New RPSGT Exam- Study Guide and Practice Test Questions with
100% Correct Answers
The purpose of an intentional mask leak is to... -
ANSWER -Wash out CO2 and prevent Which of the following can reduce the
rebreathing effectiveness of CPAP and why: Nasal spray,
Alcohol, Anti depressants. - ANSWER -
Alcohol: impairs arousal response which can lead
Recommended guidelines state that HSV can be to longer than normal events and severe desats.
considered when.... - ANSWER -Cheyne Inhibits upper airway activity
Stokes and central Apneas have not been
eliminated.
What syndrome would a pt with COPD and OSA
have? - ANSWER -Overlap syndrome
What is aerophagia? - ANSWER -The
swallowing of air
What are hypoxemia and hypercapnia? -
ANSWER -Hypoxemia: very low 02 in the
What is maxillomandibular advancement? - blood
ANSWER -Treatment that involves cutting Hypercapnia: very high CO2 in the blood.
and advancing the upper and lower jaw bones;
enlarging and stabilizing the posterior airway.
What would a patient with both hypoxemia and
hypercapnia most likely be diagnosed with? -
What is the PRIMARY function of the EPAP ANSWER -Hypoventilation
setting? - ANSWER -To eliminate
desaturations and arousals.
What is an MWT's MOST important use? -
ANSWER -Measure patients ability to resist
According to guidelines, how many Hypopneas the urge to fall asleep
need to occur in peds pts prior to increasing
pressure? - ANSWER -1
Tricyclic antidepressants, large amounts of
caffeine and large amounts of chocolate have
What are the AASM guidelines for supplemental been known to trigger what? - ANSWER -
O2 during PAP studies? - ANSWER -1lmp REM sleep behavior disorder
during PAP titration when SPO2 is less than or
equal to 88% for 5 or more minutes and in the
absence of obstructive events. Recommended impedance for eeg and eog -
ANSWER -5k ohms
If a pts Apneas are fixed at 10cm, but
Hypopneas and snoring still occur at 16cm, what The amount of space needed to archive digitized
levels of BiLevel should be used? - data is MOST impacted by? - ANSWER -
ANSWER -IPAP: 14 Sampling rate
EPAP: 10
,New RPSGT Exam- Study Guide and Practice Test Questions with
100% Correct Answers
Cortical activity is best described as - epoch - ANSWER -The stage that is the
ANSWER -Spontaneous arousal greatest portion of the epoch
Calculate the AHI based on the following data What is the best response when a patient asks
25 obstructive apneas the technologist if they have sleep apnea and will
5 central apneas need to wear a CPAP mask? - ANSWER -
23 mixed apneas Provide the patient with educational material
15 hypopneas about sleep apnea
48 RERAS
65 arousals
360 min of sleep - ANSWER -11 Which of the following is the MOST LIKELY
cause of a 35 minute REM latency -
ANSWER -Untreated depression
According to RECOMMENDED guidelines, the
minimum duration of a significant leg movement
is - ANSWER -.5 A breathing pattern characterized by at least
three cycles of crescendo breathing with duration
of at least 10 minutes is - ANSWER -
According to RECOMMENDED guidelines, an Cheyne Stokes respiration
optional parameter to include in the report for an
adult polysomnogram is - ANSWER -
