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ABDSM Exam (500+ Questions) – ABDSM001 Sleep Medicine, OSA & Oral Appliance Therapy Q&A – American Board of Dental Sleep Medicine

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This document contains a comprehensive set of over 500 exam-style questions and verified answers tailored for the ABDSM certification exam. It covers essential topics in dental sleep medicine, including obstructive sleep apnea (OSA), sleep physiology, oral appliance therapy (OAT), polysomnography interpretation, airway anatomy, and craniofacial risk factors. The material is structured in a clear Q&A format, enabling efficient active recall and exam-focused revision. The content spans fundamental and advanced concepts such as sleep stages (NREM, REM), respiratory physiology, pathophysiology of sleep-disordered breathing, CPAP and oral appliance mechanisms, TMJ disorders, craniofacial anatomy, and clinical decision-making in patient management. For example, early pages (pages 1–5) highlight core diagnostic concepts like Mallampati classification and STOP-BANG screening, while later sections provide in-depth coverage of treatment modalities, airway mechanics (Pcrit, loop gain), and long-term management strategies. This document is highly relevant for: Dental sleep medicine certification candidates (ABDSM) Dentists specializing in oral appliance therapy Dental students and postgraduate dental residents Sleep medicine trainees and respiratory therapy students Medical and allied health students studying sleep disorders and airway management It aligns closely with key references such as Principles and Practice of Sleep Medicine by Meir Kryger, Dental Sleep Medicine by Gilles Lavigne, and guidelines from the American Academy of Sleep Medicine (AASM). As such, it serves both as a standalone revision tool and a companion resource to standard textbooks in sleep medicine and dental sleep therapy. Keywords: ABDSM exam questions, dental sleep medicine, obstructive sleep apnea, OSA management, oral appliance therapy, sleep physiology, polysomnography interpretation, airway anatomy, CPAP therapy, craniofacial risk factors, TMJ disorders, sleep disorder diagnosis, STOP BANG questionnaire, Mallampati classification, respiratory physiology, dental board exam preparation

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ABDSM EXAM/ACTUAL EXAM
QUESTIONS WITH CORRECT
ANSWERS/NEWEST UPDATE

Which of the following statements is true regarding a modified mallampati

classification of the oral pharynx?




A. Mallampati II allows visualization of only the hard palate

B. Malampati III allows visualization of only the hard palate

C. Malampati classifications are taken with the patient sedated and reclined

,D. Mallampati classifications of IV have greater odds ratio than Mallampati

classifications of I for severe OSA - 🧠ANSWER ✔✔D. Mallampati

classifications of IV have greater odds ratio than Mallampati classifications

of I for severe OSA

What 8 item questionnaire was developed to perioperatively screen for risk

of OSA?




A. ESS

B. STOP-BANG

C. MSLT


D. Berlin - 🧠ANSWER ✔✔B. STOP-BANG


In the pathophysiology of sleep apnea, airway patency and stability is

promoted by which factor?




A. Increased lung volume

B. Shorter mandible

C. Increased parapharyngeal fat deposition

,D. Negative inspiratory pressure


E. Reduced pharyngeal muscle dilator activity - 🧠ANSWER ✔✔A.

Increased lung volume

Oral appliance therapy commonly provides successful sole therapy for

which of the following sleep-related breathing disorders?




A. Primary central sleep apnea

B. Cheyne-Stoke periodic breathing

C. Obesity hypoventilation

D. Overlap syndrome (OSA and COPD)


E. None of the above - 🧠ANSWER ✔✔E. None of the above


Which of the following is true about OSA and HTN?




A. Ambulatory BP is increased in OSA patients primarily due to increased

salt intake associated with elevated ghrelin levels

B. Ambulatory BP normally increases in the early AM before awakening -

this increase is blunted in OSA


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, C. Untreated OSA is associated with a similar risk of HTN at all severity

levels

D. The risk of HTN in untreated OSA is due to intermittent hypoxia,

sympathetic overactivation, inflammation, and other complex factors -

🧠ANSWER ✔✔D. The risk of HTN in untreated OSA is due to intermittent

hypoxia, sympathetic overactivation, inflammation, and other complex

factors

Across a general population, what is the most common sleep disorder?




A. RLS

B. Narcolepsy

C. Delayed sleep phase syndrome

D. Insomnia


E. Obstructive sleep apnea - 🧠ANSWER ✔✔D. Insomnia


Measurement has shown that patients with sleep apnea have smaller

upper airways than those without sleep apnea but manage to keep an open

airway during wakefulness by:

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