Core Topic 1: Sleep-Disordered Breathing & OAT
Overview:
Sleep-Disordered Breathing (SDB) includes OSA, CSA, and UARS. This chapter focuses on clinical
recognition, diagnostic workup, and treatment modalities.
Details:
- OSA Pathophysiology: Airway collapse, risk factors, obesity, anatomical predispositions.
- PSG Interpretation: Understanding AHI, RERA, SpO2 nadir, sleep stages (N1, N2, N3, REM).
- Oral Appliance Types: Mandibular advancement devices, tongue retaining devices.
- Titration and Follow-up: Sleep testing post-OAT initiation, symptom review, side effect management.
- Documentation: Include baseline AHI, device specs, titration notes, and follow-up strategy.
Case Scenario:
Q: A 52-year-old male with an AHI of 24 presents with moderate OSA. He refuses CPAP. An MAD is
fabricated. Follow-up shows AHI reduced to 6 with improved symptoms. Next step?
Answer: Continue current therapy and schedule annual reassessments. Discuss potential TMJ side effects.
Page 1
, ABDSM Final Exam Study Guide - 2024 Updated
Core Topic 2: Sleep-Disordered Breathing & OAT
Overview:
Sleep-Disordered Breathing (SDB) includes OSA, CSA, and UARS. This chapter focuses on clinical
recognition, diagnostic workup, and treatment modalities.
Details:
- OSA Pathophysiology: Airway collapse, risk factors, obesity, anatomical predispositions.
- PSG Interpretation: Understanding AHI, RERA, SpO2 nadir, sleep stages (N1, N2, N3, REM).
- Oral Appliance Types: Mandibular advancement devices, tongue retaining devices.
- Titration and Follow-up: Sleep testing post-OAT initiation, symptom review, side effect management.
- Documentation: Include baseline AHI, device specs, titration notes, and follow-up strategy.
Case Scenario:
Q: A 52-year-old male with an AHI of 24 presents with moderate OSA. He refuses CPAP. An MAD is
fabricated. Follow-up shows AHI reduced to 6 with improved symptoms. Next step?
Answer: Continue current therapy and schedule annual reassessments. Discuss potential TMJ side effects.
Page 2
, ABDSM Final Exam Study Guide - 2024 Updated
Core Topic 3: Sleep-Disordered Breathing & OAT
Overview:
Sleep-Disordered Breathing (SDB) includes OSA, CSA, and UARS. This chapter focuses on clinical
recognition, diagnostic workup, and treatment modalities.
Details:
- OSA Pathophysiology: Airway collapse, risk factors, obesity, anatomical predispositions.
- PSG Interpretation: Understanding AHI, RERA, SpO2 nadir, sleep stages (N1, N2, N3, REM).
- Oral Appliance Types: Mandibular advancement devices, tongue retaining devices.
- Titration and Follow-up: Sleep testing post-OAT initiation, symptom review, side effect management.
- Documentation: Include baseline AHI, device specs, titration notes, and follow-up strategy.
Case Scenario:
Q: A 52-year-old male with an AHI of 24 presents with moderate OSA. He refuses CPAP. An MAD is
fabricated. Follow-up shows AHI reduced to 6 with improved symptoms. Next step?
Answer: Continue current therapy and schedule annual reassessments. Discuss potential TMJ side effects.
Page 3
, ABDSM Final Exam Study Guide - 2024 Updated
Core Topic 4: Sleep-Disordered Breathing & OAT
Overview:
Sleep-Disordered Breathing (SDB) includes OSA, CSA, and UARS. This chapter focuses on clinical
recognition, diagnostic workup, and treatment modalities.
Details:
- OSA Pathophysiology: Airway collapse, risk factors, obesity, anatomical predispositions.
- PSG Interpretation: Understanding AHI, RERA, SpO2 nadir, sleep stages (N1, N2, N3, REM).
- Oral Appliance Types: Mandibular advancement devices, tongue retaining devices.
- Titration and Follow-up: Sleep testing post-OAT initiation, symptom review, side effect management.
- Documentation: Include baseline AHI, device specs, titration notes, and follow-up strategy.
Case Scenario:
Q: A 52-year-old male with an AHI of 24 presents with moderate OSA. He refuses CPAP. An MAD is
fabricated. Follow-up shows AHI reduced to 6 with improved symptoms. Next step?
Answer: Continue current therapy and schedule annual reassessments. Discuss potential TMJ side effects.
Page 4