BRPT Exam Prep with Complete
Solutions
a. increasing the LFF from 0.3 Hz to 1.0Hz - ANS-All of the following may be helpful in
identifying 60- Hz artifact EXCEPT:
a. increasing the LFF from 0.3 Hz to 1.0 Hz.
b. decreasing the LFF from 0.3 Hz to 1.0 Hz.
c. applying and removing the AC (line) filter.
d. decreasing the HFF from 70 Hz to 35 Hz
a. - ANS-The two inferior chin electrodes are placed on the:
a. submentalis
b. mental foramen
c. mastoid
d. orbicular oris
a. IPAP 11 and EPAP 6 - ANS-An adult patient with good resolution of the apneas on
IPAP of 10 cm/H20 and EPAP of 6 cm/H20 begins having hypopneas after rolling
supine. According to RECOMMENDED guidelines, what bilevel pressures would be
appropriate after observing 3 obstructive hypopneas?
a. IPAP 11 and EPAP 6
b. IPAP 12 and EPAP 4
c. IPAP 10 and EPAP 7
d. IPAP 10 and EPAP 5
a. Eye movement - ANS-Which of the following is a physiologic artifact?
a. Eye movement
b. Electrode pop
c. 50/60 Hz
d. IV drip
c. 1 - ANS-According to recommended guidelines for pediatric CPAP titration, how
many hypopneas must occur prior to increasing pressure?
a. 2
b. 4
c. 1
d. 3
d. hypoventilation - ANS-CO2 monitoring, using either end-tidal or transcutaneous
sensors, is mandatory in children for the scoring of:
a. apnea
,b. hypopnea
c. central events
d. hypoventilation
d. increasing sampling rate - ANS-What would increase the resolution of EEG spikes
and improve definition of the waveforms?
a. increasing sensitivity
b. applying 50/60 Hz filter
c. using a 100 uV voltage
d. increasing sampling rate
c. pulse oximetry - ANS-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
a. 3 RERAs - ANS-According to RECOMMENDED guidelines for patient < 12 years,
CPAP should be increased after observing at least:
a. 3 RERAs
b. 4 hypopneas
c. 2 obstructive apneas
d. 5 minutes of unambiguous snoring
a. histogram - ANS-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 the patient?
a. histogram
b. electroencephalogram
c. Plethsymograph
d. Sleep diary
a. Has not eliminated Cheyne Stokes respiration or central emergent apneas - ANS-
According to recommended guidelines, adaptive servo ventilation can be considered
during a titration study when a down titration:
a. has not eliminated Cheyne Stokes respiration or central emergent apneas
b. Causes poor sleep efficiency due to continuing respiratory related arousals
c. Fails to maintain oxygen levels consistently above 85% or greater than 10 minutes.
