NEW RPSGT EXAM- 2018 Study Guide
and Practice Test-Graded A
Wash out CO2 and prevent rebreathing - ANS-The purpose of an intentional mask leak
is to...
Cheyne Stokes and central Apneas have not been eliminated. - ANS-Recommended
guidelines state that HSV can be considered when....
The swallowing of air - ANS-What is aerophagia?
Treatment that involves cutting and advancing the upper and lower jaw bones; enlarging
and stabilizing the posterior airway. - ANS-What is maxillomandibular advancement?
To eliminate desaturations and arousals. - ANS-What is the PRIMARY function of the
EPAP setting?
1 - ANS-According to guidelines, how many Hypopneas need to occur in peds pts prior
to increasing pressure?
1lmp during PAP titration when SPO2 is less than or equal to 88% for 5 or more
minutes and in the absence of obstructive events. - ANS-What are the AASM guidelines
for supplemental O2 during PAP studies?
IPAP: 14
EPAP: 10 - ANS-If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still
occur at 16cm, what levels of BiLevel should be used?
Alcohol: impairs arousal response which can lead to longer than normal events and
severe desats. Inhibits upper airway activity - ANS-Which of the following can reduce
the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti depressants.
Overlap syndrome - ANS-What syndrome would a pt with COPD and OSA have?
Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood. - ANS-What are hypoxemia and hypercapnia?
Hypoventilation - ANS-What would a patient with both hypoxemia and hypercapnia most
likely be diagnosed with?
,Measure patients ability to resist the urge to fall asleep - ANS-What is an MWT's MOST
important use?
REM sleep behavior disorder - ANS-Tricyclic antidepressants, large amounts of caffeine
and large amounts of chocolate have been known to trigger what?
5k ohms - ANS-Recommended impedance for eeg and eog
Sampling rate - ANS-The amount of space needed to archive digitized data is MOST
impacted by?
Spontaneous arousal - ANS-Cortical activity is best described as
11 - ANS-Calculate the AHI based on the following data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep
.5 - ANS-According to RECOMMENDED guidelines, the minimum duration of a
significant leg movement is
Occurrence of hypoventilation during the diagnostic study in adult - ANS-According to
RECOMMENDED guidelines, an optional parameter to include in the report for an adult
polysomnogram is
Obstructive hypopnea - ANS-The respiratory event that requires oxygen desaturation
and/ or an arousal as part of the scoring criteria is
Atrial fibrillation - ANS-An ECG arrhythmia commonly seen when recording PSG's,
particularly in patients that have obstructive sleep apnea and cardiac disease. It can be
identified by the morphology of an irregularly irregular ventricular rhythm associated with
replacement of consistent P waves by rapid oscillations that vary in size, shape, and
timing
The stage that is the greatest portion of the epoch - ANS-The stage that is the greatest
portion of the epoch
Provide the patient with educational material about sleep apnea - ANS-What is the best
response when a patient asks the technologist if they have sleep apnea and will need to
wear a CPAP mask?
,Untreated depression - ANS-Which of the following is the MOST LIKELY cause of a 35
minute REM latency
Cheyne Stokes respiration - ANS-A breathing pattern characterized by at least three
cycles of crescendo breathing with duration of at least 10 minutes is
Confirm accuracy of report components - ANS-An important responsibility of the scoring
tech is to
Physiological - ANS-Which type of calibration is based on a series of patient instructions
intended to verify the signal response and quality
Measure the patient's ability to resist the urge to fall asleep - ANS-The most important
reason for performing a MWT is to
Minimize aliasing effect - ANS-The importance of selecting sampling rates according to
RECOMMENDED guidelines is to
Obesity hypoventilation - ANS-The syndrome characterized by prolonged episodes of
severe hypoxemia and associated PaCO2 elevation that worsens during sleep is
REM Sleep Behavior Disorder - ANS-The patient's medical history indicates the patient
has been taking tricyclic antidepressants for the past 5 years. The technologist should
anticipate that the patient may have an increased likelihood of
500Hz - ANS-According to RECOMMENDED guidelines, the sampling rate to provide
the optimal resolution for recording EEG in a patient with suspected nocturnal seizure is
C3 - ANS-The electrode located 30% above the left pre-a crease is
Had REM on at least two nap opportunities - ANS-According to RECOMMENDED
guidelines, four nap opportunities on a MSLT would be acceptable when the patient
COPD AND OSA - ANS-A patient's history indicates a diagnosis of overlap syndrome.
