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Medicine Exam Prep Test Bank
Which of the following is NOT part of AADSM standard protocol for long term
OAT follow up?
A.Evaluation for dental side effects
B.Recording vitals
C.Assessment of subjective symptoms
D.Assessment with objective home sleep testing - ANSWER-B.Recording vitals
The AADSM recommendation for OAT long term patient follow-up evaluation is:
A.annually.
B.every six months for the first year then annually.
C.every six months.
D.after six months then annually. - ANSWER-B.every six months for the first
year then annually.
In a healthy adult human, what are normative sleep values for REM?
A) 5-20% stage REM
B) 20-25% stage REM
C) 30-35% stage REM
D) 40-45% stage REM -ANSWER- B) 20-25% stage REM
One of the most common cardiac arrhythmias associated with obstructive sleep
apnea hypopnea syndrome is:
A) Ventricular fibrillation
B) Ventricular tachycardia
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,C) Atrial fibrillation
D) Sinus arrhythmia
E) Atrial bradycardia -ANSWER- C) Atrial fibrillation
What comorbid condition frequently is associated with obstructive sleep apnea:
A) Excitability
B) Hypotension
C) Cervicalgia
D) Nervousness
E) Diabetes -ANSWER- E) Diabetes
You note severe occlusal wear on a 50-year-old dental patient with a BMI of 33.
The patient complains of awakening with some soreness in his teeth and "nodding
off during Sunday afternoon football games". You should explain that current
research shows evidence that:
A.nocturnal bruxism is a consequence of sympathetic response from nocturnal
apneas.
B.nocturnal bruxism should be treated with a mandibular advancement device.
C.obstructive sleep apnea and sleep bruxism often co-exist and share risk factors.
D.stress relieving exercises are the most appropriate first step in addressing the
patient's complaints. - ANSWER-C.obstructive sleep apnea and sleep bruxism
often co-exist and share risk factors.
In what stage of sleep, is Sleep Bruxism most likely to be observed?
A.NREM 1
B.REM
C.NREM 2
D.NREM 3 - ANSWER-A or C. need confirm
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,According to an American Heart Association contemporary review published in
2019, which statement is correct with respect to sleep testing in the following
patient population?
A.Consider sleep testing in patients with pulmonary hypertension only if sleep
symptoms are present.
B.Consider sleep testing in all patients with atrial fibrillation, regardless of
symptoms, if an ablation procedure is planned.
C.Consider sleep testing in all patients with resistant hypertension, regardless of
sleep symptoms.
D.Consider sleep testing in patients with coronary artery disease, regardless of
sleep symptoms.
E.All of the above - ANSWER-C.Consider sleep testing in all patients with
resistant hypertension, regardless of sleep symptoms.
Risk of fatal and non-fatal cardiovascular events is significantly increased in
patients with:
A.mild OSA.
B.severe OSA.
C.severe OSA on CPAP therapy.
D.Both A & B
E.A, B, & C - ANSWER-B.severe OSA.
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
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, E.Reduced pharyngeal muscle dilator activity - ANSWER-A.Increased lung
volume
Given the prevalence of non-anatomical determinants of cyclical airway
obstruction, alternative treatments could reasonably be aimed at all of the
following EXCEPT:
A.reducing loop-gain effects on both central and obstructive events.
B.increasing stage 1 sleep to a greater percentage of total sleep time.
C.recruitment of upper airway dilators.
D.lowering arousal threshold.
E.reducing chemosensitivity to CO2. - ANSWER-B.increasing stage 1 sleep to a
greater percentage of total sleep time.
Which pharyngeal muscle is the primary upper airway dilator?
A.Styloglossus
B.Geniohyoid
C.Hyoglossus
D.Genioglossus
E.Palatoglossus - ANSWER-D.Genioglossus
Which statement is FALSE regarding the initiation of APAP?
A.APAP is appropriate in patients with daytime sleepiness, HTN, and problems
with sleep-related quality of life.
B.APAP at home or in-lab PAP titration are both effective ways to initiate therapy.
C.APAP may be preferrable to BiPAP for routine OSA treatment .
D.Allow a patient to get acclimated to APAP before providing formal educational
interventions.
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