ABDSM ACTUAL TEST PAPER FULL
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● In normal adult sleep, stage R (REM) usually comprises what
percentage of the total sleep time?
A.Less than 5%
B.5-10%
C.10-15%
D.20-25%
E.30-35%
Answer: D.20-25%
●● With chronic partial sleep deprivation to 4-6 hours/night, all of the
following are affected EXCEPT:
A.MSLT results.
B.amount of REM sleep.
C.psychomotor vigilance scores.
D.growth hormone secretory profile.
E.amount of slow wave/N3 sleep.
Answer: E.amount of slow wave/N3 sleep.
,●● Across a general population, what is the most common sleep
disorder?
A.Insomnia
B.Restless Leg Syndrome (RLS)
C.Obstructive sleep apnea (OSA)
D.Narcolepsy
E.Delayed sleep phase syndrome (DSPS)
Answer: A.Insomnia
●● Which of the following statements is correct regarding RLS (restless
legs syndrome)?
A.PSG is required for the diagnosis of RLS.
B.SSRIs may be used to treat RLS.
C.Serotonin is the neurotransmitter primarily involved.
D.Opiates may be used to treat RLS.
E.Hemoglobin is the serum marker most closely associated with risk for
RLS.
Answer: D.Opiates may be used to treat RLS.
●● Which of the following parameters are measured in both Type 1 in-
lab polysomnography and Type 3 home portable monitoring?
A.EEG
B.EOG
,C.EMG
D.ECG
E.Heart Rate
Answer: E.Heart Rate
●● Sleep testing is indicated in all of the following situations EXCEPT:
A.diagnostic evaluation of narcolepsy, prior to MSLT.
B.positive pressure titration in newly-diagnosed OSA.
C.diagnostic evaluation of restless legs syndrome.
D.follow-up evaluation after oral apppliance or surgical therapy for
moderate-severe OSA.
E.diagnostic evaluation of sleep-disordered breathing.
Answer: C.diagnostic evaluation of restless legs syndrome.
●● According to the AASM Guidelines, which of the following
statements is FALSE regarding home portable sleep testing?
A.May be used as an alternative to PSG for the diagnosis of OSA in
patients with a high pre-test probability of moderate to severe OSA
B.May be used as a screening test for minimally symptomatic
populations
C.May be used to monitor the response of non-CPAP therapy for OSA
D.Should be avoided in patients with significant comorbid conditions
that may affect accuracy of the portable monitor
, E.Home sleep testing should only be performed in conjunction with a
comprehensive sleep evaluation
Answer: B.May be used as a screening test for minimally symptomatic
populations
●● All of the following parameters are measured during
polysomnography EXCEPT:
A.ENG.
B.EOG.
C.EKG.
D.EMG.
E.EEG.
Answer: A.ENG.
●● Sleep spindles and K-complexes are most common during which
stage of sleep?
A.Stage Wake
B.Stage N1
C.Stage N2
D.Stage N3
E.Stage REM
Answer: C.Stage N2
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● In normal adult sleep, stage R (REM) usually comprises what
percentage of the total sleep time?
A.Less than 5%
B.5-10%
C.10-15%
D.20-25%
E.30-35%
Answer: D.20-25%
●● With chronic partial sleep deprivation to 4-6 hours/night, all of the
following are affected EXCEPT:
A.MSLT results.
B.amount of REM sleep.
C.psychomotor vigilance scores.
D.growth hormone secretory profile.
E.amount of slow wave/N3 sleep.
Answer: E.amount of slow wave/N3 sleep.
,●● Across a general population, what is the most common sleep
disorder?
A.Insomnia
B.Restless Leg Syndrome (RLS)
C.Obstructive sleep apnea (OSA)
D.Narcolepsy
E.Delayed sleep phase syndrome (DSPS)
Answer: A.Insomnia
●● Which of the following statements is correct regarding RLS (restless
legs syndrome)?
A.PSG is required for the diagnosis of RLS.
B.SSRIs may be used to treat RLS.
C.Serotonin is the neurotransmitter primarily involved.
D.Opiates may be used to treat RLS.
E.Hemoglobin is the serum marker most closely associated with risk for
RLS.
Answer: D.Opiates may be used to treat RLS.
●● Which of the following parameters are measured in both Type 1 in-
lab polysomnography and Type 3 home portable monitoring?
A.EEG
B.EOG
,C.EMG
D.ECG
E.Heart Rate
Answer: E.Heart Rate
●● Sleep testing is indicated in all of the following situations EXCEPT:
A.diagnostic evaluation of narcolepsy, prior to MSLT.
B.positive pressure titration in newly-diagnosed OSA.
C.diagnostic evaluation of restless legs syndrome.
D.follow-up evaluation after oral apppliance or surgical therapy for
moderate-severe OSA.
E.diagnostic evaluation of sleep-disordered breathing.
Answer: C.diagnostic evaluation of restless legs syndrome.
●● According to the AASM Guidelines, which of the following
statements is FALSE regarding home portable sleep testing?
A.May be used as an alternative to PSG for the diagnosis of OSA in
patients with a high pre-test probability of moderate to severe OSA
B.May be used as a screening test for minimally symptomatic
populations
C.May be used to monitor the response of non-CPAP therapy for OSA
D.Should be avoided in patients with significant comorbid conditions
that may affect accuracy of the portable monitor
, E.Home sleep testing should only be performed in conjunction with a
comprehensive sleep evaluation
Answer: B.May be used as a screening test for minimally symptomatic
populations
●● All of the following parameters are measured during
polysomnography EXCEPT:
A.ENG.
B.EOG.
C.EKG.
D.EMG.
E.EEG.
Answer: A.ENG.
●● Sleep spindles and K-complexes are most common during which
stage of sleep?
A.Stage Wake
B.Stage N1
C.Stage N2
D.Stage N3
E.Stage REM
Answer: C.Stage N2