RPSGT EXAM Practice Questions With Complete Solutions Updated 2024/2025 (SOLVED 100%)

RPSGT EXAM Practice Questions With Complete Solutions Updated 2024/2025 (VERIFIED) The purpose of an intentional mask leak is to... - ANSWER Wash out CO2 and prevent rebreathing Recommended guidelines state that HSV can be considered when.... - ANSWER Cheyne Stokes and central Apneas have not been eliminated. What is aerophagia? - ANSWER The swallowing of air What is maxillomandibular advancement? - ANSWER Treatment that involves cutting and advancing the upper and lower jaw bones; enlarging and stabilizing the posterior airway. What is the PRIMARY function of the EPAP setting? - ANSWER To eliminate desaturations and arousals. According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing pressure? - ANSWER 1 What are the AASM guidelines for supplemental O2 during PAP studies? - ANSWER 1lmp during PAP titration when SPO2 is less than or equal to 88% for 5 or more minutes and in the absence of obstructive events. If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still occur at 16cm, what levels of BiLevel should be used? - ANSWER IPAP: 14 EPAP: 10 Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti depressants. - ANSWER Alcohol: impairs arousal response which can lead to longer than normal events and severe desats. Inhibits upper airway activity What syndrome would a pt with COPD and OSA have? - ANSWER Overlap syndrome What are hypoxemia and hypercapnia? - ANSWER Hypoxemia: very low 02 in the blood Hypercapnia: very high CO2 in the blood. What would a patient with both hypoxemia and hypercapnia most likely be diagnosed with? - ANSWER Hypoventilation What is an MWT's MOST important use? - ANSWER Measure patients ability to resist the urge to fall asleep RPSGT EXAM Study Guide and Practice Test With Complete Solutions Updated 2024/2025 (VERIFIED) Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been known to trigger what? - ANSWER REM sleep behavior disorder Recommended impedance for eeg and eog - ANSWER 5k ohms The amount of space needed to archive digitized data is MOST impacted by? - ANSWER Sampling rate Cortical activity is best described as - ANSWER Spontaneous arousal Calculate the AHI based on the following data 25 obstructive apneas 5 central apneas 23 mixed apneas 15 hypopneas 48 RERAS 65 arousals 360 min of sleep - ANSWER 11 According to RECOMMENDED guidelines, the minimum duration of a significant leg movement is - ANSWER .5 According to RECOMMENDED guidelines, an optional parameter to include in the report for an adult polysomnogram is - ANSWER Occurrence of hypoventilation during the diagnostic study in adult The respiratory event that requires oxygen desaturation and/ or an arousal as part of the scoring criteria is - ANSWER Obstructive hypopnea An ECG arrhythmia commonly seen when recording PSG's, particularly in patients that have obstructive sleep apnea and cardiac disease. It can be identified by the morphology of an irregularly irregular ventricular rhythm associated with replacement of consistent P waves by rapid oscillations that vary in size, shape, and timing - ANSWER Atrial fibrillation The stage that is the greatest portion of the epoch - ANSWER The stage that is the greatest portion of the epoch What is the best response when a patient asks the technologist if they have sleep apnea and will need to wear a CPAP mask? - ANSWER Provide the patient with educational material about sleep apnea Which of the following is the MOST LIKELY cause of a 35 minute REM latency - ANSWER Untreated depression A breathing pattern characterized by at least three cycles of crescendo breathing with duration of at least 10 minutes is - ANSWER Cheyne Stokes respiration An important responsibility of the scoring tech is to - ANSWER Confirm accuracy of report components Which type of calibration is based on a series of patient instructions intended to verify the signal response and quality - ANSWER Physiological The most important reason for performing a MWT is to - ANSWER Measure the patient's ability to resist the urge to fall asleep The importance of selecting sampling rates according to RECOMMENDED guidelines is to - ANSWER Minimize aliasing effect The syndrome characterized by prolonged episodes of severe hypoxemia and associated PaCO2 elevation that worsens during sleep is - ANSWER Obesity hypoventilation The patient's medical history indicates the patient has been taking tricyclic antidepressants for the past 5 years. The technologist should anticipate that the patient may have an increased likelihood of - ANSWER REM Sleep Behavior Disorder According to RECOMMENDED guidelines, the sampling rate to provide the optimal resolution for recording EEG in a patient with suspected nocturnal seizure is - ANSWER 500Hz The electrode located 30% above the left pre-a crease is - ANSWER C3 According to RECOMMENDED guidelines, four nap opportunities on a MSLT would be acceptable when the patient - ANSWER Had REM on at least two nap opportunities A patient's history indicates a diagnosis of overlap syndrome. The tech can anticipate that the patient has - ANSWER COPD AND OSA ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING SHOULD BE INCLUDED WHEN RECORDING PEDIATRIC PATIENTS - ANSWER END-TIDAL CO2 THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT IS THE RESULT OF - ANSWER SYSTEM REFERENCING WHEN REVIEWING A PATIENT'S HISTORY IN PREPARATION FOR A POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS SUGGESTIVE OF HYPOVENTILATION INCLUDE - ANSWER HYPOXEMIA AND HYPERCAPNIA WHEN THE AMPLITUDE OF A SIGNAL EXCEEDS THE PHYSICAL LIMITATIONS OF A CHANNEL THE MOST IMPORTANT ADJUSTMENT THE TECH CAN MAKE TO OPTIMIZE WAVEFORM DISPLAY IS TO - ANSWER DECREASE SENSITIVITY WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE F4-M1 ELECTRODES DURING REM SLEEP THE BEST IMMEDIATE ACTION WOULD BE TO - ANSWER RELY ON F3-M2 A PATIENT WITH MILD DEMENTIA BECOMES MORE CONFUSED AND/OR AGITATED IN THE EARLY EVENING. THE PATIENT IS MOST LIKELY EXPERIENCING - ANSWER SUNDOWNING THE MOST COMMON METHOD TO MONITOR BLOOD OXYGEN SATURATION DURING POLYSOMNOGRAPHY IS - ANSWER PULSE OXIMETRY THE MOST APPROPRIATE ACTION A TECHNOLOGIST WOULD TAKE WHEN THERE IS CONFIRMED VENTRICULAR TACHYCARDIA GREATER THAN 30 SECONDS IS - ANSWER INITIATE EMERGENCY RESPONSE SYSTEM A PATIENT'S CHART INDICATES THAT THEY USE 30 L/MIN OF OXYGEN AT HOME. THE TECH NOTES THAT THE PHYSICIAN'S ORDERS FOR THE PSG SPECIFIES THE STUDY WITHOUT SUPPLEMENTAL OXYGEN AND TO ADD 1.0 L/MIN OXYGEN IF THE SATURATION IS LESS THAN 89%. THE BEST ACTION FOR THE TECH IS TO - ANSWER CALL THE PHYSICIAN FOR CONFIRMATION WHICH OF THE FOLLOWING IS THE MOST LIKELY EFFECT OF ZOLPIDEM AND ZALEPLON ON SLEEP ARCHITECTURE - ANSWER INCREASED SLEEP LATENCY WHICH OF THE FOLLOWING BEST DESCRIBES A REFERENTIAL MONTAGE - ANSWER THERE IS POTENTIAL FOR ELECTRODE CONTAMINATION ACCORDING TO RECOMMENDED GUIDELINES, THE DEVICE THAT SHOULD BE USED TO MONITOR AIRFLOW AND DETECT APNEA DURING A DIAGNOSTIC STUDY IS - ANSWER ORONASAL THERMAL SENSOR WHICH PROCESS WOULD BE AN ADEQUATE ROUTINE FOR DISINFECTING CUP ELECTRODES AFTER REMOVING ADHESIVE RESIDUE, GEL AND ORGANIC MATERIAL, AND WASHING IN WARM WATER AND MILD DETERGENT - ANSWER SOAKING IN 1: 10 BLEACH AND WATER FOR 10 MIN. WHICH OF THE FOLLOWING WOULD BE MOST IMPORTANT TO DOCUMENT DURING A POLYSOMNOGRAM - ANSWER POSITION CHANGES THE ELECTRODE ARRAY USED FOR RECORDING PHYSIOLOGIC ACTIVITY IS REFERRED TO AS - ANSWER MONTAGE ACCORDING TO RECOMMENDED GUIDELINES, THE MAXIMUM ELECTRODE IMPEDANCE