PASS SOLUTION A+ GRADE
The emergence of central respiratory events during PAP titration for treatment of obstructive
sleep apnea is:
a. mixed sleep apnea
b. hypoventilation syndrome
c. complex sleep apnea
d. cheyne stokes breathing
The failure to remove electrode paste residue will MOST likely result in:
a. discarded electrodes.
b. enhanced artifact.
c. improved detergent selection.
d. improvement in adherence.
The primary reason for instructing patients to clean masks daily is to:
a. alleviate mask leaks
b. promote compliance
c. minimize skin irritation
d. avoid the spread of disease
The two inferior chin electrodes are placed on the:
a. submentalis
b. mental foramen
c. mastoid
d. orbicularis oris
The primary benefit of heated humidification is to:
,a. Help reduce nasal congestion
b. Minimize hypoventilation
c. Enhance oxygenation
d. Increase REM duration
When a patient complains of claustrophobia, is unable to tolerate PAP and requests to end the
PSG, the next best step is to:
a. Schedule dessensitization
b. Schedule a re-titration study
c. Start APAP therapy
d. Refer to ENT for consulation
Which of these devices produces its own electricity?
a. Thermister
b. Oximeter
c. Piezo-electric crystal band
d. Actigraph
According to the American Academy of Sleep Medicine (AASM) Scoring Manual, a sustained (30
seconds or longer) heart rate of 90 beats per minute or higher during sleep is called:
A.
Atrial fibrillation
B.
Left bundle branch block
C.
Bradycardia
D.
Tachycardia
,During a PAP titration, signal flattening in the nasal pressure monitor indicates:
snoring
hypoventilation
central apnea
flow limitation
Paradoxical breathing is identified by channel deflections that are:
a. in-phase in respiratory effort and out-of-phase in airflow
b. out-of-phase in airflow with respiratory effort remaining flat
c. in-phase in airflow and in-phase in respiratory effort
d. out-of-phase in respiratory effort with airflow remaining flat
The rate at which a wave repeats itself or oscillates is called the:
Frequency
Amplitude
Sensitivity
Filter
During stage N2 sleep, the patient changes position and the technologist notes increased
snoring and an increasing leak. The technologist should:
a. Increase CPAP
b. Reposition and adjust PAP interface
c. Decrease pressure release ventilation
d. Increase heated humidification
Obesity hypoventilation
why
, Obesity hypoventilation, sometimes called Pickwichian Syndrome, is a breathing disorder that
affects some obese patients. In Obesity Hypoventilation Syndrome, poor breathing results in too
much carbon dioxide (hypoventilation) and too little oxygen in the blood (hypoxemia) -
answer>>The syndrome characterized by prolonged episodes of severe hypoxemia and
associated PaCO2 elevation that worsens during sleep is:
a. Gastroesophageal reflux
b. Pulomnary hypertension
c. Obesity hypoventilation
d. Upper airway resistance
Cumulative effect of insufficient sleep - answer>>Sleep debt can best be described as the:
a. Cumulative effect of insufficient sleep
b. Amount of sleep an individual needs
c. Result of excessive REM sleep
d. Consequence of fragmented sleep
pulse oximetry - answer>>Indirect monitoring of oxygen level by the use of sensors that detect
light wave absorption is:
a. capnography
b. electromyography
c. pulse oximetry
d. thermal sensor
REM and slow wave rebound - answer>>In patients with severe sleep-disordered breathing, the
most commonly seen response resulting from successful PAP titration is:
a. Increased hypoxemia
b. Attenuation of alpha activity
c. REM and slow wave rebound
d. Increase in PLMs