RPSGT EXAM @ 2023
Adult Mild RDI - Answer 5 to < 15
Adult Moderate RDI - Answer 15 to 30
Adult Severe RDI - Answer more than 30
Child Mild RDI - Answer 1 to < 5
Child Moderate RDI - Answer 5 to < 10
Child Severe RDI - Answer more than 10
Reason for PAP Titration Referral - Answer Diagnosis of OSA during a PSG
(polysomnogram)
Adult Minimum CPAP Pressure - Answer 4cm H2O
Adult Maximum CPAP Pressure - Answer 20cm H2O
Child Minimum CPAP Pressure - Answer 4cm H2O
Child Maximum CPAP Pressure - Answer 15cm H2O
Increase pressure by minimum of ______ no less than _____minute interval - Answer
1cm, 5min
Increase Pressure by minimum of 1cm with CHILDREN when Patient shows______(list) -
Answer 1 Obstructive Apnea, 1 Hypopnea, 3 RERAs, 1min of Loud snoring
Increase Pressure by a minimum of 1cm with ADULTS when patient shows_____(list) -
Answer 2 Obstructive Apnea, 3 Hypopnea, 5 RERAs, 3 min of Loud snoring
OPTIMAL RDI with CPAP - Answer Less than 5 per hour
OPTIMAL SpO2 with CPAP - Answer Above 90%
OPTIMAL Postion, Sleep Stage, Behavior (list) - Answer Supine Position, REM Sleep, No
Spontaneous arousals or awakenings
ADEQUATE RDI with CPAP - Answer 10 or more but 75% less than baseline
ADEQUATE CPAP Titration (short answer) - Answer Same Goals as good as optimal but
was not recorded in REM sleep in supine position.
GOOD RDI with CPAP - Answer less than 10 or 50% less than baseline if RDI is less than
,15
GOOD SpO2 with CPAP - Answer above 90%
GOOD Position, Sleep Stage, Behavior with CPAP - Answer Supine Position, REM Sleep,
No Spontaneous arousals or awakenings
Reason to repeat Titration - Answer Does not meet any of the Optimal, Good, or Adequate
requirements
When to switch to Bi-PAP (short answer) - Answer When PT is uncomfortable or
intolerant of High pressure, When Respiratory Events continue with 15cm
Starting Bi-PAP pressure (child and adult) - Answer IPAP-8cm , EPAP-4cm
Max IPAP for CHILD - Answer 20cm
Minimum I/E PAP Difference for CHILD - Answer 4cm
Maximum I/E PAP Difference for CHILD - Answer 10cm
Max IPAP for ADULT - Answer 30cm
Minimum I/E PAP Difference for ADULT - Answer 4cm
Maximum I/E PAP Difference for ADULT - Answer 10cm
Increase both I/E PAP by a minimum of 1cm if CHILD has - Answer 1 Obstructive Apnea
within 5 or more mins
Increase both I/E PAP by a minimum of 1cm if ADULT has - Answer 2 Obstructive Apnea
within 5 or more mins
Reasons to Increase IPAP only in CHILD (list) - Answer 1 hypopnea, 3 RERAs, 1min of
loud snoring
Reasons to Increase IPAP only in ADULT (list) - Answer 3 hypopnea, 5 RERAs, 3 min of
loud snoring
Bi-PAP Optimal, Good, Adequate Titration - Answer Same Parameters as CPAP
Supplemental O2 recommended when PT is (short answer) - Answer when SpO2 is less
than 88% for 5mins of longer while patient is awake
Location to connect O2 on CPAP Equipment (short answer) - Answer Connect through
CPAP Tubing by use of adapter or T connector
Recommended starting rate for O2 - Answer 1 L/min
rate of O2 increase (short answer) - Answer Increase 1 L/min with 15 min intervals until pt
is with in 88%-94% SpO2
, reason to lower O2 (short answer) - Answer When CPAP/Bi-PAP pressure in Increased.
Split -Night studies (list/ short answer) - Answer more than 3 hours of Titration time,
Should not be performed on children (<12yo), pressure increase with minimum of 2cm
with interval of 5 min or more
TST: Total Sleep Time - Answer Time in minutes and/or # of epochs of Sleep (not
including WASO, Arousals, and TNR)
TRT: Total Recording Time - Answer Time in mins Lights out - Lights on
Sleep Latency - Answer Time from Lights out to the first epoch of sleep
Stage R Latency - Answer Time from Sleep onset to the first epoch of REM
WASO: Wake After Sleep Onset - Answer Time(mins) the patient is wake after AFTER
sleep onset. including time not connected/recorded. WASO= TRT-SL-TST
Sleep Efficiency Percent - Answer TST/TRT x 100
Time in each stage - Answer # of epochs and mins
Percent of TST in each stage - Answer Time in stage(n1,n2,n3,R)/TST x 100
Arousal Index - Answer #of arousals x 60 / TST
Heart Rate - Answer Average BPM, Highest during sleep, Highest during TRT
Bradycardia - Answer If reported; Lowest BPM during TRT
Types of Tachycardia - Answer -Sinus tachycardia
-Narrow complex tachycardia
-Wide complex tachycardia
Atrial Fibrillation - Answer Report average BPM
Arrhythmias - Answer List types of arrhythmias
Movement events - Answer - # PLMS and PLMS with arousal
- PLMS and PLMArI index ( # of events x 60 / TST)
Asystole - Answer Pauses for 3 seconds or longer between heart beats
Respiratory Events - Answer # of; Apneas (Ob,C,M), Hypopneas (Ob,C), RERAs
Apnea Index - Answer AI; (# obstructive apneas + # central apneas + # mixed apneas) ×
60 / TST)
Hypopnea Index - Answer HI; (# hypopneas × 60 / TST)
Adult Mild RDI - Answer 5 to < 15
Adult Moderate RDI - Answer 15 to 30
Adult Severe RDI - Answer more than 30
Child Mild RDI - Answer 1 to < 5
Child Moderate RDI - Answer 5 to < 10
Child Severe RDI - Answer more than 10
Reason for PAP Titration Referral - Answer Diagnosis of OSA during a PSG
(polysomnogram)
Adult Minimum CPAP Pressure - Answer 4cm H2O
Adult Maximum CPAP Pressure - Answer 20cm H2O
Child Minimum CPAP Pressure - Answer 4cm H2O
Child Maximum CPAP Pressure - Answer 15cm H2O
Increase pressure by minimum of ______ no less than _____minute interval - Answer
1cm, 5min
Increase Pressure by minimum of 1cm with CHILDREN when Patient shows______(list) -
Answer 1 Obstructive Apnea, 1 Hypopnea, 3 RERAs, 1min of Loud snoring
Increase Pressure by a minimum of 1cm with ADULTS when patient shows_____(list) -
Answer 2 Obstructive Apnea, 3 Hypopnea, 5 RERAs, 3 min of Loud snoring
OPTIMAL RDI with CPAP - Answer Less than 5 per hour
OPTIMAL SpO2 with CPAP - Answer Above 90%
OPTIMAL Postion, Sleep Stage, Behavior (list) - Answer Supine Position, REM Sleep, No
Spontaneous arousals or awakenings
ADEQUATE RDI with CPAP - Answer 10 or more but 75% less than baseline
ADEQUATE CPAP Titration (short answer) - Answer Same Goals as good as optimal but
was not recorded in REM sleep in supine position.