FOR EEG AND EOG RECORDING IS - ANSWER 5000 OHMS ACCORDING TO RECOMMENDED GUIDELINES, UNATTENDED PORTABLE MONITORING CAN BE USED AS AN ALTERNATIVE TO IN LAB TESTING WHEN - ANSWER THERE IS A HIGH PROBABILITY OF MODERATE TO SEVERE OSA WITHOUT COMORBID CONDITIONS A SELF REPORTING TOOL USED TO EVALUATE SUBJECTIVE SLEEP QUALITY AND DISTURBANCE OVER THE PREVIOUS MONTH IS - ANSWER PITTSBURGH SLEEP QUALITY INDEX THE MOST APPROPRIATE SETTING A TECHNOLOGIST WOULD USE TO CONTROL THE FREQUENCY BAND OF WAVEFORMS ON A RECORDING IS THE - ANSWER (LOW FILTER (HIGH PASS FILTER) WHICH OF THE FOLLOWING CAN NEGATIVELY IMPACT ALL BIOELECTRIC CHANNELS - ANSWER CONTAMINATED M1 WHICH OF THE FOLLOWING SUBSTANCES CAN REDUCE THE EFFECTIVENESS OF PAP THERAPY - ANSWER ALCOHOLIC BEVERAGES A PATIENT THAT INTENTIONALLY ENGAGES IN BEHAVIORAL PATTERNS THAT ARE INCONSISTENT WITH SLEEPING WELL IS DEMONSTRATING - ANSWER INADEQUATE SLEEP HYGIENE WHAT IS THE BEST TOOL THAT A PHYSICIAN COULD USE TO MORE CLEARLY EXPLAIN THE RESULTS OF THE SLEEP STUDY AND THE IMPORTANCE OF THERAPY TO A PATIENT - ANSWER HISTOGRAM EMAIL ME: REAL TIME ACCESS TO PAP COMPLIANCE DATA IS AN EXAMPLE OF - ANSWER EFFICACY MONITORING A PROCESS TO DECREASE FEAR OF ARTIFICIAL CIRCUMSTANCES BY REPEATED AND CONTROLLED EXPOSURE TO A FEARED SITUATION IS - ANSWER DESENSITIZATION WHAT HAS THE LARGEST IMPACT ON ADHERENCE TO PAP THERAPY - ANSWER PATIENT EDUCATION WHICH STATEMENT IS TRUE REGARDING CPAP - ANSWER THERE IS ONE LEVEL OF PRESSURE FOR INSPIRATION AND EXPIRATION SLEEP DEBT CAN BEST BE DESCRIBED AS THE - ANSWER CUMULATIVE EFFECT OF INSUFFICIENT SLEEP ACCORDING TO RECOMMENDED GUIDELINES FOR PEDIATRIC CPAP TITRATION, HOW MANY HYPOPNEAS MUST OCCUR PRIOR TO INCREASING PRESSURE - ANSWER ONE EXCESSIVE WARMING AND HUMIDIFICATION WILL CAUSE - ANSWER WATER TO POOL IN THE CPAP TUBING MAXILLOMANDIBULAR ADVANCEMENT TREATS OSA BY - ANSWER ENLARGING AND STABILIZING THE UPPER AIRWAY IN PATIENTS WITH SEVERE SLEEP-DISORDERED BREATHING THE MOST COMMONLY SEEN RESPONSE RESULTING FROM SUCCESSFUL PAP TITRATION IS - ANSWER REM AND SLOW WAVE REBOUND WHICH OF THE FOLLOWING IS MOST LIKELY TO OCCUR DUE TO AN IMPROPERLY FITTING PAP INTERFACE? - ANSWER CONJUNCTIVITIS WHEN A PATIENT COMPLAINS OF CLAUSTROPHOBIA, IS UNABLE TO TOLERATE PAP AND REQUESTS TO END THE PSG, THE NEXT BEST STEP IS TO - ANSWER SCHEDULE DESENSITIZATION A PATIENT REPORTS A COMPLETE NASAL OBSTRUCTION PRIOR TO PAP TITRATION. THE TECH SHOULD - ANSWER USE A ORO-NASAL INTERFACE THE BEST CANDIDATE FOR ORAL APPLIANCE WOULD HAVE - ANSWER MILD OSA EMAIL ME: DURING STAGE N2 SLEEP, THE PATIENT CHANGES POSITION AND THE TECH NOTES INCREASED SNORING AND AN INCREASING LEAK. THE TECH SHOULD - ANSWER REPOSITION AND ADJUST PAP INTERFACE ACCORDING TO RECOMMENDED GUIDELINES, CPAP SHOULD BE INCREASED AT AN INTERVAL NO LESS THAN - ANSWER 5 MINUTES THE PRIMARY FUNCTION OF EPAP IS TO - ANSWER MAINTAIN UPPER AIRWAY PATENCY THROUGH INSPIRATION BASED ON THE PSG RESULTS BELOW, WHAT WOULD BE THE BEST RECOMMENDATION FOR A PATIENT THAT IS NON-COMPLIANT AND REFUSES TO CONTINUE WITH CPAP THERAPY OVERALL AHI 8 OVERALL REM AHI 38 SUPINE REM AHI 28 SUPINE NREM AHI 21 LATERAL NREM AHI 1 LATERAL REM 3 - ANSWER POSITION THERAPY THE BEST METHOD FOR DETECTING APNEAS AND HYPOPNEAS DURING PAP TITRATION IS TO USE A/AN - ANSWER AIRFLOW SIGNAL GENERATED BY THE PAP DELIVERY DEVICE THE PRIMARY BENEFIT OF HEATED HUMIDIFICATION IS TO - ANSWER HELP REDUCE NASAL CONGESTION A SIDE EFFECT OF CPAP IS - ANSWER AEROPHAGIA THE MOST COMMON REASON FOR CHANGING THE PAP INTERFACE DURING A TITRATION IS - ANSWER UNACCEPTABLE LEAK VALUE WHAT IS THE RECOMMENDED STARTING PRESSURE FOR PEDIATRIC AND ADULT CPAP TITRATION - ANSWER 4 CMH2O THE PURPOSE OF INTENTIONAL LEAK IS TO - ANSWER WASH OUT CO2 AND PREVENT REBREATHING