Exam 3 Flashcards

1
Q

Oxygen in sleep lab

Poses?

Dangers

A

Poses prolong physiologic consequences:

Prolong alveolar oxygen levels with oxygen toxicity

Dangers
highly flammable
Highly explosive

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2
Q

Hypoxic drive ?

Predominate stimulus to?

Secondary drive associated with ?

Some chronic diseases cause ?

In pt sensitivity to _______ becomes______ and that _____ becomes the predominate stimulus to_______

Pt drive to breath can be diminished with _______

A

Carbon dioxide

Hypoxemia ( hypoxic drive)

Chronic hypercarbia ( hypercapnea ) ( elevated PaCO2)

Sensitivity to Carbon dioxide becomes
Blunted and that Hypoxia becomes the
Predominate stimulus to breath ( hypoxia the state of low oxygen levels

Their drive to breathCAN be diminished with the admin of oxygen

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3
Q

EMG parameter
LFF
HFF
TC

EEG/EOG

LFF
HFF
TC

A

EMG
LFF 5
HFF 90-100 HZ
TC 0.03

EEG/EOG
LFF 0.3
HFF 35
TC 0.4

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4
Q
Short time constant should be used when recording which of the following physiologic variable? 
A. EEG
B. EOG
C. EMG
D. Respirations
A

C. EMG

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5
Q

When scoring an MSLT sleep onset is defined as the elapsed time from?

A

Lights out to the first epoch scored SLEEP

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6
Q

Uvulpalatopharyngoplasty ( UPPP)

Is what?

Removes what?

A

Most common surgical procedure to treat OSA

Removal 
Portion of soft palate
Uvula
Tonsils
Limited wall if pharyngeal
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7
Q

Hypoxia

A

Lack of oxygen

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8
Q

BMI
Formula

Under wt
Healthy wt
Over wt
Obesity
Morbid obesity
A

Under wt

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9
Q

Hyperventilation def

A

Abnormal fast - deep type breathing

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10
Q

Hyperpnea-def

A

Abnormal increase both in rate and depth of respiration

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11
Q

Hypopnea def

A

Abnormal decrease in both rate and depth of respiration

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12
Q

84 when scoring an apnea/ hyponea event of short duration the tech may notice?

A

B. No evident desat

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13
Q

82 Rem cycles are calculated?

A

C. From the end of one REM period to the beginning of the next

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14
Q

80 A REM latency of _____ would be considered normal in an adult

A

90- 120 min

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15
Q
  1. Total sleep time is
A

Total of non REM + REM sleep time

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16
Q

The percentage of stage REM is based on the

A

Total sleep time

17
Q

When scoring the PSG , the REM latency is generally calculated

A

B from sleep onset

18
Q

Scoring of an obstructive hypopnea maybe aided greatly by

A

A esophageal pressure measurements

B. IntercostalEMG recording

C. Diaphragmatic EMG

D. All of the above is the answer D

19
Q

72 sleep efficiency is

A

B. the ratio if total sleep time to time in bed

20
Q
  1. The duration of an ape uv episode is calculated from the
A

B. End of exhalation to the beginning of the next inhalation

21
Q
  1. Body movement s
A

Are discrete physiologic events, which can occur during stages or movement time

22
Q
  1. The average number of Apneas and hypopnea. Per hr of sleep is th
A

D. RdI respiratory disturbance index

23
Q
  1. The formula for calculation of the PLM arousal index is
A

A. The number of PLMs with arousal times60 by TST total sleep time

24
Q

77 the occurrences of multi k complex at the termination of an apnea without an accompanying EEG frequency shift

A

Is scored as an arousal if preceded by 10 sec of continuous stage 1 sleep

25
Q

78 the major goal for defining movement arousals is to

A

C. Signal the possibility of a stage chAnge

26
Q

79 sleep stage percentage maybe calculated by using

A. Total sleep time (dark time )

B. Total sleep time ( total non rem + total rem)

C. Sleep period time ( time from sleep onset to sleep offset including intervening arousals)

D any or all the of the above

A

D all the above

A . total recording time (dark time)

B. Total sleep time ( total non REM+ total REM

C sleep period time ( time from sleep onset to sleep offset including intervening arousals)

27
Q
  1. Sleep spindles

A are 9-13 cps waveforms

B. Wax and wane in amplitude

C are at least .05 sec in duration

D. All of the above

A

D. All the above

28
Q
  1. K complex
A

Have an initial negative deflection followed by a positive deflection