C. Untreated OSA is associated with a similar risk of HTN at all
severity levels
D. The risk of HTN in untreated OSA is due to intermittent
hypoxia, sympathetic overactivation, inflammation, and other
complex factors - correct answer- D. The risk of HTN in untreated
OSA is due to intermittent hypoxia, sympathetic overactivation,
inflammation, and other complex factors




Across a general population, what is the most common sleep disorder?


A. RLS
B. Narcolepsy
C. Delayed sleep phase syndrome
D. Insomnia
E. Obstructive sleep apnea - correct answer- D. Insomnia




Measurement has shown that patients with sleep apnea have smaller
upper airways than those without sleep apnea but manage to keep an
open airway during wakefulness by:


A. Mouth Breathing
B. Increased muscle tone on inspiration
C. Increased blood flow to the soft tissue

, D. Frequent bruxing - correct answer- B. Increased muscle tone on
inspiration




Key features of sleep apnea as recorded during an in-lab sleep study
include marked reduction or absence of air flow, arousals from sleep,
slowing of heart rate and:


A. Choking or gasping for air
B. Oxygen desaturation
C. Flattening of the nasal pressure signal
D. Flailing of the arms and legs
E. Sawtooth waves in the EEG - correct answer- B. Oxygen
Desaturation




Who publishes the CPT codebook?


A. The Centers for Medicare and Medicaid Services
B. The American Medical Association
C. The Office of the Inspector General
D. The Durable Medical Equipment Service
E. The American Academy of Sleep Medicine - correct answer-
B. The American Medical Association

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