Lecture 17 - Sleep

Question 1

Synaptic Shrinkage?

Answer 1

making room for new connections through the loss on unimportant memories

Question 2

Taking a sleep history?

Answer 2

onset, latency, interruptions, quality, sleep walking and talking

Question 3

GP tools for sleep monitoring?

Answer 3

auckland sleep questionnaire, sleep diary

Question 4

Insomnias?

Answer 4

primary, secondary (substances, psychiatric), circadian rhythm problems, shift work, tired but wired

Question 5

Excessive Daytime Sleepers?

Answer 5

difficulty in maintaining desired wakefulness, falling asleep inappropriately e.g. sleep apnoea, circadian rhythm disorder, narcolepsy

Question 6

Parasomnia?

Answer 6

sleep walking, talking, sex, screaming, REM behaviour disorders, limb movements

Question 7

Management of sleep disorders?

Answer 7

correct diagnosis first, multi-modal approach (psych, behavioural and biological), light treatment

Question 8

Countermeasure for sleep deprivation?

Answer 8

2-8hr sleep prior to 24 hour sleep loss, 15min naps every 2-3 hours (>2 can be detrimental), drugs

Question 9

Measures to enhance sleep?

Answer 9

adsress underlying condition, avoid drugs, relax at night, cut back on gadgets (blue light), bed restriction, mindfulness