Jcsm Aasm Pap Titration Guidelines Updated Actual Questions And Correct Answers

JCSM AASM PAP TITRATION GUIDELINES UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS

Question:
1. 4.1.2 Recording the airflow signal generated by the pap device or estimating airflow by measurement of
the _________ using a ____________ are acceptable methods for detecting apneas or hypopneas.
Answer:
pressure difference between the mask and the outlet of the machine; pressure transducer with or without
square root transformation of the signal

Question:
2. 4.1.3 Nasal airflow obtained from a ____________ placed under the pap mask is or is not an acceptable
method for detecting apneas or hypopneas (consensus).
Answer:
thermistor or thermocouple; is not

Question:
3. 4.1.4 Respiratory effort-related arousals may be estimated by ______________ associated with an
arousal when airflow changes do not meet criteria for apneas or hypopneas (consensus).
Answer:
flattening of the inspiratory airflow profile

Question:
4. 4.1.5 Sawtooth patterns in the _______________ are acceptable methods for detecting snoring
(consensus).
Answer:
unfiltered airflow or mask pressure tracings and/or detection of vibration by piezoelectric transducers or
microphones applied to the neck

Question:
5. 4.2.1.2 The recommended minimum starting CPAP should be _________ in pediatric and adult patients
(consensus).
Answer:
4 cm H2O

Question:
6. 4.2.1.3 The recommended maximum CPAP should be _______ for patients <12 years and __________
for patients e 12 years (consensus).
Answer:
15 cm H2O; 20 cm H2O

Question:
7. 4.2.1.4 Methodology to determine CPAP a priori has insufficient evidence, although a higher starting
CPAP may be selected for patients with an _________________ (consensus).

, Answer:
elevated body mass index and for re-titration studies

Question:
8. 4.2.2.1 CPAP should be increased by at least ___________ with an interval no shorter than ___ min,
with the goal of eliminating _________ respiratory events (consensus).
Answer:
1 cm H2O; 5; obstructive

Question:
9. 4.2.2.2 CPAP should be increased (according to the criterion in recommendation 4.2.2.1) if at least ___
obstructive apnea is observed for patients <12 years or if at least ___ obstructive apneas are observed for
patients e 12 years (consensus).
Answer:
1; 2

Question:
10. 4.2.2.3 CPAP should be increased (according to the criterion in recommendation 4.2.2.1) if at least ___
hypopnea is observed for patients <12 years or if at least ___ hypopneas are observed for patients e 12
years (consensus).
Answer:
1; 3

Question:
11. 4.2.2.4 CPAP should be increased (according to the criterion recommendation 4.2.2.1) if at least ___
RERAs are observed for patients <12 years or if at least ___ RERAs are observed for patients e 12 years
(consensus).
Answer:
3; 5

Question:
12. 4.2.2.5 CPAP may be increased (according to the criterion in recommendation 4.2.2.1) if at least ___
min of loud or unambiguous snoring is observed for patients <12 years or if at least ___ min of loud or
unambiguous snoring are observed for patients e 12 years (consensus).
Answer:
1; 3

Question:
13. 4.2.2.6 "Exploration" of CPAP above the pressure at which control of abnormalities in respiratory
parameters is achieved should not exceed ___ cm H2O (consensus).
Answer:
5

Question:
14. 4.2.2.7 If the patient awakens and complains that the pressure is too high, the pressure should
be___________, chosen as one that the patient reports is ___________ (consensus).