NEW RPSGT Exam Study Guide and Practice Test with
Complete Solution 2024
The purpose of an intentional mask leak is to... - Answer- Wash out CO2 and prevent rebreathing
Recommended guidelines state that HSV can be considered when.... - Answer- Cheyne Stokes and central
Apneas have not been eliminated.
What is aerophagia? - Answer- The swallowing of air
What is maxillomandibular advancement? - Answer- Treatment 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? - Answer- To eliminate desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing pressure? -
Answer- 1
What are the AASM guidelines for supplemental O2 during PAP studies? - Answer- 1lmp 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? - Answer- IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti
depressants. - Answer- Alcohol: 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? - Answer- Overlap syndrome
What are hypoxemia and hypercapnia? - Answer- Hypoxemia: very low 02 in the blood
,Hypercapnia: very high CO2 in the blood.
what is the minimum number hours of diagnostic and therapeutic in a split study? - Answer- 2 diagnostic
3 therapeutic
what is the most stable stage of sleep respiratory wise? - Answer- N3 (NREM is more stable and REM is
irregular)
What does common mode rejection do? - Answer- It is a process that takes input signals and eliminates
identical voltages from two different sources (records dissimilar voltages)
(higher the CMMR, the more efficient the amplifier)
what should the low pass filter for an EEG be if seizures are expected? - Answer- 70 Hz (usually 35 Hz)
What happens to a waveform is sensitivity is increased? - Answer- The vertical size of the wave decreases
what is the difference in gain and sensitivity? - Answer- Increasing gain increases amplitude and
increasing sensitivity decreases the amplitude
What is the shortest sleep latency for a MSLT nap? - Answer- 15 minutes (longest its 35 minutes)
What is HST? - Answer- Home sleep test
How do you clean ECG electrodes? - Answer- Wipe with cleaning agent that is non-corrosive to plastic,
air dry, gas sterilization as needed
What are the NREM parasomnias? - Answer- Confusional arousals, sleepwalking, sleep terror, SRED
What are the REM parasomnias? - Answer- Nightmares, RBD, sleep paralysis
How long does a "short sleeper" sleep? - Answer- <6 hours (long: >10)
,What stage of sleep is CSA more common? - Answer- NREM
What are SOREMPS? - Answer- Occurrence of REM sleep within 15 minutes of sleep onset (<2 =
hypersomnia, >2 narcolepsy)
What type of narcolepsy is cataplexy present? - Answer- Type 1
When is narcolepsy onset age usually? - Answer- 10-20
What is the effect of light therapy on circadian rhythms? - Answer- Light therapy in the morning, after
core body temperature minimum, advances the circadian rhythm (go to bed early, wake up early)
What gender does SRED happen in more? - Answer- Females
What gender does RBD happen more in? - Answer- Males (>50)
When do disorders of arousal usually disappear? - Answer- onset puberty
What is another name for "hypnic jerk"? - Answer- Sleep start
What is cataythrenia? - Answer- Sleep related groaning in REM sleep usually
What is expected with sleep-related seizures? - Answer- Episodes usually last <1 minute, can have
multiple episodes, more common in first part of the night, complex behaviors are uncommon
What drugs suppress REM? - Answer- SSRI
TCA
Propranolol
Benzodiazepines
Barbiturates
MOA Inhibitors
, What drugs decrease N3? - Answer- Clozapine
Olanzapine
Fluoxetine
Paroxetine
What drugs increase N3? - Answer- Cimetidine
Gamma hydroxybutyrate
TCA
Trazadone
Gabapentin
Pregabalin
What way do the EOGs behave? - Answer- If looking left, REOG has upward deflection and LEOG has
downward deflection
if looking right, REOG has downward deflection and LEOG has upward deflection
What is needed to score REM Without Atonia (RWA)? - Answer- Excessive sustained muscle activity in
REM and cEMG
Excessive TMA in REM and chin or limb EMG
50% of mini epochs contain any chin or limb activity
What is a normal PR interval? - Answer- 0.20 seconds
What is the Respiratory Event Index equation? - Answer- REI= (# of apneas + hypopneas) x 60 /
monitoring time
When active equipment is close to patient what kind of artifact occurs? - Answer- 60 Hz artifact
(can also occur from poor electrode contact, defective wires, inadequate grounding, and it's see in
EEG/ECG/EOG/EMG)
Complete Solution 2024
The purpose of an intentional mask leak is to... - Answer- Wash out CO2 and prevent rebreathing
Recommended guidelines state that HSV can be considered when.... - Answer- Cheyne Stokes and central
Apneas have not been eliminated.
