RPSGT BRPT Practice Exam 1 (2023/2024) Graded A

RPSGT BRPT Practice Exam 1 (2023/2024) Graded A According to RECOMMENDED guidelines for scoring arousals in adults, which of the following is the BEST statement? The 10 seconds of sleep required prior to scoring an arousal may begin in the preceding epoch, even if that epoch is scored as stage W 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines, what is the minimum and maximum pressure support for bilevel PAP? 4 cm H2O, 10 cm H2O 3 MULTIPLE CHOICE OPTIONS Which process would be an adequate routine procedure for disinfecting cup EEG electrodes after removing adhesive residue, gel, and organic material, and washing in warm water and mild detergent? Soaking in a 1:10 bleach and water solution for 10 minutes 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines for pediatric CPAP titrations, how many hypopneas must occur prior to increasing pressure? One 3 MULTIPLE CHOICE OPTIONS An important responsibility of the scoring technologist is to... Confirm accuracy of report components 3 MULTIPLE CHOICE OPTIONS An important responsibility of the recording technologist is to... Complete post-physiologic calibrations 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines for scoring stage N1 in adults, which of the following is required? Low amplitude, 4-7 Hz EEG activity 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines, which is a required characteristic for scoring rhythmic movement disorder? The maximum frequency is 2.0 Hz 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines, a requirement for scoring obstructive apneas in pediatric patients is... Apnea criteria is met for the length of 2 breaths and is associated with respiratory effort throughout this period 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines for scoring cardiac events in adults, which of the following is the BEST statement? Asystole is a cardiac pause for ≥3 seconds 3 MULTIPLE CHOICE OPTIONS Based on the PSG results below, what would be the BEST recommendation for a patient that is non-compliant and refuses to continue with PAP therapy? Overall AHI = 8 Overall REM AHI = 38 Supine REM AHI = 28 Supine NREM AHI = 21 Lateral NREM AHI = 1 Lateral REM = 3 Positional therapy 3 MULTIPLE CHOICE OPTIONS During a titration study, the patients apneas are eliminated at 10 cm H2O, but hypopneas and snoring continue at 16 cm H2O. According to RECOMMENDED guidelines, the appropriate pressures to begin a bilevel titration are... IPAP 14, EPAP 10 3 MULTIPLE CHOICE OPTIONS According to the RECOMMENDED guidelines for the titration of supplemental oxygen during PAP titration... Target SpO2 during titration should be between 88-94% 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines, adaptive servoventilation can be considered during a titration study when a down titration... Fails to eliminate Cheyne Stokes respiration or central emergent apneas 3 MULTIPLE CHOICE OPTIONS The purpose of intentional leak is to... Wash out CO2 and prevent rebreathing 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines, CPAP should be increased at an interval no less than... 5 minutes 3 MULTIPLE CHOICE OPTIONS The PRIMARY function of EPAP is to... Prevent upper airway occlusion 3 MULTIPLE CHOICE OPTIONS Which of the following is MOST likely to occur due to an improperly fitting PAP interface? Conjunctivitis 3 MULTIPLE CHOICE OPTIONS In patients with severe sleep-disordered breathing, the most commonly seen response resulting from successful PAP titration is... REM and slow wave rebound 3 MULTIPLE CHOICE OPTIONS During CPAP titration at 10 cm H2O, SpO2 values range between 80 and 85% for 10 minutes despite the absence of respiratory events. What is the BEST course of action for the technologist to take? Follow protocol for supplemental oxygen 3 MULTIPLE CHOICE OPTIONS During a CPAP titration at 15 cm H2O, the patient is restless and continues to have frequent obstructive respiratory events. The BEST course of action is to... Change PAP modality to bilevel 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines, what is the standard impedance for EEG? ≤5 kΩ 3 MULTIPLE CHOICE OPTIONS A patient is referred for sleep testing for evaluation of suspected idiopathic hypersomnia of central