ABDSM EXAM DENTAL SLEEP MEDICINE PRACTICE QUESTIONS AND ANSWERS WITH RATIONALES UPDATE

ABDSM EXAM DENTAL SLEEP MEDICINE
PRACTICE QESTIONS AND ANSWERS WITH
RATIONALES UPDATE/100% CORRECT AND
VERIFIED
Question 1
At the end of your discussion with Larry, you inform him that you will be contacting
his sleep physician to report on the goals of therapy for the patient and Larry's stated
desire to move forward with OAT. Another critical purpose for contacting the
diagnosing physician is to:

a. Request contact information for a bariatric specialist so Larry can pursue surgery in
combination with his trial of OAT
b. Arrange a lunch meeting so you can encourage the physician to start referring all
mild and moderate sleep apnea patients for a trial of OAT before any CPAP trial
c. Request a prescription and/or letter of medical necessity for OAT
d. Impress the physician with your knowledge of PSG
Correct Answer
c. Request a prescription and/or letter of medical necessity for OAT



Question 2
What does the SCN promote?
Correct Answer
Wakefulness, and maintains sleep after sleep drive dissipates in the 2nd half of the
jight



Question 3
How much sleep does N2/N3 encompass?
Correct Answer
65-70%




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,Question 4
What neurotransmitter does caffeine inhibit?
Correct Answer
Adenosine

Promotes wakefulness



Question 5
The most common side effect reported by patients using oral appliances for SRBDs is
A. Tooth tenderness
B. Excessive saliva
C. Dry mouth
D. Jaw discomfort
E. All of the above
Correct Answer
E. All of the above



Question 6
A pregnant patient diagnosed with OSA, who did not have evidence of disease before
the third trimester, should be informed:
A. the OSA will resolve after childbirth
B. treatment other than avoiding supine sleep is not warranted
C. there is no risk to their baby
D. None of the above
Correct Answer
D. None of the above



Question 7
What is the meuller maneuver?
Correct Answer
Hold nose with mouth closed and try to suck in

The airway will collapse due to negative pressure in upper airway




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,Question 8
What sleep study architecture is associated with N2 sleep?
Correct Answer
- K complexes
- Sleep spindles



Question 9
The AADSM task force on therapeutic position found lateral cephalometry to have
value as a tool to identify oral appliance treatment responders.
A. True
B. False
Correct Answer
B. False



Question 10
When in sleep does sleep bruxism occur?
Correct Answer
N1 and N2



Question 11
What's the origin and insertion of the temporalis?
Correct Answer
Origin: Temporal fossa

Insertion: Coronoid process of mandible




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, Question 12
In the event a polysomnogram study is needed to find the most therapeutic position
of an oral appliance,
A. The study should be ordered by the physician
B. The dentist should provide written instructions to inform advancement technique,
increments and range
C. At the conclusion of the study, the sleep technician should return the oral
appliance to its starting position
D. All of the above
Correct Answer
D. All of the above



Question 13
What can be concluded regarding nasal obstruction and OSA?
A. Nasal obstruction is associated with snoring
B. Nasal obstruction is associated with OSA
C. Nasal obstruction is associated with lowered concentration of pulmonary nitric
oxide
D. All of the above
Correct Answer
D. All of the above



Question 14
What should be tested medically in periodic limb movement disorder?
Correct Answer
- Iron/anemia
- Kidney/Liver Function



Question 15
What does AHI consist of?
Correct Answer
Apneas + Hypopneas




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