What is aerophagia? - Answer- The swallowing of air
What is maxillomandibular advancement? - Answer- Treatment 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? - Answer- To eliminate desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing pressure? -
Answer- 1
What are the AASM guidelines for supplemental O2 during PAP studies? - Answer- 1lmp 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? - Answer- IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti
depressants. - Answer- Alcohol: 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? - Answer- Overlap syndrome
What are hypoxemia and hypercapnia? - Answer- Hypoxemia: very low 02 in the blood
,Hypercapnia: very high CO2 in the blood.
what is the minimum number hours of diagnostic and therapeutic in a split study? - Answer- 2 diagnostic
3 therapeutic
what is the most stable stage of sleep respiratory wise? - Answer- N3 (NREM is more stable and REM is
irregular)
What does common mode rejection do? - Answer- It is a process that takes input signals and eliminates
identical voltages from two different sources (records dissimilar voltages)
(higher the CMMR, the more efficient the amplifier)
what should the low pass filter for an EEG be if seizures are expected? - Answer- 70 Hz (usually 35 Hz)
What happens to a waveform is sensitivity is increased? - Answer- The vertical size of the wave decreases
what is the difference in gain and sensitivity? - Answer- Increasing gain increases amplitude and
increasing sensitivity decreases the amplitude
What is the shortest sleep latency for a MSLT nap? - Answer- 15 minutes (longest its 35 minutes)
What is HST? - Answer- Home sleep test
How do you clean ECG electrodes? - Answer- Wipe with cleaning agent that is non-corrosive to plastic,
air dry, gas sterilization as needed
What are the NREM parasomnias? - Answer- Confusional arousals, sleepwalking, sleep terror, SRED
What are the REM parasomnias? - Answer- Nightmares, RBD, sleep paralysis
How long does a "short sleeper" sleep? - Answer- <6 hours (long: >10)
,What stage of sleep is CSA more common? - Answer- NREM
What are SOREMPS? - Answer- Occurrence of REM sleep within 15 minutes of sleep onset (<2 =
hypersomnia, >2 narcolepsy)
What type of narcolepsy is cataplexy present? - Answer- Type 1
When is narcolepsy onset age usually? - Answer- 10-20
What is the effect of light therapy on circadian rhythms? - Answer- Light therapy in the morning, after
core body temperature minimum, advances the circadian rhythm (go to bed early, wake up early)
What gender does SRED happen in more? - Answer- Females
What gender does RBD happen more in? - Answer- Males (>50)
When do disorders of arousal usually disappear? - Answer- onset puberty
What is another name for "hypnic jerk"? - Answer- Sleep start
What is cataythrenia? - Answer- Sleep related groaning in REM sleep usually
What is expected with sleep-related seizures? - Answer- Episodes usually last <1 minute, can have
multiple episodes, more common in first part of the night, complex behaviors are uncommon
What drugs suppress REM? - Answer- SSRI
TCA
Propranolol
Benzodiazepines
Barbiturates
MOA Inhibitors
, What drugs decrease N3? - Answer- Clozapine
Olanzapine
Fluoxetine
Paroxetine
What drugs increase N3? - Answer- Cimetidine
Gamma hydroxybutyrate
TCA
Trazadone
Gabapentin
Pregabalin
What way do the EOGs behave? - Answer- If looking left, REOG has upward deflection and LEOG has
downward deflection
if looking right, REOG has downward deflection and LEOG has upward deflection
What is needed to score REM Without Atonia (RWA)? - Answer- Excessive sustained muscle activity in
REM and cEMG
Excessive TMA in REM and chin or limb EMG
50% of mini epochs contain any chin or limb activity
What is a normal PR interval? - Answer- 0.20 seconds
What is the Respiratory Event Index equation? - Answer- REI= (# of apneas + hypopneas) x 60 /
monitoring time
When active equipment is close to patient what kind of artifact occurs? - Answer- 60 Hz artifact
(can also occur from poor electrode contact, defective wires, inadequate grounding, and it's see in
EEG/ECG/EOG/EMG)
