1|P a g e
ABDSM EXAM|| ALL QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+|| LATEST
VERSION WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
A 48 year old man is treated with OAT for his moderate OSA. On repeat sleep
testing, his apnea-hypopnea index (AHI) has decreased to 3 events per hour, and he
reports resolution of snoring and daytime sleepiness. What is the most reasonable
dental-medical sleep medicine follow up regimen for this patient?
A. As needed
B. Every 6 months for the first year, then annually
C. Monthly for the first 6 months, then every 6 months
D. Every other year - ANSWER: B. Every 6 months for the first year, then
annually
Which of the following would exclude oral appliance therapy as a first treatment
trial for OSA?
A. Xerostomia
B. Edentulism
C. Micrognathia
D. Steep mandibular plane angle - ANSWER: B. Edentulism
Reviewing your patient's diagnostic polysomnogram, you note more than a 50%
epoch consists of alpha waves. According to the current PSG scoring guidelines,
the patient is in which stage of sleep?
,2|P a g e
A. Stage I NREM
B. Stage II NREM
C. Stage III NREM
D. Stage REM - ANSWER: A. Stage I NREM
A patient presents for an evaluation to determine their candidacy for an oral
appliance to treat their mild OSA. During your examination, you note the presence
of TMD. This might include the following:
A. Pain in the TMJ
B. Pain in the muscles of mastication
C. Anomalies in mandibular movement
D. All of the above - ANSWER: D. All of the above
The qualified dentist designation (QDD) came about in response to the 2015
practice guidelines paper recommending that physicians refer patients to dentists
"qualified" to treat sleep related breathing disorders. This was based upon
recognition of which of the following?
A. Older dentists have more experience than younger dentists
B. All dentists have the skills they need to deliver knowledgeable care
C. Oral appliance efficacy data collected in studies is obtained by dentist with
extensive clinical experience
D. Training in dental schools on oral appliance therapy has become common place
- ANSWER: C. Oral appliance efficacy data collected in studies is obtained by
dentist with extensive clinical experience
,3|P a g e
The 2015 Practice Guidelines created through cooperative effort of the AASM and
AADSM suggest a physician should seek collaboration with a qualified dentist,
described as someone who has at least:
A. Board certification
B. Facility accreditation
C. Completion of a 1 yr residency in dental sleep medicine
D. Additional training or experience in dental sleep medicine - ANSWER: D.
Additional training or experience in dental sleep medicine
An understanding of loop gain is important to the clinical practice of dental sleep
medicine because:
A. It excludes the possibility of cheyne stokes breathing in patients with severe
OSA
B. It is the basis of the Mallampati classification system
C. It defines the number of sequential obstructive apneas in an epoch
D. It contributes to the multifactorial nature of sleep related breathing disorders -
ANSWER: D. It contributes to the multifactorial nature of sleep related breathing
disorders
With regards to biomechanical properties of the upper airway, which statement is
true?
A. Sleep apnea patients paralyzed during general anesthesia (neural drive removed)
demonstrated airway compliance similar to healthy subjects
B. Sleep apnea patients had more negative closing pressures
C. Sleep apnea patients demonstrate a more positive Pcrit
, 4|P a g e
D. There is no correlation between collapsibility when awake and collapsibility
when asleep - ANSWER: C. Sleep apnea patients demonstrate a more positive
Pcrit
Tagged MRI recently showed 3 patterns of tissue formation during mandibular
advancement. Which of these was NOT observed?
A. The whole tongue moved forward "en bloc"
B. Only the superior posterior portion of the tongue moved forward
C. The posterior tongue did not move, but the whole tongue elongated
D. Only the inferior posterior portion of the tongue moved forward - ANSWER:
B. Only the superior posterior portion of the tongue moved forward
In Van Heasendonck's 2015 systematic review of oral appliance health benefits,
mean disease alleviation was calculated using the following:
A. An embedded microsensor
B. A highly compliant patient population
C. Patient's diaries of hours of nightly device use
D. Patient's attestations to hours of nightly device use - ANSWER: A. An
embedded microsensor
Caffeine promotes wakefulness by suppressing or blocking:
A. Thyroid stimulating hormone
B. Growth hormone
C. Orexin
ABDSM EXAM|| ALL QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+|| LATEST
VERSION WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
A 48 year old man is treated with OAT for his moderate OSA. On repeat sleep
testing, his apnea-hypopnea index (AHI) has decreased to 3 events per hour, and he
reports resolution of snoring and daytime sleepiness. What is the most reasonable
dental-medical sleep medicine follow up regimen for this patient?
