Lp 29

Question 1

Period of inacitivty & restoration of mental & physical function

Answer 1

Sleep

Question 2

Recollections of entail activity that occurred during sleep

Answer 2

Dreams

Question 3

-disorders of initiating & maintaining sleep
-disorders of excessive sleepiness

Answer 3

Dyssominas

Question 4

Undesirable phenomena during sleep

Answer 4

Parasomnias

Question 5

4 categories of sleep disorders

Answer 5

-dyssomnias
-parasomnias
-sleep disorders associated with other medical or psychiatric disorders
-proposed sleep disorders, which pregnancy- induced sleep disruptions

Question 6

-most common of sleep disorders
-female> male
-increase with age, psychological discomfort, multiple health problems
-insufficient or no restorative sleep despite adequate opportunity to sleep
-can be acute/transient or chronic

Answer 6

Dyssomnias Insomnia

Question 7

Sleep difficulty in which other causes of sleep disruption have been ruled out or treated

Answer 7

Dyssomnias Primary insomnia

Question 8

-daytime sleep attacks, cataplexy, hallucinations at onset of sleep, sleep paralysis
-not progressive disorder, but disabling & difficult to treat
-daytime sleep periods are usually brief
-onset rare fore age of 5 or after age of 50

Answer 8

Dyssomnias narcolepsy

Question 9

Repetitive movement of big toe with flexion of ankle, knee, & hip during sleep

Answer 9

Periodic limb movement disorder

Question 10

-neurological disorder
-irresistible urge to move the legs
-may be primary or secondary

Answer 10

Restless leg syndrome

Question 11

-serious disorder
-brief periods of breathing cessation for 10 seconds or longer
-often accompanied by hypopnea which decreases arterial oxygen saturation
-

Answer 11

Dyssomnias sleep apnea

Question 12

-d/t upper airway obstruction
-characterized by snoring, disrupted sleep, excessive daytime sleepiness

Answer 12

Obstructive apnea

Question 13

-d/t disorders affecting respiratory center in brain
-rare

Answer 13

Central sleep apnea

Question 14

-undesirable physical phenomena such as: Nightmares, somnambulism, sleep terrors, bruxism, enuresis
-sleepwalking, sleep terrors & bed-wetting often seen in children
-sleepwalking & sleep terrors may occur with poorly controlled cardiac insufficiency after myocardial infraction

Answer 14

Parasomnias

Question 15

-repeated episodes of awakening from sleep
-usually between 4 & 12 years old
-gradually resolves & typically disappears during adolescence
-typical episodes: child sits up abruptly in bed, appears frightened & demonstrates signs of extreme anxiety
-until the agitation subsides, effectors to comfort a futile
-usually no memory o the episode

Answer 15

Sleep terrors in children

Question 16

-leaving the bed & walking without being conscious of or remembering it
-typically occurs in stages 3& 4 of non-REM sleep, usually during the first 1/3 of sleep period
-typically lasts a few mintues to 1/2 hour
-commonly unresponsive to efforts to communicate with them
-1* concern is injury during episode: children may leave their home during sleepwalking event

Answer 16

Sleepwalking in children