Patient Care & Education

Question 1

A full-body monitoring set-up would be considered a ___ procedure. (High risk, medium risk, or low risk)

Answer 1

Full body monitoring is high risk

Question 2

Pulse oximetry during a routine office visit would be considered a ___ procedure. (High risk, medium risk, or low risk)

Answer 2

Low risk

Question 3

Does the patient have a right to receive an explanation of their bill?

Answer 3

Yes

Question 4

The right to refuse medical treatment refers to the right of the patient’s ___.

Answer 4

Autonomy

Question 5

The polysomnography measures the function of several organs.
What measures the eyes?
What measures the muscles?

Answer 5

Eyes: EOG Electrooculography
Muscles: EMG Electromyograph

Question 6

Skip

Answer 6

Skip

Question 7

A polysomnogram must include two things. What are they?

Answer 7

Time in minutes and percentages the patient spends in each sleep stage.

Question 8

What is the name of the scale used to aid in determine a patient’s level of daytime sleepiness?
Each question on the scale asks questions ranging from __ to __. (Each question, not total score.)

Answer 8

The Epworth Sleepiness Scale
Ranges from 0 to 3.
Higher numbers indicate more sleepiness.

Question 9

Epworth Sleepiness Scale: What numbers indicate

lower normal daytime sleepiness?

Answer 9

0-5

Question 10

Epworth Sleepiness Scale: What numbers indicate

higher normal daytime sleepiness?

Answer 10

6-10

Question 11

Epworth Sleepiness Scale: What numbers indicate

mild excessive daytime sleepiness?

Answer 11

11-12

Question 12

Epworth Sleepiness Scale: What numbers indicate

moderate excessive daytime sleepiness?

Answer 12

13-15

Question 13

Epworth Sleepiness Scale: What numbers indicate

severe excessive daytime sleepiness?

Answer 13

16-24

Question 14

What does STOP BANG stand for?

STOP BANG is a screening tool but may give a high false positive rate

Answer 14

(You just have to say the first word)
Snoring at night
Tired feeling or fatigued during the daytime
Observed Choking or gasping in sleep
Pressure- Do you have/are being treated for high BP?
BMI 35 kg / m2
Age older than 50
Neck size large (Males 17 inches Females 16 inches
Gender- male

Question 15

STOP BANG: High risk of sleep apnea if you answer yes to __ total questions

Answer 15

Yes to 5 or more questions

Question 16

What is the normal heart rate while asleep?

Answer 16

40-90 BPM (Not 60-100)

Question 17

What is a forensic patient?

Answer 17

A patient from prison or jail. Must be in restraints all night.

Question 18

What should you remember about patients taking medications before going to sleep in the sleep lab?

Answer 18

Some medications have a stimulant effect.

Question 19

What should you remember about patients with asthma taking their medications before going to bed?

Answer 19

Steroids and beta agonists have a stimulant effect and may interfere with sleep.

Question 20

What does the suprachiasmatic nucleus (SCN) do and where is it located?

Answer 20

It is the pacemaker for the circadian rhythm. It’s located in the hypothalamus. (It’s affected by light.)

Question 21

If there is a decreased amount of dopamine in the brain, how will that affect sleep?

Answer 21

If there is less dopamine in the brain, then the patient will get less sleep.

Question 22

What’s the difference between a high-risk procedure and a low-risk procedure? (Think consent)

Answer 22

A high-risk procedure requires written consent. A low-risk procedure requires only verbal consent.

Question 23

What type of claims does the NBRC’s Judicial and Ethics committee investigate?

Answer 23

Falsified credentials/educational documents
Unacceptable practice (bad behavior)
Altered exam scores

Question 24

STOP BANG: High risk of sleep apnea if you answer yes to __ of STOP question + BMI ___ or greater.

Answer 24

Yes to 2 STOP questions and BMI 35 or greater

Question 25

STOP BANG: High risk of sleep apnea if you answer yes to __ of STOP questions + neck circumference of ___ in males or ___ in females

Answer 25

Yes to 2 STOP questions and neck circumference

17 inches / 43 cm males, 16 inches / 41 inches females