Medical terminology

Question 1

Rebound Insomnia

Answer 1

From abrupt medication discontinuation

Question 2

Withdrawal Liability

Answer 2

Potential for other substance use withdrawal

Question 3

Residual Effect

Answer 3

Next Day Impairment (Alertness) or Extended sedation (medication related)

Question 4

Anterograde Amnesia

Answer 4

Memory loss that prevents formation of new memories (typically given prior general amnesia)

Question 5

Psychomotor Impairment

Answer 5

Fall risk, gait, coordination

Question 6

Circadian Rhythm

Answer 6

The “body’s internal clock” that regulates physical, mental, and behavioral changes over 24 hours.

Question 7

Ultradian Rhythm

Answer 7

Bio-clock that repeats itself within a 24 hour period and shorter than 24 hours (REM - Non REM sleep cycles)

Question 8

Sleep-Wake cycle

Answer 8

The physiology of wakefulness (orexin, histamine) and sleep (GABA, melatonin) impacted by changes in light (UVB-blue or full spectrum light)

Question 9

CBT-I

Answer 9

Cognitive Behavioral Therapy Insomnia

Question 10

CPAP

Answer 10

Continuous positive airway pressure

Question 11

DFA

Answer 11

Difficulty falling asleep

Question 12

DMS

Answer 12

Difficulty maintaining sleep

Question 13

EMA

Answer 13

Early morning awakening

Question 14

Polysomnogram (PSG)

Answer 14

Device with a combination of results from EEG, EOG, and EMG

Question 15

Hypnogram recording

Answer 15

Describes the sleep architecture of time in each of the 4 stages of sleep

Question 16

REM (rapid-eye movement sleep)

Answer 16

One of the 4 stages of sleep . Associated with memory consolidation, emotional processing, brain development, dreaming, wake-up preparation. Causes paralysis during sleep to prevent “dream acting”. sometimes associated with hallucinations.

Question 17

Sleep latency (SL)

Answer 17

Time it takes to fall asleep. (normal < 30 minutes for child/adults and < 45 minutes in geriatric)

Question 18

REM Latency

Answer 18

Time from onset of sleep to onset of first REM period (<65 min for young and <85 min for geriatric)

Question 19

Reduced REM latency

Answer 19

Characteristic of narcolepsy (sleep disorder) and is thought to be associated with cataplexy (paralysis) and hallucinations.

Question 20

Narcolepsy

Answer 20

Excessive daytime sleepines (EDS)

Question 21

Cataplexy attacks

Answer 21

loss of muscle tone and/or paralysis while awake

Question 22

Hypnagogic hallucinations

Answer 22

vivid sensory experiences during falling asleep

Question 23

Hypnopompic hallucinations

Answer 23

vivid sensory experiences during waking up (less frequent)

Question 24

Orexin (AKA hypocretin)

Answer 24

Orexin neurons in the hypothalamus are highly active during daytime and helps regulate wakefulness and maintaining alertness

Question 25

DORA

Answer 25

Dual Orexin A and B receptor antagonist are contraindicated in narcolepsy with cataplexy