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QUESTIONS WITH DETAILED VERIFIED
ANSWERS CURRENTLY TESTING
Who publishes the CPT codebook?
A. The Centers for Medicare and Medicaid Services
B. The American Medical Association
C. The Office of the Inspector General
D
O
D. The Durable Medical Equipment Service
N
E. The American Academy of Sleep Medicine - ✔✔✔ Correct Answer > B. The
O
American Medical Association
T
C
A 48 year old man is treated with OAT for his moderate OSA. On repeat sleep
O
testing, his apnea-hypopnea index (AHI) has decreased to 3 events per hour, and he
reports resolution of snoring and daytime sleepiness. What is the most reasonable
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dental-medical sleep medicine follow up regimen for this patient?
A. As needed
B. Every 6 months for the first year, then annually
C. Monthly for the first 6 months, then every 6 months
D. Every other year - ✔✔✔ Correct Answer > B. Every 6 months for the first year,
then annually
Which of the following would exclude oral appliance therapy as a first treatment
trial for OSA?
,A. Xerostomia
B. Edentulism
C. Micrognathia
D. Steep mandibular plane angle - ✔✔✔ Correct Answer > B. Edentulism
Reviewing your patient's diagnostic polysomnogram, you note more than a 50%
epoch consists of alpha waves. According to the current PSG scoring guidelines,
the patient is in which stage of sleep?
D
A. Stage I NREM
O
B. Stage II NREM
N
C. Stage III NREM
O
D. Stage REM - ✔✔✔ Correct Answer > A. Stage I NREM
T
C
O
A patient presents for an evaluation to determine their candidacy for an oral
appliance to treat their mild OSA. During your examination, you note the presence
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of TMD. This might include the following:
A. Pain in the TMJ
B. Pain in the muscles of mastication
C. Anomalies in mandibular movement
D. All of the above - ✔✔✔ Correct Answer > D. All of the above
The qualified dentist designation (QDD) came about in response to the 2015
practice guidelines paper recommending that physicians refer patients to dentists
,"qualified" to treat sleep related breathing disorders. This was based upon
recognition of which of the following?
A. Older dentists have more experience than younger dentists
B. All dentists have the skills they need to deliver knowledgeable care
C. Oral appliance efficacy data collected in studies is obtained by dentist with
extensive clinical experience
D. Training in dental schools on oral appliance therapy has become common place
- ✔✔✔ Correct Answer > C. Oral appliance efficacy data collected in studies is
obtained by dentist with extensive clinical experience
D
Which of the following statements is true about the Carotid Body?
O
N
A. It is the primary Central Chemoreceptor
O
B. Hypoxia triggers suppression of minute ventilation
T
C. Is sensitive primarily to hypoxia
C
O
D. Is sensitive primarily to changes in CO2, pH and temperature - ✔✔✔ Correct
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Answer > C. Is sensitive primarily to hypoxia
What can be said regarding the standard of care for oral appliance titration or
calibration procedures?
A. There is no standard titration procedure
B. Dentists or their supervised staff should titrate the devices for patients during
clinic visits
C. Titration or calibration should proceed protrusively to the patient's maximum
comfortable position
D. Titration or calibration should be routinely evaluated with home sleep testing -
, ✔✔✔ Correct Answer > A. There is no standard titration procedure
An obese patient with severe OSA and chronic nasal allergies should be advised to
follow which of the following initial treatment plans?
A. CPAP trial
B. OAT and weight loss measures
C. Allergy treatments and ENT consultation
D. Evaluation for HGNS - ✔✔✔ Correct Answer > A. CPAP trial
What can be said regarding response rates to UTPP surgery based on the level of
D
obstruction?
O
N
A. With obstruction at the oropharyngeal level, UPPP improved the apnea index the
O
least
T
B. With obstruction at the nasal valve, UPPP improved the apnea index the most
C
C. With the obstruction at the oropharyngeal level, UPPP improved the apnea index
O
the most
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D. With obstruction at the hypopharyngeal level, UPPP improved the apnea index
87% - ✔✔✔ Correct Answer > C. With the obstruction at the oropharyngeal level,
UPPP improved the apnea index the most
Which is one of the inclusion criteria for a Hypoglossal nerve stimulation surgery?
A. AHI <15
B. BMI >32
C. Concentric collapse demonstrated with DISE