d. Results in resolution of central events and emergence of obstructive events
a. at intervals of > 5 minutes after observing 2 obstructive apneas - ANS-According to
RECOMMENDED guidelines for adult patients, CPAP pressure should be increased:
a. at intervals of > 5 minutes after observing 2 obstructive apneas
b. at intervals of greater than or equal to 10 minutes after observing 2 hypopneas
c. after 2 minutes and observing RERAs
d. after 2 minutes of loud or unambiguous snoring
,c. REM and slow wave rebound - ANS-In patients with severe sleep-disordered
breathing, the most commonly seen resulting from successful PAP titration is:
a. increased hypoxemia
b. attenuation of alpha activity
c. REM and slow wave rebound
d. Increase in PLMs
b. always a medical emergency - ANS-Ventricular fibrillation is:
a. seen from time to time in normal patients
b. Always a medical emergency
c. Associated with normal blood flow from the heart
d. A regular sinus rhythm
a. 4 cm/H20 - ANS-According to the RECOMMENDED guidelines, the beginning
pressure for a PAP titration is:
a. 4 cm/H20
b. 5 cm/H20
c. 6 cm/H20
d. 7 cm/H20
c. sleep state misperception - ANS-Paradoxical insomnia is also called:
a. idiopathic insomnia
b. hypnagogic hallucination
c. Sleep state misperception
d. delayed sleep phase syndrome
d. flow limitation - ANS-During a PAP titration, signal flattening in the nasal pressure
monitor indicates:
a. hypoventilation
b. snoring
c. central apnea
d. flow limitation
a. A 60-Hz artifact - ANS-Accessory equipment such as a CPAP machine or radio
placed near the headbox may cause:
a. A 60- Hz artifact
b. Electrode pops
c. spurious electrode impedance measures
d. Gap junctions with sparking
c. Change to bilevel - ANS-During a CPAP titration at 15 cm/H20, the patient is restless
and continues to have frequent obstructive respiratory events. The best action is to:
a. Initiate AP ramp
b. Increase humidity
c. Change to Bilevel
, d. Add a backup rate
c. atrial flutter - ANS-When two or more sawtooth-like waves precede each QRS
complex, the rhythm is:
a. atrial tachycardia
b. ventricular fibrillation
c. Atrial flutter
d. Junctional tachycardia
a. Montage - ANS-The electrode array used for recording physiologic activity is referred
to as:
a. Montage
b. Polarity
c. Sensitivity
d. Impedance
a. 40-60 bpm - ANS-What is the expected rate when conduction arises from the AV
junction?
a. 40-60 bpm
b. 60-80 bpm
c. 80-100 bpm
d. 20-40 bpm
a. inadequate sleep hygiene - ANS-The MOST common cause for insomnia in the
general population is:
a. inadequate sleep hygiene
b. shift work
c. sleep onset association disorder
d. misperception of sleep state
a. inductance plethysmography - ANS-According to RECOMMENDED guidelines,
respiratory effort should be recorded with:
a. inductance plethysmography
b. piezo-electric bands
c. intercostal EMG
d. nasal pressure transducer
d. tachycardia - ANS-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
Solutions
a. increasing the LFF from 0.3 Hz to 1.0Hz - ANS-All of the following may be helpful in
identifying 60- Hz artifact EXCEPT:
a. increasing the LFF from 0.3 Hz to 1.0 Hz.
b. decreasing the LFF from 0.3 Hz to 1.0 Hz.
c. applying and removing the AC (line) filter.
d. decreasing the HFF from 70 Hz to 35 Hz
a. - ANS-The two inferior chin electrodes are placed on the:
a. submentalis
b. mental foramen
c. mastoid
d. orbicular oris
a. IPAP 11 and EPAP 6 - ANS-An adult patient with good resolution of the apneas on
IPAP of 10 cm/H20 and EPAP of 6 cm/H20 begins having hypopneas after rolling
supine. According to RECOMMENDED guidelines, what bilevel pressures would be
appropriate after observing 3 obstructive hypopneas?
a. IPAP 11 and EPAP 6
b. IPAP 12 and EPAP 4
c. IPAP 10 and EPAP 7
d. IPAP 10 and EPAP 5
a. Eye movement - ANS-Which of the following is a physiologic artifact?
a. Eye movement
b. Electrode pop
c. 50/60 Hz
d. IV drip
c. 1 - ANS-According to recommended guidelines for pediatric CPAP titration, how
many hypopneas must occur prior to increasing pressure?
a. 2
b. 4
c. 1
d. 3
d. hypoventilation - ANS-CO2 monitoring, using either end-tidal or transcutaneous
sensors, is mandatory in children for the scoring of:
a. apnea
,b. hypopnea
c. central events
d. hypoventilation
d. increasing sampling rate - ANS-What would increase the resolution of EEG spikes
and improve definition of the waveforms?
