ABDSM EXAM 2025/2026 /ACTUAL COMPLETE REAL EXAM
QUESTIONS WITH CORRECT DETAILED ANSWERS (VEIFIED
ANSWRS)/NEWEST UPDAT E!!
What are some predictors of poor outcomes after
tonsillectomy? - ANSWER--
High arched palate
- Delayed treatment
- Mallampati scores of III and IV
- High pre-treatment RDI
- Smaller mandibles
How does myofunctional therapy affect AHI in children v.
adults? – ANSWER-Reduces it by 50% in adults and 62% in
children
Does mouth taping affect OSA? - ANSWER-No - significant
affect on snoring though
What can rapid maxillary expansion do? - ANSWER-- Reduce
nasal obstruction
- Raise tongue posture
- Enlarges pharyngeal airway
- Normalizes hyoid bone position
,What are you predisposed to if you have habitual snoring +
insomnia? - ANSWER-Gestational HTN
What are you predisposed to if you have habitual snoring OR
insomnia - ANSWER-Babies being born large for gestational
age
Which of the following statements is TRUE regarding "arousal
threshold"?
A. A person with high arousal threshold is easily awakened
from sleep
B. Therapeutic strategies to raise arousal threshold could
benefit OSA patients who arouse easily from respiratory
loads
C. Therapeutic strategies to lower arousal threshold could
benefit OSA patients who arouse easily from respiratory
loads
D. Regardless of a patient's arousal threshold, arousal is
necessary for airway reopening after an apnea event -
ANSWER-B. Therapeutic strategies to raise arousal
threshold could benefit OSA patients who arouse easily
from respiratory loads
,Which of the following statements is TRUE regarding lung
volume?
A. During sleep, upper airway resistance increases as lung
volume is reduced
B. Reduced lung volume results in an increase in caudal
traction
C. Increased lung volume results in a more collapsible airway
D. There is no interaction between lung volume and
pharyngeal patency in non OSA patients - ANSWER-A.
During sleep, upper airway resistance increases as lung
volume is reduced
Which of the following factors would contribute to the
likelihood of a patient having OSA?
A. Reduced ventilatory response during an apneic arousal (low
loop gain)
B. Increased upper airway dilator muscle responsiveness
C. Increased arousal threshold
D. Increased upper airway surface tension - ANSWER-D.
Increased upper airway surface tension
, The underlying pathophysiology of OSA is multifactorial and
varies considerably between individuals. Which of the
following would be a reasonable targeted therapy?
A. Sedatives for individuals with low arousal thresholds
B. Supplemental oxygen for individuals with low loop gain
C. Sedatives for individuals with high arousal thresholds
D. Supplemental oxygen for individuals with stable ventilatory
control - ANSWER-A. Sedatives for individuals with low
arousal thresholds
A new patient presents with a class III anterior bite that she
believes was caused by use of an oral appliance for her
moderately severe OSA. She explains that she is CPAP
intolerant. You should immediately:
A. Refer the patient to an orthodontist
B. Advise the patient to discontinue her use of OAT
C. Ask the name of her treating DSM provider so you can make
a complaint to the state dental association
D. Gather subjective and objective data until you have enough
information to consider an assessment and plan - ANSWER-
D. Gather subjective and objective data until you have
enough information to consider an assessment and plan
QUESTIONS WITH CORRECT DETAILED ANSWERS (VEIFIED
ANSWRS)/NEWEST UPDAT E!!
What are some predictors of poor outcomes after
tonsillectomy? - ANSWER--
High arched palate
- Delayed treatment
- Mallampati scores of III and IV
- High pre-treatment RDI
- Smaller mandibles
How does myofunctional therapy affect AHI in children v.
adults? – ANSWER-Reduces it by 50% in adults and 62% in
children
Does mouth taping affect OSA? - ANSWER-No - significant
affect on snoring though
What can rapid maxillary expansion do? - ANSWER-- Reduce
nasal obstruction
- Raise tongue posture
- Enlarges pharyngeal airway
- Normalizes hyoid bone position
,What are you predisposed to if you have habitual snoring +
insomnia? - ANSWER-Gestational HTN
What are you predisposed to if you have habitual snoring OR
insomnia - ANSWER-Babies being born large for gestational
age
Which of the following statements is TRUE regarding "arousal
threshold"?
A. A person with high arousal threshold is easily awakened
from sleep
B. Therapeutic strategies to raise arousal threshold could
benefit OSA patients who arouse easily from respiratory
loads
C. Therapeutic strategies to lower arousal threshold could
benefit OSA patients who arouse easily from respiratory
loads
D. Regardless of a patient's arousal threshold, arousal is
necessary for airway reopening after an apnea event -
ANSWER-B. Therapeutic strategies to raise arousal
threshold could benefit OSA patients who arouse easily
from respiratory loads
,Which of the following statements is TRUE regarding lung
volume?
A. During sleep, upper airway resistance increases as lung
volume is reduced
B. Reduced lung volume results in an increase in caudal
traction
C. Increased lung volume results in a more collapsible airway
D. There is no interaction between lung volume and
pharyngeal patency in non OSA patients - ANSWER-A.
During sleep, upper airway resistance increases as lung
volume is reduced
Which of the following factors would contribute to the
likelihood of a patient having OSA?
A. Reduced ventilatory response during an apneic arousal (low
loop gain)
B. Increased upper airway dilator muscle responsiveness
C. Increased arousal threshold
D. Increased upper airway surface tension - ANSWER-D.
Increased upper airway surface tension
, The underlying pathophysiology of OSA is multifactorial and
varies considerably between individuals. Which of the
following would be a reasonable targeted therapy?
A. Sedatives for individuals with low arousal thresholds
B. Supplemental oxygen for individuals with low loop gain
C. Sedatives for individuals with high arousal thresholds
D. Supplemental oxygen for individuals with stable ventilatory
control - ANSWER-A. Sedatives for individuals with low
arousal thresholds
A new patient presents with a class III anterior bite that she
believes was caused by use of an oral appliance for her
moderately severe OSA. She explains that she is CPAP
intolerant. You should immediately:
A. Refer the patient to an orthodontist
B. Advise the patient to discontinue her use of OAT
C. Ask the name of her treating DSM provider so you can make
a complaint to the state dental association
D. Gather subjective and objective data until you have enough
information to consider an assessment and plan - ANSWER-
D. Gather subjective and objective data until you have
enough information to consider an assessment and plan
