RPSGT ACTUAL EXAMINATION TEST
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ Adult Moderate RDI. Answer: 15 to 30
⩥ Adult Severe RDI. Answer: more than 30
⩥ Child Mild RDI. Answer: 1 to < 5
⩥ Child Moderate RDI. Answer: 5 to < 10
⩥ Child Severe RDI. Answer: more than 10
⩥ Reason for PAP Titration Referral. Answer: Diagnosis of OSA during
a PSG (polysomnogram)
⩥ Adult Minimum CPAP Pressure. Answer: 4cm H2O
⩥ Adult Maximum CPAP Pressure. Answer: 20cm H2O
⩥ Child Minimum CPAP Pressure. Answer: 4cm H2O
,⩥ Child Maximum CPAP Pressure. Answer: 15cm H2O
⩥ Increase pressure by minimum of ______ no less than _____minute
interval. Answer: 1cm, 5min
⩥ Increase Pressure by minimum of 1cm with CHILDREN when Patient
shows______(list). Answer: 1 Obstructive Apnea, 1 Hypopnea, 3
RERAs, 1min of Loud snoring
⩥ Increase Pressure by a minimum of 1cm with ADULTS when patient
shows_____(list). Answer: 2 Obstructive Apnea, 3 Hypopnea, 5 RERAs,
3 min of Loud snoring
⩥ OPTIMAL RDI with CPAP. Answer: Less than 5 per hour
⩥ OPTIMAL SpO2 with CPAP. Answer: Above 90%
⩥ OPTIMAL Postion, Sleep Stage, Behavior (list). Answer: Supine
Position, REM Sleep, No Spontaneous arousals or awakenings
⩥ ADEQUATE RDI with CPAP. Answer: 10 or more but 75% less than
baseline
,⩥ ADEQUATE CPAP Titration (short answer). Answer: Same Goals as
good as optimal but was not recorded in REM sleep in supine position.
⩥ GOOD RDI with CPAP. Answer: less than 10 or 50% less than
baseline if RDI is less than 15
⩥ GOOD SpO2 with CPAP. Answer: above 90%
⩥ GOOD Position, Sleep Stage, Behavior with CPAP. Answer: Supine
Position, REM Sleep, No Spontaneous arousals or awakenings
⩥ Reason to repeat Titration. Answer: Does not meet any of the Optimal,
Good, or Adequate requirements
⩥ When to switch to Bi-PAP (short answer). Answer: When PT is
uncomfortable or intolerant of High pressure, When Respiratory Events
continue with 15cm
⩥ Starting Bi-PAP pressure (child and adult). Answer: IPAP-8cm ,
EPAP-4cm
⩥ Max IPAP for CHILD. Answer: 20cm
⩥ Minimum I/E PAP Difference for CHILD. Answer: 4cm
, ⩥ Maximum I/E PAP Difference for CHILD. Answer: 10cm
⩥ Max IPAP for ADULT. Answer: 30cm
⩥ Minimum I/E PAP Difference for ADULT. Answer: 4cm
⩥ Maximum I/E PAP Difference for ADULT. Answer: 10cm
⩥ Increase both I/E PAP by a minimum of 1cm if CHILD has. Answer: 1
Obstructive Apnea within 5 or more mins
⩥ Increase both I/E PAP by a minimum of 1cm if ADULT has. Answer:
2 Obstructive Apnea within 5 or more mins
⩥ Reasons to Increase IPAP only in CHILD (list). Answer: 1 hypopnea,
3 RERAs, 1min of loud snoring
⩥ Reasons to Increase IPAP only in ADULT (list). Answer: 3 hypopnea,
5 RERAs, 3 min of loud snoring
⩥ Bi-PAP Optimal, Good, Adequate Titration. Answer: Same Parameters
as CPAP
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ Adult Moderate RDI. Answer: 15 to 30
⩥ Adult Severe RDI. Answer: more than 30
⩥ Child Mild RDI. Answer: 1 to < 5
⩥ Child Moderate RDI. Answer: 5 to < 10
⩥ Child Severe RDI. Answer: more than 10
⩥ Reason for PAP Titration Referral. Answer: Diagnosis of OSA during
a PSG (polysomnogram)
⩥ Adult Minimum CPAP Pressure. Answer: 4cm H2O
⩥ Adult Maximum CPAP Pressure. Answer: 20cm H2O
⩥ Child Minimum CPAP Pressure. Answer: 4cm H2O
,⩥ Child Maximum CPAP Pressure. Answer: 15cm H2O
⩥ Increase pressure by minimum of ______ no less than _____minute
interval. Answer: 1cm, 5min
⩥ Increase Pressure by minimum of 1cm with CHILDREN when Patient
shows______(list). Answer: 1 Obstructive Apnea, 1 Hypopnea, 3
RERAs, 1min of Loud snoring
⩥ Increase Pressure by a minimum of 1cm with ADULTS when patient
shows_____(list). Answer: 2 Obstructive Apnea, 3 Hypopnea, 5 RERAs,
3 min of Loud snoring
⩥ OPTIMAL RDI with CPAP. Answer: Less than 5 per hour
⩥ OPTIMAL SpO2 with CPAP. Answer: Above 90%
⩥ OPTIMAL Postion, Sleep Stage, Behavior (list). Answer: Supine
Position, REM Sleep, No Spontaneous arousals or awakenings
⩥ ADEQUATE RDI with CPAP. Answer: 10 or more but 75% less than
baseline
,⩥ ADEQUATE CPAP Titration (short answer). Answer: Same Goals as
good as optimal but was not recorded in REM sleep in supine position.
⩥ GOOD RDI with CPAP. Answer: less than 10 or 50% less than
baseline if RDI is less than 15
⩥ GOOD SpO2 with CPAP. Answer: above 90%
⩥ GOOD Position, Sleep Stage, Behavior with CPAP. Answer: Supine
Position, REM Sleep, No Spontaneous arousals or awakenings
⩥ Reason to repeat Titration. Answer: Does not meet any of the Optimal,
Good, or Adequate requirements
⩥ When to switch to Bi-PAP (short answer). Answer: When PT is
uncomfortable or intolerant of High pressure, When Respiratory Events
continue with 15cm
⩥ Starting Bi-PAP pressure (child and adult). Answer: IPAP-8cm ,
EPAP-4cm
⩥ Max IPAP for CHILD. Answer: 20cm
⩥ Minimum I/E PAP Difference for CHILD. Answer: 4cm
, ⩥ Maximum I/E PAP Difference for CHILD. Answer: 10cm
⩥ Max IPAP for ADULT. Answer: 30cm
⩥ Minimum I/E PAP Difference for ADULT. Answer: 4cm
⩥ Maximum I/E PAP Difference for ADULT. Answer: 10cm
⩥ Increase both I/E PAP by a minimum of 1cm if CHILD has. Answer: 1
Obstructive Apnea within 5 or more mins
⩥ Increase both I/E PAP by a minimum of 1cm if ADULT has. Answer:
2 Obstructive Apnea within 5 or more mins
⩥ Reasons to Increase IPAP only in CHILD (list). Answer: 1 hypopnea,
3 RERAs, 1min of loud snoring
⩥ Reasons to Increase IPAP only in ADULT (list). Answer: 3 hypopnea,
5 RERAs, 3 min of loud snoring
⩥ Bi-PAP Optimal, Good, Adequate Titration. Answer: Same Parameters
as CPAP