a. increasing sensitivity
b. applying 50/60 Hz filter
c. using a 100 uV voltage
d. increasing sampling rate
c. pulse oximetry - ANS-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
a. 3 RERAs - ANS-According to RECOMMENDED guidelines for patient < 12 years,
CPAP should be increased after observing at least:
a. 3 RERAs
b. 4 hypopneas
c. 2 obstructive apneas
d. 5 minutes of unambiguous snoring
a. histogram - ANS-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 the patient?
a. histogram
b. electroencephalogram
c. Plethsymograph
d. Sleep diary
a. Has not eliminated Cheyne Stokes respiration or central emergent apneas - ANS-
According to recommended guidelines, adaptive servo ventilation can be considered
during a titration study when a down titration:
a. has not eliminated Cheyne Stokes respiration or central emergent apneas
b. Causes poor sleep efficiency due to continuing respiratory related arousals
c. Fails to maintain oxygen levels consistently above 85% or greater than 10 minutes.
d. Results in resolution of central events and emergence of obstructive events
a. at intervals of > 5 minutes after observing 2 obstructive apneas - ANS-According to
RECOMMENDED guidelines for adult patients, CPAP pressure should be increased:
a. at intervals of > 5 minutes after observing 2 obstructive apneas
b. at intervals of greater than or equal to 10 minutes after observing 2 hypopneas
c. after 2 minutes and observing RERAs
d. after 2 minutes of loud or unambiguous snoring
,c. REM and slow wave rebound - ANS-In patients with severe sleep-disordered
breathing, the most commonly seen resulting from successful PAP titration is:
a. increased hypoxemia
b. attenuation of alpha activity
c. REM and slow wave rebound
d. Increase in PLMs
b. always a medical emergency - ANS-Ventricular fibrillation is:
a. seen from time to time in normal patients
b. Always a medical emergency
c. Associated with normal blood flow from the heart
d. A regular sinus rhythm
a. 4 cm/H20 - ANS-According to the RECOMMENDED guidelines, the beginning
pressure for a PAP titration is:
a. 4 cm/H20
b. 5 cm/H20
c. 6 cm/H20
d. 7 cm/H20
c. sleep state misperception - ANS-Paradoxical insomnia is also called:
a. idiopathic insomnia
b. hypnagogic hallucination
c. Sleep state misperception
d. delayed sleep phase syndrome
d. flow limitation - ANS-During a PAP titration, signal flattening in the nasal pressure
monitor indicates:
a. hypoventilation
b. snoring
c. central apnea
d. flow limitation
a. A 60-Hz artifact - ANS-Accessory equipment such as a CPAP machine or radio
placed near the headbox may cause:
a. A 60- Hz artifact
b. Electrode pops
c. spurious electrode impedance measures
d. Gap junctions with sparking
c. Change to bilevel - ANS-During a CPAP titration at 15 cm/H20, the patient is restless
and continues to have frequent obstructive respiratory events. The best action is to:
a. Initiate AP ramp
b. Increase humidity
c. Change to Bilevel
, d. Add a backup rate
c. atrial flutter - ANS-When two or more sawtooth-like waves precede each QRS
complex, the rhythm is:
a. atrial tachycardia
b. ventricular fibrillation
c. Atrial flutter
d. Junctional tachycardia
a. Montage - ANS-The electrode array used for recording physiologic activity is referred
to as:
a. Montage
b. Polarity
c. Sensitivity
d. Impedance
a. 40-60 bpm - ANS-What is the expected rate when conduction arises from the AV
junction?
a. 40-60 bpm
b. 60-80 bpm
c. 80-100 bpm
d. 20-40 bpm
a. inadequate sleep hygiene - ANS-The MOST common cause for insomnia in the
general population is:
a. inadequate sleep hygiene
b. shift work
c. sleep onset association disorder
d. misperception of sleep state
a. inductance plethysmography - ANS-According to RECOMMENDED guidelines,
respiratory effort should be recorded with:
a. inductance plethysmography
b. piezo-electric bands
c. intercostal EMG
d. nasal pressure transducer
d. tachycardia - ANS-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