nervous system origin. This sleep disorder is characterized by... Excessive daytime sleepiness without REM onset sleep 3 MULTIPLE CHOICE OPTIONS The importance of sampling rates according to RECOMMENDED guidelines is to... Minimize aliasing effect 3 MULTIPLE CHOICE OPTIONS Which of the following BEST applies to referential montages? There is potential for electrode contamination 3 MULTIPLE CHOICE OPTIONS According to RECOMMENDED guidelines, the minimum duration of a significant leg movement is... 0.5 seconds 3 MULTIPLE CHOICE OPTIONS While reviewing the scoring report, the technologist noticed that the lowest SpO2 is listed as 0%. What should the technologist do next? Review the study and label bad data where the pulse oximeter failed 3 MULTIPLE CHOICE OPTIONS During a MSLT, how is sleep onset defined? The first 30-second epoch in which there is more than 15 seconds of cumulative sleep 3 MULTIPLE CHOICE OPTIONS In a referential montage, where can electrodes M1 & M2 be placed on the head? Either in the preauricular area behind the ear (recommended) or on the earlobes (acceptable) 3 MULTIPLE CHOICE OPTIONS True statements about the process of biocalibrations include all of the following EXCEPT... Biocalibrations are required only at the beginning of the study 3 MULTIPLE CHOICE OPTIONS Patients who suffer from frequent sinus infections should be advised not to wear which of the following masks? Nasal pillow masks 3 MULTIPLE CHOICE OPTIONS What is the recommended minimum/maximum differential for IPAP and EPAP settings during a BiPAP titration? 4-10 cm apart 3 MULTIPLE CHOICE OPTIONS An artifact that results from salt bridges is most likely caused by... All of these actions can result in salt bridges 3 MULTIPLE CHOICE OPTIONS Consuming alcohol before sleep is likely to have which effect on sleep architecture? Reduced sleep latency 3 MULTIPLE CHOICE OPTIONS Gloves should be used by a technologist when in contact with all of the following EXCEPT... Hair 3 MULTIPLE CHOICE OPTIONS Following proper prep swabbing, the skin at the prep site should be... Abraded and clear of debris 3 MULTIPLE CHOICE OPTIONS How often should sleep technologists participate in quality assurance reviews of their performance? Quarterly 3 MULTIPLE CHOICE OPTIONS If the patient has issues with mouth breathing while using a nasal-only mask, in which order should the technologist work to alleviate the problem? Increase heated humidity settings, offer a nasal spray for congestion, apply a chin strap, attempt to flex the comfort settings, and then switch to a full face mask 3 MULTIPLE CHOICE OPTIONS When faced with thick, bold, high-frequency artifacts in the EEG, what filter adjustments should be attempted first during troubleshooting? Turn the notch filter on 3 MULTIPLE CHOICE OPTIONS Which of the following EEG waveforms are in the correct order from the highest to lowest frequencies? Beta, alpha, theta, delta 3 MULTIPLE CHOICE OPTIONS An example of a sleep technologist acclimating a patient to the testing room includes which of the following? Explaining to the patient how to communicate with the technologist if assistance is needed 3 MULTIPLE CHOICE OPTIONS Using the following data, collected from the sleep study of a 42-year-old male patient, what is the patient's sleep efficiency? Event: Epoch #: Lights on 760 Lights out 25 Sleep onset 52 REM onset 272 Total wake 210 Total N1 35 Total N2 330 Total N3 55 Total REM 105 71.4% 3 MULTIPLE CHOICE OPTIONS At what age does the AASM begin considering a patient under adult scoring rules? ≥13 3 MULTIPLE CHOICE OPTIONS Is it possible to designate a patient as having hypoventilation without PaCO2 data? No, persistent SpO2 desaturations are not sufficient 3 MULTIPLE CHOICE OPTIONS During a BiPAP titration, acceptable changes to the settings when a patient begins having complex sleep apnea include which of the following? Change to a spontaneous-timed mode with a backup rate or reduce IPAP settings 3 MULTIPLE CHOICE OPTIONS Which of the following arrhythmias qualifies as a medical emergency? Third-degree atrioventricular block 3 MULTIPLE CHOICE OPTIONS The artifacts that are MOST likely to cause high-amplitude, low-frequency waves seen on the EEG are... Respiratory artifacts 3 MULTIPLE CHOICE OPTIONS