NEW RPSGT UPDATED EXAM- 2024
STUDY GUIDE AND PRACTICE TEST
,NEW RPSGT UPDATED EXAM- 2024
STUDY GUIDE AND PRACTICE TEST
Mandibular Advancement Splints - CORRECT ANSWERSMost common oral appliance, Enlarge airway by
re positioning anatomical features.
Tongue Retaining device - CORRECT ANSWERSuses suction to move tongue to enlarge air way.
Esophageal pH Monitoring - CORRECT ANSWERSUsed on PTs with symptoms suggestive of GERD.
Complex Sleep Apnea - CORRECT ANSWERSDuring a CPAP titration if Increasing the pressure eliminates
Obstructive apnea but Central apneas begin to apear.
Complex sleep apnea treatment - CORRECT ANSWERSBest choice is switching to ASV mode and if not
possible to then use BPAP WITH a backup rate.
The purpose of an intentional mask leak is to... - CORRECT ANSWERSWash out CO2 and prevent
rebreathing
Recommended guidelines state that HSV can be considered when.... - CORRECT ANSWERSCheyne Stokes
and central Apneas have not been eliminated.
What is aerophagia? - CORRECT ANSWERSThe swallowing of air
What is maxillomandibular advancement? - CORRECT ANSWERSTreatment 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? - CORRECT ANSWERSTo eliminate desaturations and
arousals.
,According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing pressure? -
CORRECT ANSWERS1
What are the AASM guidelines for supplemental O2 during PAP studies? - CORRECT ANSWERS1lmp
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? - CORRECT ANSWERSIPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti
depressants. - CORRECT ANSWERSAlcohol: 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? - CORRECT ANSWERSOverlap syndrome
What are hypoxemia and hypercapnia? - CORRECT ANSWERSHypoxemia: 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? - CORRECT
ANSWERSHypoventilation
What is an MWT's MOST important use? - CORRECT ANSWERSMeasure patients ability to resist the urge
to fall asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been known to
trigger what? - CORRECT ANSWERSREM sleep behavior disorder
Recommended impedance for eeg and eog - CORRECT ANSWERS5k ohms
, The amount of space needed to archive digitized data is MOST impacted by? - CORRECT
ANSWERSSampling rate
Cortical activity is best described as - CORRECT ANSWERSSpontaneous 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 - CORRECT ANSWERS11
According to RECOMMENDED guidelines, the minimum duration of a significant leg movement is -
CORRECT ANSWERS.5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an adult
polysomnogram is - CORRECT ANSWERSOccurrence 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 - CORRECT ANSWERSObstructive 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 - CORRECT ANSWERSAtrial fibrillation
The stage that is the greatest portion of the epoch - CORRECT ANSWERSThe stage that is the greatest
portion of the epoch
STUDY GUIDE AND PRACTICE TEST
,NEW RPSGT UPDATED EXAM- 2024
STUDY GUIDE AND PRACTICE TEST
Mandibular Advancement Splints - CORRECT ANSWERSMost common oral appliance, Enlarge airway by
re positioning anatomical features.
Tongue Retaining device - CORRECT ANSWERSuses suction to move tongue to enlarge air way.
Esophageal pH Monitoring - CORRECT ANSWERSUsed on PTs with symptoms suggestive of GERD.
Complex Sleep Apnea - CORRECT ANSWERSDuring a CPAP titration if Increasing the pressure eliminates
Obstructive apnea but Central apneas begin to apear.
Complex sleep apnea treatment - CORRECT ANSWERSBest choice is switching to ASV mode and if not
possible to then use BPAP WITH a backup rate.
The purpose of an intentional mask leak is to... - CORRECT ANSWERSWash out CO2 and prevent
rebreathing
Recommended guidelines state that HSV can be considered when.... - CORRECT ANSWERSCheyne Stokes
and central Apneas have not been eliminated.
What is aerophagia? - CORRECT ANSWERSThe swallowing of air
What is maxillomandibular advancement? - CORRECT ANSWERSTreatment 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? - CORRECT ANSWERSTo eliminate desaturations and
arousals.
,According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing pressure? -
CORRECT ANSWERS1
What are the AASM guidelines for supplemental O2 during PAP studies? - CORRECT ANSWERS1lmp
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? - CORRECT ANSWERSIPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti
depressants. - CORRECT ANSWERSAlcohol: 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? - CORRECT ANSWERSOverlap syndrome
What are hypoxemia and hypercapnia? - CORRECT ANSWERSHypoxemia: 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? - CORRECT
ANSWERSHypoventilation
What is an MWT's MOST important use? - CORRECT ANSWERSMeasure patients ability to resist the urge
to fall asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been known to
trigger what? - CORRECT ANSWERSREM sleep behavior disorder
Recommended impedance for eeg and eog - CORRECT ANSWERS5k ohms
, The amount of space needed to archive digitized data is MOST impacted by? - CORRECT
ANSWERSSampling rate
Cortical activity is best described as - CORRECT ANSWERSSpontaneous 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 - CORRECT ANSWERS11
According to RECOMMENDED guidelines, the minimum duration of a significant leg movement is -
CORRECT ANSWERS.5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an adult
polysomnogram is - CORRECT ANSWERSOccurrence 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 - CORRECT ANSWERSObstructive 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 - CORRECT ANSWERSAtrial fibrillation
The stage that is the greatest portion of the epoch - CORRECT ANSWERSThe stage that is the greatest
portion of the epoch
