49 - Sleep

Question 1

Body Temperature

Answer 1

Up in the day

Decreases when you fall asleep

Question 2

Retino-hypothalamic Tract

Answer 2

Retina to the suprachiasmatic nucleus!!!!

Question 3

Sleep Promoting NTs

Answer 3

Adenosine

Galanin

Question 4

Wake Promoting NTs

Answer 4

Hypocretin/Orexin

Histamine

Question 5

Melatonin

Answer 5

Circadian Rhythms

Question 6

Close your eyes in bed

Answer 6

Alpha Activity

Question 7

Stage 1

Answer 7

No alpha

Question 8

Stage 2

Answer 8

K complex

12 - 14 cps activity (sleep spindle)

Question 9

Stage 3

Answer 9

Deep sleep

Rhythmic

Question 10

Stage REM

Answer 10

Low amplitude, mixed frequency
NO MUSCLE TONE
Variable heart and respiratory rate

Question 11

REM Eye Movements

Answer 11

Deep sleep starts in the beginning of the night and tapers off.
REM sleep gets more frequent and longer.

Question 12

Sleep Disrders

Answer 12

Insomnia
Hypersomnia
Parasomnia Disorders (sleepwalking, night terrors, bedwetting, grinding teeth, etc)

Question 13

Parasomnias

Answer 13

Biological clock disorder!

Question 14

Insomnia - Etiology

Answer 14

Medical
Neurological
Psychiatric or Psychological
Environmental
Situational

PRIMARY SLEEP DISORDER

Question 15

Medications for Insomnia

Answer 15

Benzodiazepines
Non-Benzodiazepines
Melatonin agonists
Low dose antidepressants - antihistaminic
Orexin inhibitors

Question 16

Narcolepsy Tetrad

Answer 16

Excessive Daytime Sleepiness
Cataplexy (brief and sudden loss of muscle tone)
Hypnagogic/Hypnopompic hallucinations
Sleep paralysis