Norton

Question 1

What must you have for insomnia

Answer 1

• problem initiating or maintaining sleep
• cannot sleep with adequate circumstances
• Daytime complaints

Question 2

How can you diagnose chronic insomnia disorder

Answer 2

Type 1

> 3x weeks for >3 months

Question 3

How can you diagnose short term insomnia disorder

Answer 3

Type 2

< 3 months
usually has an identifiable stressor

Question 4

What type of breathing do you see in central sleep apnea?

Answer 4

no attempt to breathe

Question 5

What type of breathing do you see in obstructive sleep apnea?

Answer 5

decrease in airflow with attempted breathing

Question 6

What breathing pattern do you see in central sleep apnea

Answer 6

Cheyene-Stokes

Question 7

Risk factors for central sleep apnea

Answer 7

old men
heart failure
opioid use

Question 8

What do you see in central sleep apnea

Answer 8

paroxysmal nocturnal dyspnea

nocturnal angina

daytime sleepiness

Question 9

What do you see in obstructive sleep apnea

Answer 9

SNORING

large neck

daytime sleepiness

Question 10

What is required for obstructive sleep apnea

Answer 10

hypertension
snoring
choking/gasping
daytime sleepiness

Question 11

How do you diagnose Central sleep apnea

Answer 11

Polysmnography

Question 12

What does EEG do

Answer 12

sleep stage

Question 13

What does EOG do

Answer 13

eye movement (REM)

Question 14

What does EMG do

Answer 14

monitors atonia

Question 15

Treatment for Obstructive sleep apnea

Answer 15

CPAP

Question 16

What do you see in narcolepsy on a molecular level

Answer 16

decreased orexin A and B from lateral hypothalamus

Question 17

What does orexin do

Answer 17

stabalizes wake state

normally inhibits inappropriate REM while awake

Question 18

What is seen in CSF of narcoleptic patients

Answer 18

Missing orexin A

Question 19

What is seen in narcoleptic patients symptom wise

Answer 19

Tetrad
-Daytime sleepiness

• sleep paralysis
• Cataplexy (triggered by strong emotion)
• Hallucinations (hypnagogic-while falling asleep)

Question 20

When do people with narcolepsy enter REM

Answer 20

earlier than normal people

Question 21

what test do you do for narcolepsy

Answer 21

Polysomnography

Multiple sleep latency test

Question 22

Criteria for narcolepsy

Answer 22

MSLT with sleep latency <8 min and 2 SOREMPs

Question 23

Shift work disorder issue and treatment

Answer 23

-difficulty sleeping past noon

• maintain daily sleep routine
• switch shifts

Question 24

who usually has non 24hr sleep wake rhythm disorder

Answer 24

blind people

Question 25

Traveling East to west

Answer 25

easier for ppl with longer than 24 hr cycles

Question 26

Traveling west to east

Answer 26

easier for people with shorter than 24 hour cycles

Question 27

NREM parasomnias

Answer 27

confusion arousal

sleepwalking

sleep terrors

sleep eating

Question 28

Where does primary RLS come from

Answer 28

unknown

Question 29

Where does secondary RLS come from

Answer 29

iron deficiency

end stage renal

Diabetic

MS

Question 30

How do you diagnose primary RLS

Answer 30

Symproms of RLS

AND

NORMAL neruo exam

Question 31

How do you diagnose secondary RLS

Answer 31

Symproms of RLS

AND

ABNORMAL neruo exam

Question 32

What tests should you do for RLS

Answer 32

check iron levels

NO polysomnography

Question 33

What is periodic limb movement of sleep and how do you diagnose

Answer 33

sudden jerking of legs every 30 sec

Diagnose with polysomnography