E2 Sleep Disorders Flashcards

Exam 2

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1
Q

What are the two types of Sleep-Wake Disorders?

A

Dyssomnia and Parasomnia

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2
Q

Difficulties getting enough sleep, problems with sleeping when you want

A

Dyssomnias

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3
Q

What are the three dyssomnias?

A
  1. Insomnia
  2. Circadian Rhythm
  3. Narcolepsy
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4
Q

Abnormal sleep events/activity during sleeping

A

Parasomnia

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5
Q

What is sleep onset lacency?

A

The time it takes to fall asleep

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6
Q

What is a normal sleep onset lancency?

A

less than 30 minutes

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7
Q

What is wake time after sleep onset?

A

The time it takes to fall back asleep after waking in the middle of the night

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8
Q

What is a normal wake time after sleep onset?

A

Less than 30 mins

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9
Q

What is the sleep efficiency formula?

A

Time sleeping/Time in bed X 100

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10
Q

Problems initiating/maintaining sleep, while possibly having early morning awakenings

A

Insomnia

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11
Q

What is secondary insomnia? Does it still exist?

A

Insomnia that is better explained by a different condition
NO

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12
Q

Is it difficult to determine is insomnia is primary or secondary ?

A

Yes; often intertwined with other illnesses

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13
Q

What are the 3 Ps in triple P model?

A
  1. Predisposition
  2. Precipitate
  3. Perpetuate
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14
Q

What is predisposition in the triple P model?

A

Diathesis (biological determinant)

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15
Q

What is Precipitate in the triple P model?

A

Mind racing; inability to control one’s thoughts in the evening

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16
Q

What is Perpetuate in the triple P model?

A

Sleep hygiene/sleep model

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17
Q

What is compensation for insomnia?

A

Participating in behaviors like smoking weed or napping to aid sleeping

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18
Q

What is conditioned bedtime arousal?

A

Time spent around the bedroom doing tasks shifts the brain from thinking the bed=sleepy to bed=work

19
Q

What is perpetuating insomnia?

A

Unrealistic sleep expectations lead to anxiety which leads to poor sleep (leading to insomnia)

20
Q

What disorder is a mismatch between a person’s endogenous sleep-wake schedule and that required by social or professional schedule

A

Circadian Rythm Disorder

21
Q

What is melatonin?

A

A hormone that is produced to evoke sleep behavior

22
Q

What time is peak melatonin? Is it released in light or dark conditions ?

A

2-4 AM
Dark

23
Q

What CRD is late bedtime and late rise times?

A

Delayed sleep phase syndrome

24
Q

What is a cure for delayed sleep phase?

A

Evening melatonin supplement or early light exposure

25
Q

Delayed sleep phase is most common in ?

A

Adolescence

26
Q

What CRD is characterized by Early bedtimes and Early rise times?

A

Advanced sleep phase syndrome

27
Q

What is a cure for advanced sleep phase syndrome?

A

Evening light

28
Q

How many sleep cycles are there? How long do they each last?

A

4-5
90 minutes

29
Q

What are the different stages of sleep (stage 1 is ________)

A

Stage 1 is light sleep
Stage 2 is slightly deeper sleep
Stage 3 is deep sleep

30
Q

What is REM sleep?

A

Rapid Eye movement
Sleep most commonly associated with dreams

31
Q

What is an irrepressible need to sleep ?

A

Narcolepsy

32
Q

What is a sudden loss of muscle tone that is associated with Narcolepsy?

A

Cataplexy

33
Q

Cataplexy is usually triggered by

A

Strong emotions (Fear or sadness response)

34
Q

what is hypocretin Orexin?

A

A drug commonly related to sleep wakefulness

35
Q

Do Narco patients have a hypocretin (orexin) deficiency or surplus?

A

Deficiency (issues waking up fully)

36
Q

Do Narco patients hit REM sooner or later than the average person?

A

Sooner

37
Q

What is Hypnagogic or hypnopompic hallucinations?

A

Vivid sensory experiences while falling asleep (dreams experienced as reality)

38
Q

When falling asleep, you suddenly jolt awake thinking you actually just fell from a bridge. This is called a

A

Hypnopompic hallucination

39
Q

What is a brief, often frightening period after waking up when unable to move or speak

A

Sleep paralysis

40
Q

What does Polysomnography determine?

A

Sleep habits

41
Q

True or False:
Benzadiopienze is useful as a long term remedy for insomnia

A

False; short term solution

42
Q

True or False:
Benzadiopienze can cause rebound insomnia if overused

A

True

43
Q

True or False:
Psychological Treatments, like relaxation therapy, does not help insomnia patients

A

False, they help greatly

44
Q

What stage of sleep do nightmares happen?

A

REM