The tech can anticipate that the patient has
END-TIDAL CO2 - ANS-ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF
THE FOLLOWING SHOULD BE INCLUDED WHEN RECORDING PEDIATRIC
PATIENTS
SYSTEM REFERENCING - ANS-THE ABILITY TO REMONTAGE WHILE
RECORDING ON DIGITAL EQUIPMENT IS THE RESULT OF
HYPOXEMIA AND HYPERCAPNIA - ANS-WHEN REVIEWING A PATIENT'S
HISTORY IN PREPARATION FOR A POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS
SUGGESTIVE OF HYPOVENTILATION INCLUDE
, DECREASE SENSITIVITY - ANS-WHEN THE AMPLITUDE OF A SIGNAL EXCEEDS
THE PHYSICAL LIMITATIONS OF A CHANNEL THE MOST IMPORTANT
ADJUSTMENT THE TECH CAN MAKE TO OPTIMIZE WAVEFORM DISPLAY IS TO
RELY ON F3-M2 - ANS-WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE
F4-M1 ELECTRODES DURING REM SLEEP THE BEST IMMEDIATE ACTION
WOULD BE TO
SUNDOWNING - ANS-A PATIENT WITH MILD DEMENTIA BECOMES MORE
CONFUSED AND/OR AGITATED IN THE EARLY EVENING. THE PATIENT IS MOST
LIKELY EXPERIENCING
PULSE OXIMETRY - ANS-THE MOST COMMON METHOD TO MONITOR BLOOD
OXYGEN SATURATION DURING POLYSOMNOGRAPHY IS
INITIATE EMERGENCY RESPONSE SYSTEM - ANS-THE MOST APPROPRIATE
ACTION A TECHNOLOGIST WOULD TAKE WHEN THERE IS CONFIRMED
VENTRICULAR TACHYCARDIA GREATER THAN 30 SECONDS IS
CALL THE PHYSICIAN FOR CONFIRMATION - ANS-A PATIENT'S CHART
INDICATES THAT THEY USE 30 L/MIN OF OXYGEN AT HOME. THE TECH NOTES
THAT THE PHYSICIAN'S ORDERS FOR THE PSG SPECIFIES THE STUDY
WITHOUT SUPPLEMENTAL OXYGEN AND TO ADD 1.0 L/MIN OXYGEN IF THE
SATURATION IS LESS THAN 89%. THE BEST ACTION FOR THE TECH IS TO
INCREASED SLEEP LATENCY - ANS-WHICH OF THE FOLLOWING IS THE MOST
LIKELY EFFECT OF ZOLPIDEM AND ZALEPLON ON SLEEP ARCHITECTURE
THERE IS POTENTIAL FOR ELECTRODE CONTAMINATION - ANS-WHICH OF THE
FOLLOWING BEST DESCRIBES A REFERENTIAL MONTAGE
ORONASAL THERMAL SENSOR - ANS-ACCORDING TO RECOMMENDED
GUIDELINES, THE DEVICE THAT SHOULD BE USED TO MONITOR AIRFLOW AND
DETECT APNEA DURING A DIAGNOSTIC STUDY IS
SOAKING IN 1: 10 BLEACH AND WATER FOR 10 MIN. - ANS-WHICH PROCESS
WOULD BE AN ADEQUATE ROUTINE FOR DISINFECTING CUP ELECTRODES
AFTER REMOVING ADHESIVE RESIDUE, GEL AND ORGANIC MATERIAL, AND
WASHING IN WARM WATER AND MILD DETERGENT
POSITION CHANGES - ANS-WHICH OF THE FOLLOWING WOULD BE MOST
IMPORTANT TO DOCUMENT DURING A POLYSOMNOGRAM
MONTAGE - ANS-THE ELECTRODE ARRAY USED FOR RECORDING
PHYSIOLOGIC ACTIVITY IS REFERRED TO AS
and Practice Test-Graded A
Wash out CO2 and prevent rebreathing - ANS-The purpose of an intentional mask leak
is to...