Occurrence of hypoventilation during the An important responsibility of the scoring tech is
diagnostic study in adult to - ANSWER -Confirm accuracy of report
components
The respiratory event that requires oxygen
desaturation and/ or an arousal as part of the Which type of calibration is based on a series of
scoring criteria is - ANSWER -Obstructive patient instructions intended to verify the signal
hypopnea response and quality - ANSWER -
Physiological
An ECG arrhythmia commonly seen when
recording PSG's, particularly in patients that The most important reason for performing a MWT
have obstructive sleep apnea and cardiac is to - ANSWER -Measure the patient's
disease. It can be identified by the morphology of ability to resist the urge to fall asleep
an irregularly irregular ventricular rhythm
associated with replacement of consistent P
waves by rapid oscillations that vary in size, The importance of selecting sampling rates
shape, and timing - ANSWER -Atrial according to RECOMMENDED guidelines is to -
fibrillation ANSWER -Minimize aliasing effect
The stage that is the greatest portion of the The syndrome characterized by prolonged
,New RPSGT Exam- Study Guide and Practice Test Questions with
100% Correct Answers
episodes of severe hypoxemia and associated RESULT OF - ANSWER -SYSTEM
PaCO2 elevation that worsens during sleep is - REFERENCING
ANSWER -Obesity hypoventilation
WHEN REVIEWING A PATIENT'S HISTORY IN
The patient's medical history indicates the patient PREPARATION FOR A POLYSOMNOGRAM,
has been taking tricyclic antidepressants for the PHYSIOLOGIC FINDINGS SUGGESTIVE OF
past 5 years. The technologist should anticipate HYPOVENTILATION INCLUDE -
that the patient may have an increased likelihood ANSWER -HYPOXEMIA AND
of - ANSWER -REM Sleep Behavior HYPERCAPNIA
Disorder
WHEN THE AMPLITUDE OF A SIGNAL
According to RECOMMENDED guidelines, the EXCEEDS THE PHYSICAL LIMITATIONS OF A
sampling rate to provide the optimal resolution CHANNEL THE MOST IMPORTANT
for recording EEG in a patient with suspected ADJUSTMENT THE TECH CAN MAKE TO
nocturnal seizure is - ANSWER -500Hz OPTIMIZE WAVEFORM DISPLAY IS TO -
ANSWER -DECREASE SENSITIVITY
The electrode located 30% above the left pre-a
crease is - ANSWER -C3 WHEN INTERMITTENT 60 HZ ACTIVITY
OCCURS IN THE F4-M1 ELECTRODES
DURING REM SLEEP THE BEST IMMEDIATE
According to RECOMMENDED guidelines, four ACTION WOULD BE TO - ANSWER -
nap opportunities on a MSLT would be RELY ON F3-M2
acceptable when the patient - ANSWER -
Had REM on at least two nap opportunities
A PATIENT WITH MILD DEMENTIA BECOMES
MORE CONFUSED AND/OR AGITATED IN THE
A patient's history indicates a diagnosis of EARLY EVENING. THE PATIENT IS MOST
overlap syndrome. The tech can anticipate that LIKELY EXPERIENCING - ANSWER -
the patient has - ANSWER -COPD AND SUNDOWNING
OSA
THE MOST COMMON METHOD TO MONITOR
ACCORDING TO RECOMMENDED BLOOD OXYGEN SATURATION DURING
GUIDELINES, WHICH OF THE FOLLOWING POLYSOMNOGRAPHY IS - ANSWER -
SHOULD BE INCLUDED WHEN RECORDING PULSE OXIMETRY
PEDIATRIC PATIENTS - ANSWER -END-
TIDAL CO2
THE MOST APPROPRIATE ACTION A
TECHNOLOGIST WOULD TAKE WHEN THERE
THE ABILITY TO REMONTAGE WHILE IS CONFIRMED VENTRICULAR
