RPSGT, EXAM QUESTIONS with complete solution 2023

RPSGT, EXAM QUESTIONS with complete solution 2023The following symptoms are representative of Insomnia Disorder: Early morning awakenings without returning the sleep, Prolonged resistance to going to bed, Non-restorative sleep. When pain is present, it impacts sleep and causes these changes: hyperalgesia, Exacerbated pain The psychiatric impact of insomnia increases the incidence for these disorders: Drug and alcohol use, Major depression. Sleep aids have a special risks for older adults. Some of these risks are: Confusion and memory problems The effectiveness of CBT-I use in patients with insomnia is characterized by: 78% of patients successfully discontinued use of sleep medications When integrating behavioral education, these are the goals that a practitioner seeks to achieve: What are the factors that perpetuate the sleep problem? Are there other co-existing medical conditions that are untreated? What factors trigger the onset of the symptoms? CBT-I uses these behavioral and cognitive approaches to reset the mental processes that regulate sleep: Sleep scheduling, Sleep hygiene education, Stimulus control therapy. A patient with REM related apnea, snoring on PAP, and increased weight gain is likely related to: Inadequate PAP Setting Respiratory events appearing in clusters and worsening as night progresses are likely caused by: REM related apnea At a community health fair, a concerned patient describes their child's recurring screaming outbursts. The best next question for the sleep health specialist to ask is: What time of the night do the screams occur? A 43-year-old with a complaint of insomnia, witnessed apneas, increased difficulty falling asleep, increased awakening after sleep onset, and increased EDS, has ocular nerve damage due to an explosion in combat. He has a Mallampati of II/IV hottie of 2/5, moderate drinking of 2-3 12 ounce beers nightly, a 15 to 18 pound weight gain in the past five years and twitching of the lower limbs during the day. The twitching started two years ago. Which tests would best evaluate the patient? Full lead EEG