Cheyne Stokes and central Apneas have not been eliminated. - ANS-Recommended
guidelines state that HSV can be considered when....
The swallowing of air - ANS-What is aerophagia?
Treatment that involves cutting and advancing the upper and lower jaw bones; enlarging
and stabilizing the posterior airway. - ANS-What is maxillomandibular advancement?
To eliminate desaturations and arousals. - ANS-What is the PRIMARY function of the
EPAP setting?
1 - ANS-According to guidelines, how many Hypopneas need to occur in peds pts prior
to increasing pressure?
1lmp during PAP titration when SPO2 is less than or equal to 88% for 5 or more
minutes and in the absence of obstructive events. - ANS-What are the AASM guidelines
for supplemental O2 during PAP studies?
IPAP: 14
EPAP: 10 - ANS-If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still
occur at 16cm, what levels of BiLevel should be used?
Alcohol: impairs arousal response which can lead to longer than normal events and
severe desats. Inhibits upper airway activity - ANS-Which of the following can reduce
the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti depressants.
Overlap syndrome - ANS-What syndrome would a pt with COPD and OSA have?
Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood. - ANS-What are hypoxemia and hypercapnia?
Hypoventilation - ANS-What would a patient with both hypoxemia and hypercapnia most
likely be diagnosed with?
,Measure patients ability to resist the urge to fall asleep - ANS-What is an MWT's MOST
important use?
REM sleep behavior disorder - ANS-Tricyclic antidepressants, large amounts of caffeine
and large amounts of chocolate have been known to trigger what?
5k ohms - ANS-Recommended impedance for eeg and eog
Sampling rate - ANS-The amount of space needed to archive digitized data is MOST
impacted by?
Spontaneous arousal - ANS-Cortical activity is best described as
11 - ANS-Calculate the AHI based on the following data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep
.5 - ANS-According to RECOMMENDED guidelines, the minimum duration of a
significant leg movement is
Occurrence of hypoventilation during the diagnostic study in adult - ANS-According to
RECOMMENDED guidelines, an optional parameter to include in the report for an adult
polysomnogram is
Obstructive hypopnea - ANS-The respiratory event that requires oxygen desaturation
and/ or an arousal as part of the scoring criteria is
Atrial fibrillation - ANS-An ECG arrhythmia commonly seen when recording PSG's,
particularly in patients that have obstructive sleep apnea and cardiac disease. It can be
identified by the morphology of an irregularly irregular ventricular rhythm associated with
replacement of consistent P waves by rapid oscillations that vary in size, shape, and
timing
The stage that is the greatest portion of the epoch - ANS-The stage that is the greatest
portion of the epoch
Provide the patient with educational material about sleep apnea - ANS-What is the best
response when a patient asks the technologist if they have sleep apnea and will need to
wear a CPAP mask?
,Untreated depression - ANS-Which of the following is the MOST LIKELY cause of a 35
minute REM latency
Cheyne Stokes respiration - ANS-A breathing pattern characterized by at least three
cycles of crescendo breathing with duration of at least 10 minutes is
Confirm accuracy of report components - ANS-An important responsibility of the scoring
tech is to
Physiological - ANS-Which type of calibration is based on a series of patient instructions
intended to verify the signal response and quality
Measure the patient's ability to resist the urge to fall asleep - ANS-The most important
reason for performing a MWT is to
Minimize aliasing effect - ANS-The importance of selecting sampling rates according to
RECOMMENDED guidelines is to
Obesity hypoventilation - ANS-The syndrome characterized by prolonged episodes of
severe hypoxemia and associated PaCO2 elevation that worsens during sleep is
REM Sleep Behavior Disorder - ANS-The patient's medical history indicates the patient
has been taking tricyclic antidepressants for the past 5 years. The technologist should
anticipate that the patient may have an increased likelihood of
500Hz - ANS-According to RECOMMENDED guidelines, the sampling rate to provide
the optimal resolution for recording EEG in a patient with suspected nocturnal seizure is
C3 - ANS-The electrode located 30% above the left pre-a crease is
Had REM on at least two nap opportunities - ANS-According to RECOMMENDED
guidelines, four nap opportunities on a MSLT would be acceptable when the patient
COPD AND OSA - ANS-A patient's history indicates a diagnosis of overlap syndrome.