GOOD RDI with CPAP - Answer less than 10 or 50% less than baseline if RDI is less than
,15
GOOD SpO2 with CPAP - Answer above 90%
GOOD Position, Sleep Stage, Behavior with CPAP - Answer Supine Position, REM Sleep,
No Spontaneous arousals or awakenings
Reason to repeat Titration - Answer Does not meet any of the Optimal, Good, or Adequate
requirements
When to switch to Bi-PAP (short answer) - Answer When PT is uncomfortable or
intolerant of High pressure, When Respiratory Events continue with 15cm
Starting Bi-PAP pressure (child and adult) - Answer IPAP-8cm , EPAP-4cm
Max IPAP for CHILD - Answer 20cm
Minimum I/E PAP Difference for CHILD - Answer 4cm
Maximum I/E PAP Difference for CHILD - Answer 10cm
Max IPAP for ADULT - Answer 30cm
Minimum I/E PAP Difference for ADULT - Answer 4cm
Maximum I/E PAP Difference for ADULT - Answer 10cm
Increase both I/E PAP by a minimum of 1cm if CHILD has - Answer 1 Obstructive Apnea
within 5 or more mins
Increase both I/E PAP by a minimum of 1cm if ADULT has - Answer 2 Obstructive Apnea
within 5 or more mins
Reasons to Increase IPAP only in CHILD (list) - Answer 1 hypopnea, 3 RERAs, 1min of
loud snoring
Reasons to Increase IPAP only in ADULT (list) - Answer 3 hypopnea, 5 RERAs, 3 min of
loud snoring
Bi-PAP Optimal, Good, Adequate Titration - Answer Same Parameters as CPAP
Supplemental O2 recommended when PT is (short answer) - Answer when SpO2 is less
than 88% for 5mins of longer while patient is awake
Location to connect O2 on CPAP Equipment (short answer) - Answer Connect through
CPAP Tubing by use of adapter or T connector
Recommended starting rate for O2 - Answer 1 L/min
rate of O2 increase (short answer) - Answer Increase 1 L/min with 15 min intervals until pt
is with in 88%-94% SpO2
, reason to lower O2 (short answer) - Answer When CPAP/Bi-PAP pressure in Increased.
Split -Night studies (list/ short answer) - Answer more than 3 hours of Titration time,
Should not be performed on children (<12yo), pressure increase with minimum of 2cm
with interval of 5 min or more
TST: Total Sleep Time - Answer Time in minutes and/or # of epochs of Sleep (not
including WASO, Arousals, and TNR)
TRT: Total Recording Time - Answer Time in mins Lights out - Lights on
Sleep Latency - Answer Time from Lights out to the first epoch of sleep
Stage R Latency - Answer Time from Sleep onset to the first epoch of REM
WASO: Wake After Sleep Onset - Answer Time(mins) the patient is wake after AFTER
sleep onset. including time not connected/recorded. WASO= TRT-SL-TST
Sleep Efficiency Percent - Answer TST/TRT x 100
Time in each stage - Answer # of epochs and mins
Percent of TST in each stage - Answer Time in stage(n1,n2,n3,R)/TST x 100
Arousal Index - Answer #of arousals x 60 / TST
Heart Rate - Answer Average BPM, Highest during sleep, Highest during TRT
Bradycardia - Answer If reported; Lowest BPM during TRT
Types of Tachycardia - Answer -Sinus tachycardia
-Narrow complex tachycardia
-Wide complex tachycardia
Atrial Fibrillation - Answer Report average BPM
Arrhythmias - Answer List types of arrhythmias
Movement events - Answer - # PLMS and PLMS with arousal
- PLMS and PLMArI index ( # of events x 60 / TST)
Asystole - Answer Pauses for 3 seconds or longer between heart beats
Respiratory Events - Answer # of; Apneas (Ob,C,M), Hypopneas (Ob,C), RERAs
Apnea Index - Answer AI; (# obstructive apneas + # central apneas + # mixed apneas) ×
60 / TST)
Hypopnea Index - Answer HI; (# hypopneas × 60 / TST)