RECORDING ON DIGITAL EQUIPMENT IS THE TACHYCARDIA GREATER THAN 30 SECONDS
, New RPSGT Exam- Study Guide and Practice Test Questions with
100% Correct Answers
IS - ANSWER -INITIATE EMERGENCY
RESPONSE SYSTEM WHICH OF THE FOLLOWING WOULD BE
MOST IMPORTANT TO DOCUMENT DURING A
POLYSOMNOGRAM - ANSWER -
A PATIENT'S CHART INDICATES THAT THEY POSITION CHANGES
USE 30 L/MIN OF OXYGEN AT HOME. THE
TECH NOTES THAT THE PHYSICIAN'S
ORDERS FOR THE PSG SPECIFIES THE THE ELECTRODE ARRAY USED FOR
STUDY WITHOUT SUPPLEMENTAL OXYGEN RECORDING PHYSIOLOGIC ACTIVITY IS
AND TO ADD 1.0 L/MIN OXYGEN IF THE REFERRED TO AS - ANSWER -
SATURATION IS LESS THAN 89%. THE BEST MONTAGE
ACTION FOR THE TECH IS TO -
ANSWER -CALL THE PHYSICIAN FOR
CONFIRMATION ACCORDING TO RECOMMENDED
GUIDELINES, THE MAXIMUM ELECTRODE
IMPEDANCE FOR EEG AND EOG
WHICH OF THE FOLLOWING IS THE MOST RECORDING IS - ANSWER -5000 OHMS
LIKELY EFFECT OF ZOLPIDEM AND
ZALEPLON ON SLEEP ARCHITECTURE -
ANSWER -INCREASED SLEEP LATENCY ACCORDING TO RECOMMENDED
GUIDELINES, UNATTENDED PORTABLE
MONITORING CAN BE USED AS AN
WHICH OF THE FOLLOWING BEST ALTERNATIVE TO IN LAB TESTING WHEN -
DESCRIBES A REFERENTIAL MONTAGE - ANSWER -THERE IS A HIGH
ANSWER -THERE IS POTENTIAL FOR PROBABILITY OF MODERATE TO SEVERE
ELECTRODE CONTAMINATION OSA WITHOUT COMORBID CONDITIONS
ACCORDING TO RECOMMENDED A SELF REPORTING TOOL USED TO
GUIDELINES, THE DEVICE THAT SHOULD BE EVALUATE SUBJECTIVE SLEEP QUALITY
USED TO MONITOR AIRFLOW AND DETECT AND DISTURBANCE OVER THE PREVIOUS
APNEA DURING A DIAGNOSTIC STUDY IS - MONTH IS - ANSWER -PITTSBURGH
ANSWER -ORONASAL THERMAL SLEEP QUALITY INDEX
SENSOR
THE MOST APPROPRIATE SETTING A
WHICH PROCESS WOULD BE AN ADEQUATE TECHNOLOGIST WOULD USE TO CONTROL
ROUTINE FOR DISINFECTING CUP THE FREQUENCY BAND OF WAVEFORMS ON
ELECTRODES AFTER REMOVING ADHESIVE A RECORDING IS THE - ANSWER -(LOW
RESIDUE, GEL AND ORGANIC MATERIAL, FILTER (HIGH PASS FILTER)
AND WASHING IN WARM WATER AND MILD
DETERGENT - ANSWER -SOAKING IN 1:
10 BLEACH AND WATER FOR 10 MIN. WHICH OF THE FOLLOWING CAN
NEGATIVELY IMPACT ALL BIOELECTRIC
100% Correct Answers
The purpose of an intentional mask leak is to... -
ANSWER -Wash out CO2 and prevent Which of the following can reduce the
rebreathing effectiveness of CPAP and why: Nasal spray,
Alcohol, Anti depressants. - ANSWER -
Alcohol: impairs arousal response which can lead
Recommended guidelines state that HSV can be to longer than normal events and severe desats.
considered when.... - ANSWER -Cheyne Inhibits upper airway activity
Stokes and central Apneas have not been
eliminated.
What syndrome would a pt with COPD and OSA
have? - ANSWER -Overlap syndrome
What is aerophagia? - ANSWER -The
swallowing of air
What are hypoxemia and hypercapnia? -
ANSWER -Hypoxemia: very low 02 in the
What is maxillomandibular advancement? - blood
ANSWER -Treatment that involves cutting Hypercapnia: very high CO2 in the blood.
and advancing the upper and lower jaw bones;
enlarging and stabilizing the posterior airway.
What would a patient with both hypoxemia and
hypercapnia most likely be diagnosed with? -
What is the PRIMARY function of the EPAP ANSWER -Hypoventilation
setting? - ANSWER -To eliminate
desaturations and arousals.