The tech can anticipate that the patient has
END-TIDAL CO2 - ANS-ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF
THE FOLLOWING SHOULD BE INCLUDED WHEN RECORDING PEDIATRIC
PATIENTS
SYSTEM REFERENCING - ANS-THE ABILITY TO REMONTAGE WHILE
RECORDING ON DIGITAL EQUIPMENT IS THE RESULT OF
HYPOXEMIA AND HYPERCAPNIA - ANS-WHEN REVIEWING A PATIENT'S
HISTORY IN PREPARATION FOR A POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS
SUGGESTIVE OF HYPOVENTILATION INCLUDE
, DECREASE SENSITIVITY - ANS-WHEN THE AMPLITUDE OF A SIGNAL EXCEEDS
THE PHYSICAL LIMITATIONS OF A CHANNEL THE MOST IMPORTANT
ADJUSTMENT THE TECH CAN MAKE TO OPTIMIZE WAVEFORM DISPLAY IS TO
RELY ON F3-M2 - ANS-WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE
F4-M1 ELECTRODES DURING REM SLEEP THE BEST IMMEDIATE ACTION
WOULD BE TO
SUNDOWNING - ANS-A PATIENT WITH MILD DEMENTIA BECOMES MORE
CONFUSED AND/OR AGITATED IN THE EARLY EVENING. THE PATIENT IS MOST
LIKELY EXPERIENCING
PULSE OXIMETRY - ANS-THE MOST COMMON METHOD TO MONITOR BLOOD
OXYGEN SATURATION DURING POLYSOMNOGRAPHY IS
INITIATE EMERGENCY RESPONSE SYSTEM - ANS-THE MOST APPROPRIATE
ACTION A TECHNOLOGIST WOULD TAKE WHEN THERE IS CONFIRMED
VENTRICULAR TACHYCARDIA GREATER THAN 30 SECONDS IS
CALL THE PHYSICIAN FOR CONFIRMATION - ANS-A PATIENT'S CHART
INDICATES THAT THEY USE 30 L/MIN OF OXYGEN AT HOME. THE TECH NOTES
THAT THE PHYSICIAN'S ORDERS FOR THE PSG SPECIFIES THE STUDY
WITHOUT SUPPLEMENTAL OXYGEN AND TO ADD 1.0 L/MIN OXYGEN IF THE
SATURATION IS LESS THAN 89%. THE BEST ACTION FOR THE TECH IS TO
INCREASED SLEEP LATENCY - ANS-WHICH OF THE FOLLOWING IS THE MOST
LIKELY EFFECT OF ZOLPIDEM AND ZALEPLON ON SLEEP ARCHITECTURE
THERE IS POTENTIAL FOR ELECTRODE CONTAMINATION - ANS-WHICH OF THE
FOLLOWING BEST DESCRIBES A REFERENTIAL MONTAGE
ORONASAL THERMAL SENSOR - ANS-ACCORDING TO RECOMMENDED
GUIDELINES, THE DEVICE THAT SHOULD BE USED TO MONITOR AIRFLOW AND
DETECT APNEA DURING A DIAGNOSTIC STUDY IS
SOAKING IN 1: 10 BLEACH AND WATER FOR 10 MIN. - ANS-WHICH PROCESS
WOULD BE AN ADEQUATE ROUTINE FOR DISINFECTING CUP ELECTRODES
AFTER REMOVING ADHESIVE RESIDUE, GEL AND ORGANIC MATERIAL, AND
WASHING IN WARM WATER AND MILD DETERGENT
POSITION CHANGES - ANS-WHICH OF THE FOLLOWING WOULD BE MOST
IMPORTANT TO DOCUMENT DURING A POLYSOMNOGRAM
MONTAGE - ANS-THE ELECTRODE ARRAY USED FOR RECORDING
PHYSIOLOGIC ACTIVITY IS REFERRED TO AS
