RPSGT Exam with Complete Solutions
Review the study and label bad data where the pulse oximeter failed - ANS-While
reviewing the scoring report, the technologist noticed that the lowest SpO2 is listed as
0% what should the technologist do next?
The first 30-second epoch in which there is more than 15 seconds of comulative sleep -
ANS-During a multiple sleep latency test, how is sleep onset defined?
In the preauricular area behind the ear Or on the earlobes for patients with an
abundance of fat tissue or an exceptional EEG artifact - ANS-Where are the reference
electrodes M1 and M2 placed on the head?
Process of biocalibrations - ANS-1. The patient should be supine and still throughout
biocalibrations
2. The technologist notes should reflect the movements made by the. patient.
3. Nasal and oral breathing are done on the NPSGs only
Nasal-pillow masks - ANS-Patients who suffer from frequent sinus infections should be
advised not to wear which of the following masks?
4-10 Centimeters apart - ANS-what is the recommended minimum/maximum differential
for IPAP and EPAP settings during a BiPAP titration?
1. Call a member of the lab management team
2. Attempt to contact the ordering physician, and verify the medical intent.
3. Look through the patient's chart for evidence of a previous study. - ANS-The
physicians order indicate that the patient is in the lab for a CPAP titration study;
however, the patient insists he has never had a sleep study before. Solutions accepted
to resolve this situation are:
1. Sign a consent form
2. have PSG equipment attached to the body
3. remain connected to equipment for at least 6 hours - ANS-While in the sleep lab, a
patient has to do all of the following:
1. Incorrect measuring
2. Prepping too large an area
3.Allowing tape or gauze from different locations to make contact - ANS-An artifact that
results from salt bridges is most likely caused by:
, Alcoholic beverages before a sleep study affects the patient's sleep architecture - ANS-
1. Reduced sleep latency
2. Reduces or eliminates REM sleep entirely
3. Increases the amount of slow wave sleep
4. Increased arousals and wake times following sleep onset
- ANS-Which electrode site is found halfway between the inion and the nasion?
Less than or equal to 10 OHMS - ANS-Which impedance level is considered acceptable
for EMG channels, such as the limbs or chin?
The patient has a deviated septum - ANS-What condition would require a full face mask
or oral mask during a CPAP study?
Why is precise measurement of the head important for a PSG? - ANS-1. Artifacts can
be caused by improper placement of electrodes
2. Observation of important waveforms require precise electrode placement
3. It is important for the identification of sleep onset and specific sleep stages
Entering stage N1 sleep from the wake stage - ANS-1. There is a reduction in chin EMG
amplitude
2. The eyes roll gently
3. Alpha frequencies in occipital channels have reduced or stopped entirely
Tasks to be completed before beginning a PSG - ANS-1. The patient signs a consent
form
2. Biocalibrations are performed by the technologists
3. a pre-sleep questionnaire is completed by the patient
Reasons why a patient suffering from a seizure must be admitted to the hospital - ANS-
1. Breathing difficulties
2. persistently confused or unconscious
3. Sustains injuries during the seizure
Inside the gold cup - ANS-Where must the conductive paste be placed in relation to the
gold cup wire?
Blood, Non-intact skin and mucous membranes - ANS-Gloves should be used by the
technologist when in contact with all of the following:
Tidal volume - ANS-Average volume-assured pressure support focuses on maintaining
which aspect of the respiratory process?
Responding when a pt experiences a seizure - ANS-1. Remove any objects nearby that
could injure the patient
2. Avoid placing anything in the patient's mouth nor prying the mouth open
Review the study and label bad data where the pulse oximeter failed - ANS-While
reviewing the scoring report, the technologist noticed that the lowest SpO2 is listed as
0% what should the technologist do next?
The first 30-second epoch in which there is more than 15 seconds of comulative sleep -
ANS-During a multiple sleep latency test, how is sleep onset defined?
In the preauricular area behind the ear Or on the earlobes for patients with an
abundance of fat tissue or an exceptional EEG artifact - ANS-Where are the reference
electrodes M1 and M2 placed on the head?
Process of biocalibrations - ANS-1. The patient should be supine and still throughout
biocalibrations
2. The technologist notes should reflect the movements made by the. patient.
3. Nasal and oral breathing are done on the NPSGs only
Nasal-pillow masks - ANS-Patients who suffer from frequent sinus infections should be
advised not to wear which of the following masks?
4-10 Centimeters apart - ANS-what is the recommended minimum/maximum differential
for IPAP and EPAP settings during a BiPAP titration?
1. Call a member of the lab management team
2. Attempt to contact the ordering physician, and verify the medical intent.
3. Look through the patient's chart for evidence of a previous study. - ANS-The
physicians order indicate that the patient is in the lab for a CPAP titration study;
however, the patient insists he has never had a sleep study before. Solutions accepted
to resolve this situation are:
1. Sign a consent form
2. have PSG equipment attached to the body
3. remain connected to equipment for at least 6 hours - ANS-While in the sleep lab, a
patient has to do all of the following:
1. Incorrect measuring
2. Prepping too large an area
3.Allowing tape or gauze from different locations to make contact - ANS-An artifact that
results from salt bridges is most likely caused by:
, Alcoholic beverages before a sleep study affects the patient's sleep architecture - ANS-
1. Reduced sleep latency
2. Reduces or eliminates REM sleep entirely
3. Increases the amount of slow wave sleep
4. Increased arousals and wake times following sleep onset
- ANS-Which electrode site is found halfway between the inion and the nasion?
Less than or equal to 10 OHMS - ANS-Which impedance level is considered acceptable
for EMG channels, such as the limbs or chin?
The patient has a deviated septum - ANS-What condition would require a full face mask
or oral mask during a CPAP study?
Why is precise measurement of the head important for a PSG? - ANS-1. Artifacts can
be caused by improper placement of electrodes
2. Observation of important waveforms require precise electrode placement
3. It is important for the identification of sleep onset and specific sleep stages
Entering stage N1 sleep from the wake stage - ANS-1. There is a reduction in chin EMG
amplitude
2. The eyes roll gently
3. Alpha frequencies in occipital channels have reduced or stopped entirely
Tasks to be completed before beginning a PSG - ANS-1. The patient signs a consent
form
2. Biocalibrations are performed by the technologists
3. a pre-sleep questionnaire is completed by the patient
Reasons why a patient suffering from a seizure must be admitted to the hospital - ANS-
1. Breathing difficulties
2. persistently confused or unconscious
3. Sustains injuries during the seizure
Inside the gold cup - ANS-Where must the conductive paste be placed in relation to the
gold cup wire?
Blood, Non-intact skin and mucous membranes - ANS-Gloves should be used by the
technologist when in contact with all of the following:
Tidal volume - ANS-Average volume-assured pressure support focuses on maintaining
which aspect of the respiratory process?
Responding when a pt experiences a seizure - ANS-1. Remove any objects nearby that
could injure the patient
2. Avoid placing anything in the patient's mouth nor prying the mouth open