What is an MWT's MOST important use? -
ANSWER -Measure patients ability to resist
According to guidelines, how many Hypopneas the urge to fall asleep
need to occur in peds pts prior to increasing
pressure? - ANSWER -1
Tricyclic antidepressants, large amounts of
caffeine and large amounts of chocolate have
What are the AASM guidelines for supplemental been known to trigger what? - ANSWER -
O2 during PAP studies? - ANSWER -1lmp REM sleep behavior disorder
during PAP titration when SPO2 is less than or
equal to 88% for 5 or more minutes and in the
absence of obstructive events. Recommended impedance for eeg and eog -
ANSWER -5k ohms
If a pts Apneas are fixed at 10cm, but
Hypopneas and snoring still occur at 16cm, what The amount of space needed to archive digitized
levels of BiLevel should be used? - data is MOST impacted by? - ANSWER -
ANSWER -IPAP: 14 Sampling rate
EPAP: 10
,New RPSGT Exam- Study Guide and Practice Test Questions with
100% Correct Answers
Cortical activity is best described as - epoch - ANSWER -The stage that is the
ANSWER -Spontaneous arousal greatest portion of the epoch
Calculate the AHI based on the following data What is the best response when a patient asks
25 obstructive apneas the technologist if they have sleep apnea and will
5 central apneas need to wear a CPAP mask? - ANSWER -
23 mixed apneas Provide the patient with educational material
15 hypopneas about sleep apnea
48 RERAS
65 arousals
360 min of sleep - ANSWER -11 Which of the following is the MOST LIKELY
cause of a 35 minute REM latency -
ANSWER -Untreated depression
According to RECOMMENDED guidelines, the
minimum duration of a significant leg movement
is - ANSWER -.5 A breathing pattern characterized by at least
three cycles of crescendo breathing with duration
of at least 10 minutes is - ANSWER -
According to RECOMMENDED guidelines, an Cheyne Stokes respiration
optional parameter to include in the report for an
adult polysomnogram is - ANSWER -
Occurrence of hypoventilation during the An important responsibility of the scoring tech is
diagnostic study in adult to - ANSWER -Confirm accuracy of report
components
The respiratory event that requires oxygen
desaturation and/ or an arousal as part of the Which type of calibration is based on a series of
scoring criteria is - ANSWER -Obstructive patient instructions intended to verify the signal
hypopnea response and quality - ANSWER -
Physiological
An ECG arrhythmia commonly seen when
recording PSG's, particularly in patients that The most important reason for performing a MWT
have obstructive sleep apnea and cardiac is to - ANSWER -Measure the patient's
disease. It can be identified by the morphology of ability to resist the urge to fall asleep
an irregularly irregular ventricular rhythm
associated with replacement of consistent P
waves by rapid oscillations that vary in size, The importance of selecting sampling rates
shape, and timing - ANSWER -Atrial according to RECOMMENDED guidelines is to -
fibrillation ANSWER -Minimize aliasing effect
The stage that is the greatest portion of the The syndrome characterized by prolonged
,New RPSGT Exam- Study Guide and Practice Test Questions with
100% Correct Answers
episodes of severe hypoxemia and associated RESULT OF - ANSWER -SYSTEM
PaCO2 elevation that worsens during sleep is - REFERENCING
ANSWER -Obesity hypoventilation
WHEN REVIEWING A PATIENT'S HISTORY IN
The patient's medical history indicates the patient PREPARATION FOR A POLYSOMNOGRAM,
has been taking tricyclic antidepressants for the PHYSIOLOGIC FINDINGS SUGGESTIVE OF
past 5 years. The technologist should anticipate HYPOVENTILATION INCLUDE -
