Obstructive sleep Apnea, D Kinder, DSA

Question 1

definition of obstructive sleep apnea

Answer 1

cyclic obstruction of upper airway during sleep with associated Sx or signs of disturbed sleep
daytime sleepiness and loud snoring

Question 2

What is Dx criteria obstructive sleep apnea

Answer 2

5 events per hour

Question 3

high prevalence of obstructive sleep apnea with what conditions

Answer 3

age >60
HTN
stroke
HF
epilepsy
african americans
hispanics
asians

Question 4

what is obstructive apnea

Answer 4

absent airflow for at elast 10 sec assoc with continued ventialtory effort

Question 5

what is hypopnea

Answer 5

partial obstrution

Question 6

signs Sx obstructive sleep apnea

Answer 6

loud snoring, chronic snoring, excessive daytime somnolence and apneas

Question 7

Dx is made how with obstructive sleep apnea

Answer 7

polysomnography

Question 8

What is polysomnograpy

Answer 8

electroencephalography, electro-oculography
EKG
leg and chin electromyography
respiratory effort
airflow
O2 sat
end tidal CO

Question 9

Tx obstructive sleep apnea

Answer 9

CPAP, bilevel PAP, O2, weight loss, tracheostomy, uvulpalatopharyngoplasty
not a first line Tx

Question 10

prognosis of obstructive sleep apnea

Answer 10

middle aged men with sleep apnea with increased risk long term mortality compated to controls

Question 11

highest risk of death from sleep apnea is combined with what

Answer 11

HTN