RPSGT EXAM 2 Questions
and Answers Latest Versions
2025 Graded A+
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)
, Obstructive apnea-hypopnea index (no centrals) - Answer OAHI; (# obstructive apneas +
# mixed apneas + # obstructive hypopneas) × 60 / TST)
Central apnea-hypopnea index (only centrals) - Answer CAHI; (# central apneas + #
central hypopneas) × 60 / TST)
RERA Index - Answer # of RERAs x 60 / TST
Respiratory Disturbance index - Answer RDI; (# apneas + # hypopneas + # RERAs) × 60 /
TST)
Oxygen Desaturation index - Answer # oxygen desaturations ≥3% or ≥4% × 60 / TST)
Oxygen saturation - Answer Mean value and Minimum during sleep
Types of breathing patterns - Answer - Hypoventilation with or without CPAP
- Cheyne-Stokes breathing (duration, or # of events)
- Periodic breathing (children only)
- Snoring
Narcolepsy - Answer Inability to maintain wakefulness/alertness during major waking
episodes of the day, occurring daily for at least 3 months
MSLT score of <5mins
Parasomnia - Answer Abnormal movements/behavior right before, during, after sleep, or
during transition into or out of sleep.
Hypersomnia - Answer Increased sleepiness during the day and prolonged nocturnal
sleep. PT will have intentional/non-intentional naps)
MSLT score of 5-10 mins
Hypnagogic Jerk - Answer simple Parasomnia;
Sudden, brief jerks of the whole body or on or more segments at sleep onset (sense of
falling)
Bruxism - Answer simple Parasomnia;
quick jerks or grinding movements in the muscles of mastication
Periodic limb movements of sleep (PLMS) - Answer simple Parasomnia;
repetitive movements occurring ever 5-90 seconds primarily during N-REM sleep. Does
not mean Person has RLS
Disorders of arousals - Answer N-REM complex Parasomnia;
and Answers Latest Versions
2025 Graded A+
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)
, Obstructive apnea-hypopnea index (no centrals) - Answer OAHI; (# obstructive apneas +
# mixed apneas + # obstructive hypopneas) × 60 / TST)
Central apnea-hypopnea index (only centrals) - Answer CAHI; (# central apneas + #
central hypopneas) × 60 / TST)
RERA Index - Answer # of RERAs x 60 / TST
Respiratory Disturbance index - Answer RDI; (# apneas + # hypopneas + # RERAs) × 60 /
TST)
Oxygen Desaturation index - Answer # oxygen desaturations ≥3% or ≥4% × 60 / TST)
Oxygen saturation - Answer Mean value and Minimum during sleep
Types of breathing patterns - Answer - Hypoventilation with or without CPAP
- Cheyne-Stokes breathing (duration, or # of events)
- Periodic breathing (children only)
- Snoring
Narcolepsy - Answer Inability to maintain wakefulness/alertness during major waking
episodes of the day, occurring daily for at least 3 months
MSLT score of <5mins
Parasomnia - Answer Abnormal movements/behavior right before, during, after sleep, or
during transition into or out of sleep.
Hypersomnia - Answer Increased sleepiness during the day and prolonged nocturnal
sleep. PT will have intentional/non-intentional naps)
MSLT score of 5-10 mins
Hypnagogic Jerk - Answer simple Parasomnia;
Sudden, brief jerks of the whole body or on or more segments at sleep onset (sense of
falling)
Bruxism - Answer simple Parasomnia;
quick jerks or grinding movements in the muscles of mastication
Periodic limb movements of sleep (PLMS) - Answer simple Parasomnia;
repetitive movements occurring ever 5-90 seconds primarily during N-REM sleep. Does
not mean Person has RLS
Disorders of arousals - Answer N-REM complex Parasomnia;