that the patient may have an increased likelihood ANSWER -HYPOXEMIA AND
of - ANSWER -REM Sleep Behavior HYPERCAPNIA
Disorder
WHEN THE AMPLITUDE OF A SIGNAL
According to RECOMMENDED guidelines, the EXCEEDS THE PHYSICAL LIMITATIONS OF A
sampling rate to provide the optimal resolution CHANNEL THE MOST IMPORTANT
for recording EEG in a patient with suspected ADJUSTMENT THE TECH CAN MAKE TO
nocturnal seizure is - ANSWER -500Hz OPTIMIZE WAVEFORM DISPLAY IS TO -
ANSWER -DECREASE SENSITIVITY
The electrode located 30% above the left pre-a
crease is - ANSWER -C3 WHEN INTERMITTENT 60 HZ ACTIVITY
OCCURS IN THE F4-M1 ELECTRODES
DURING REM SLEEP THE BEST IMMEDIATE
According to RECOMMENDED guidelines, four ACTION WOULD BE TO - ANSWER -
nap opportunities on a MSLT would be RELY ON F3-M2
acceptable when the patient - ANSWER -
Had REM on at least two nap opportunities
A PATIENT WITH MILD DEMENTIA BECOMES
MORE CONFUSED AND/OR AGITATED IN THE
A patient's history indicates a diagnosis of EARLY EVENING. THE PATIENT IS MOST
overlap syndrome. The tech can anticipate that LIKELY EXPERIENCING - ANSWER -
the patient has - ANSWER -COPD AND SUNDOWNING
OSA
THE MOST COMMON METHOD TO MONITOR
ACCORDING TO RECOMMENDED BLOOD OXYGEN SATURATION DURING
GUIDELINES, WHICH OF THE FOLLOWING POLYSOMNOGRAPHY IS - ANSWER -
SHOULD BE INCLUDED WHEN RECORDING PULSE OXIMETRY
PEDIATRIC PATIENTS - ANSWER -END-
TIDAL CO2
THE MOST APPROPRIATE ACTION A
TECHNOLOGIST WOULD TAKE WHEN THERE
THE ABILITY TO REMONTAGE WHILE IS CONFIRMED VENTRICULAR
RECORDING ON DIGITAL EQUIPMENT IS THE TACHYCARDIA GREATER THAN 30 SECONDS
, New RPSGT Exam- Study Guide and Practice Test Questions with
100% Correct Answers
IS - ANSWER -INITIATE EMERGENCY
RESPONSE SYSTEM WHICH OF THE FOLLOWING WOULD BE
MOST IMPORTANT TO DOCUMENT DURING A
POLYSOMNOGRAM - ANSWER -
A PATIENT'S CHART INDICATES THAT THEY POSITION CHANGES
USE 30 L/MIN OF OXYGEN AT HOME. THE
TECH NOTES THAT THE PHYSICIAN'S
ORDERS FOR THE PSG SPECIFIES THE THE ELECTRODE ARRAY USED FOR
STUDY WITHOUT SUPPLEMENTAL OXYGEN RECORDING PHYSIOLOGIC ACTIVITY IS
AND TO ADD 1.0 L/MIN OXYGEN IF THE REFERRED TO AS - ANSWER -
SATURATION IS LESS THAN 89%. THE BEST MONTAGE
ACTION FOR THE TECH IS TO -
ANSWER -CALL THE PHYSICIAN FOR
CONFIRMATION ACCORDING TO RECOMMENDED
GUIDELINES, THE MAXIMUM ELECTRODE
IMPEDANCE FOR EEG AND EOG
WHICH OF THE FOLLOWING IS THE MOST RECORDING IS - ANSWER -5000 OHMS
LIKELY EFFECT OF ZOLPIDEM AND
ZALEPLON ON SLEEP ARCHITECTURE -
ANSWER -INCREASED SLEEP LATENCY ACCORDING TO RECOMMENDED
GUIDELINES, UNATTENDED PORTABLE
MONITORING CAN BE USED AS AN
WHICH OF THE FOLLOWING BEST ALTERNATIVE TO IN LAB TESTING WHEN -
DESCRIBES A REFERENTIAL MONTAGE - ANSWER -THERE IS A HIGH
ANSWER -THERE IS POTENTIAL FOR PROBABILITY OF MODERATE TO SEVERE
ELECTRODE CONTAMINATION OSA WITHOUT COMORBID CONDITIONS
ACCORDING TO RECOMMENDED A SELF REPORTING TOOL USED TO
GUIDELINES, THE DEVICE THAT SHOULD BE EVALUATE SUBJECTIVE SLEEP QUALITY
USED TO MONITOR AIRFLOW AND DETECT AND DISTURBANCE OVER THE PREVIOUS
APNEA DURING A DIAGNOSTIC STUDY IS - MONTH IS - ANSWER -PITTSBURGH
ANSWER -ORONASAL THERMAL SLEEP QUALITY INDEX
SENSOR
THE MOST APPROPRIATE SETTING A
WHICH PROCESS WOULD BE AN ADEQUATE TECHNOLOGIST WOULD USE TO CONTROL
ROUTINE FOR DISINFECTING CUP THE FREQUENCY BAND OF WAVEFORMS ON
ELECTRODES AFTER REMOVING ADHESIVE A RECORDING IS THE - ANSWER -(LOW
RESIDUE, GEL AND ORGANIC MATERIAL, FILTER (HIGH PASS FILTER)
AND WASHING IN WARM WATER AND MILD
DETERGENT - ANSWER -SOAKING IN 1:
10 BLEACH AND WATER FOR 10 MIN. WHICH OF THE FOLLOWING CAN
NEGATIVELY IMPACT ALL BIOELECTRIC
