B R P T · R E G I S T E R E D P O LY S O M N O G R A P H I C T E C H N O L O G I S T
RPSGT Practice Exam
Practice Question Bank
Comprehensive Review with Questions, Answers & Rationales
Topics: Scoring · Titration · Instrumentation · Sleep Disorders · & More
Edition 1 · August 2026
,Table of Contents
1. Instructions for Use 2
2. Clinical Assessment & Patient Care 2
3. Scoring & Sleep Staging 3
4. Instrumentation & Signal Acquisition 4
5. PAP Titration & Therapy 5
6. Respiratory Events & ECG Interpretation 5
RPSGT Practice Exam · BRPT Page 1
,RPSGT PRACTICE EXAM GUIDE CLINICAL ASSESSMENT
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct option is marked, and each
wrong option is explained so you understand why it's wrong — not just that it is.
Clinical Assessment & Patient Care
1 According to the AASM scoring manual, the recommended age at which pediatric scoring rules can be
applied is when the patient is:
A 2 months post-term or older
B 6 months post-term or older
C 1 year or older
D 3 months post-term or older
Why A is correct: Pediatric scoring rules apply to children 2 months post-term or older.
B — 6 months is too old.
C — 1 year is too old.
D — 3 months is not the standard.
2 A patient with narcolepsy will display all of the following symptoms EXCEPT:
A Cataplexy
B Sleep paralysis
C Hypnagogic hallucinations
D Nocturnal myoclonus
Why D is correct: Nocturnal myoclonus (PLMS) is not a symptom of narcolepsy. The tetrad of narcolepsy is cataplexy,
sleep paralysis, hypnagogic hallucinations, and EDS.
A — Cataplexy is a symptom of narcolepsy.
B — Sleep paralysis is a symptom of narcolepsy.
C — Hypnagogic hallucinations are a symptom of narcolepsy.
, 3 Bright light therapy is transmitted to the brain through the optic nerve and stimulates which component of
the brain?
A Suprachiasmatic nucleus
B Pineal gland
C Hypothalamus
D Reticular formation
Why A is correct: Bright light therapy stimulates the suprachiasmatic nucleus (SCN), the circadian rhythm pacemaker.
B — The pineal gland produces melatonin.
C — The hypothalamus contains the SCN.
D — The reticular formation is involved in arousal.
4 Which of the following may result from an improperly fitted CPAP mask?
A Conjunctivitis
B Nasal congestion
C Uvular hypertrophy
D Temporomandibular joint pain
Why A is correct: An improperly fitting CPAP mask can cause air leaks that irritate the eyes, leading to conjunctivitis.
B — Nasal congestion is from pressure.
C — Uvular hypertrophy is not caused by mask fit.
D — TMJ pain can occur but is less common.
5 A patient has a Body Mass Index of 24.5. The sleep technologist should interpret this value as:
A Normal
B Overweight
C Obese
D Underweight
Why A is correct: BMI of 18.5-24.9 is considered normal. 24.5 is within the normal range.
B — Overweight is 25.0-29.9.
C — Obese is 30.0 and above.
D — Underweight is below 18.5.
RPSGT Practice Exam
Practice Question Bank
Comprehensive Review with Questions, Answers & Rationales
Topics: Scoring · Titration · Instrumentation · Sleep Disorders · & More
Edition 1 · August 2026
,Table of Contents
1. Instructions for Use 2
2. Clinical Assessment & Patient Care 2
3. Scoring & Sleep Staging 3
4. Instrumentation & Signal Acquisition 4
5. PAP Titration & Therapy 5
6. Respiratory Events & ECG Interpretation 5
RPSGT Practice Exam · BRPT Page 1
,RPSGT PRACTICE EXAM GUIDE CLINICAL ASSESSMENT
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct option is marked, and each
wrong option is explained so you understand why it's wrong — not just that it is.
Clinical Assessment & Patient Care
1 According to the AASM scoring manual, the recommended age at which pediatric scoring rules can be
applied is when the patient is:
A 2 months post-term or older
B 6 months post-term or older
C 1 year or older
D 3 months post-term or older
Why A is correct: Pediatric scoring rules apply to children 2 months post-term or older.
B — 6 months is too old.
C — 1 year is too old.
D — 3 months is not the standard.
2 A patient with narcolepsy will display all of the following symptoms EXCEPT:
A Cataplexy
B Sleep paralysis
C Hypnagogic hallucinations
D Nocturnal myoclonus
Why D is correct: Nocturnal myoclonus (PLMS) is not a symptom of narcolepsy. The tetrad of narcolepsy is cataplexy,
sleep paralysis, hypnagogic hallucinations, and EDS.
A — Cataplexy is a symptom of narcolepsy.
B — Sleep paralysis is a symptom of narcolepsy.
C — Hypnagogic hallucinations are a symptom of narcolepsy.
, 3 Bright light therapy is transmitted to the brain through the optic nerve and stimulates which component of
the brain?
A Suprachiasmatic nucleus
B Pineal gland
C Hypothalamus
D Reticular formation
Why A is correct: Bright light therapy stimulates the suprachiasmatic nucleus (SCN), the circadian rhythm pacemaker.
B — The pineal gland produces melatonin.
C — The hypothalamus contains the SCN.
D — The reticular formation is involved in arousal.
4 Which of the following may result from an improperly fitted CPAP mask?
A Conjunctivitis
B Nasal congestion
C Uvular hypertrophy
D Temporomandibular joint pain
Why A is correct: An improperly fitting CPAP mask can cause air leaks that irritate the eyes, leading to conjunctivitis.
B — Nasal congestion is from pressure.
C — Uvular hypertrophy is not caused by mask fit.
D — TMJ pain can occur but is less common.
5 A patient has a Body Mass Index of 24.5. The sleep technologist should interpret this value as:
A Normal
B Overweight
C Obese
D Underweight
Why A is correct: BMI of 18.5-24.9 is considered normal. 24.5 is within the normal range.
B — Overweight is 25.0-29.9.
C — Obese is 30.0 and above.
D — Underweight is below 18.5.
