4.5 Anchor Sleep And Coma

Question 0

What are the two types of REM sleep?

Answer 0

Tonic and phasic
Phasic is when there are sudden increases in sympathetic activity shown as brief bursts of REM.
Tonic occurs in between phasic stooges and is characterized by low muscle tone

Question 1

What is the Epworth sleepiness scale?

Answer 1

It is a world standard method for measuring daytime sleepiness.
The score ranges between zero and 24, the higher the score, the higher the daytime sleepiness

Question 2

What is the difference between primary and secondary insomnia?

Answer 2

Primary insomnia is not caused by another sleep disorder or underlying medical condition

secondary insomnia is caused by an underlying conditions such as depression or sleep or medical disorders

Question 3

What are some non-medication treatment options for insomnia and sleep deprivation

Answer 3

Strategic napping 
alleviate fatigue 
cognitive behavioral therapy 
physical exercise 
relaxation therapy

Question 4

What are the three criteria for insomnia?

Answer 4

Difficulty initiating sleep
difficulty maintaining sleep
waking up too early

Question 5

If I had an Epworth sleepiness scale score of 12 what would this mean?

Answer 5

I may be excessively sleepy depending on the situation

I may want to consider seeking medical advice.

Question 6

What are two things (each) to be included in a history and physical for a patient with daytime fatigue and sleepiness?

Answer 6

History- Symptoms of cataplexy, drug history, abnormal behavior is around or during sleep

Physical- blood-pressure, body mass index, narrowing of pharyngeal walls, neck measurements