A. As needed
B. Every 6 months for the first year, then annually
C. Monthly for the first 6 months, then every 6 months
D. Every other year - ANSWER: B. Every 6 months for the first year, then
annually
Which of the following would exclude oral appliance therapy as a first treatment
trial for OSA?
A. Xerostomia
B. Edentulism
C. Micrognathia
D. Steep mandibular plane angle - ANSWER: B. Edentulism
Reviewing your patient's diagnostic polysomnogram, you note more than a 50%
epoch consists of alpha waves. According to the current PSG scoring guidelines,
the patient is in which stage of sleep?
,2|P a g e
A. Stage I NREM
B. Stage II NREM
C. Stage III NREM
D. Stage REM - ANSWER: A. Stage I NREM
A patient presents for an evaluation to determine their candidacy for an oral
appliance to treat their mild OSA. During your examination, you note the presence
of TMD. This might include the following:
A. Pain in the TMJ
B. Pain in the muscles of mastication
C. Anomalies in mandibular movement
D. All of the above - ANSWER: D. All of the above
The qualified dentist designation (QDD) came about in response to the 2015
practice guidelines paper recommending that physicians refer patients to dentists
"qualified" to treat sleep related breathing disorders. This was based upon
recognition of which of the following?
A. Older dentists have more experience than younger dentists
B. All dentists have the skills they need to deliver knowledgeable care
C. Oral appliance efficacy data collected in studies is obtained by dentist with
extensive clinical experience
D. Training in dental schools on oral appliance therapy has become common place
- ANSWER: C. Oral appliance efficacy data collected in studies is obtained by
dentist with extensive clinical experience
,3|P a g e
The 2015 Practice Guidelines created through cooperative effort of the AASM and
AADSM suggest a physician should seek collaboration with a qualified dentist,
described as someone who has at least:
A. Board certification
B. Facility accreditation
C. Completion of a 1 yr residency in dental sleep medicine
D. Additional training or experience in dental sleep medicine - ANSWER: D.
Additional training or experience in dental sleep medicine
An understanding of loop gain is important to the clinical practice of dental sleep
medicine because:
A. It excludes the possibility of cheyne stokes breathing in patients with severe
OSA
B. It is the basis of the Mallampati classification system
C. It defines the number of sequential obstructive apneas in an epoch
D. It contributes to the multifactorial nature of sleep related breathing disorders -
ANSWER: D. It contributes to the multifactorial nature of sleep related breathing
disorders
With regards to biomechanical properties of the upper airway, which statement is
true?
A. Sleep apnea patients paralyzed during general anesthesia (neural drive removed)
demonstrated airway compliance similar to healthy subjects
B. Sleep apnea patients had more negative closing pressures
C. Sleep apnea patients demonstrate a more positive Pcrit
, 4|P a g e
D. There is no correlation between collapsibility when awake and collapsibility
when asleep - ANSWER: C. Sleep apnea patients demonstrate a more positive
Pcrit
Tagged MRI recently showed 3 patterns of tissue formation during mandibular
advancement. Which of these was NOT observed?
A. The whole tongue moved forward "en bloc"
B. Only the superior posterior portion of the tongue moved forward
C. The posterior tongue did not move, but the whole tongue elongated
D. Only the inferior posterior portion of the tongue moved forward - ANSWER:
B. Only the superior posterior portion of the tongue moved forward
In Van Heasendonck's 2015 systematic review of oral appliance health benefits,
mean disease alleviation was calculated using the following:
A. An embedded microsensor
B. A highly compliant patient population
C. Patient's diaries of hours of nightly device use
D. Patient's attestations to hours of nightly device use - ANSWER: A. An
embedded microsensor
Caffeine promotes wakefulness by suppressing or blocking:
A. Thyroid stimulating hormone
B. Growth hormone
C. Orexin
