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CLINICAL > [PSYCH] SLEEP > Flashcards

[PSYCH] SLEEP Flashcards

1
Q

Cycle changes in sleep apnea

A

decreased
Stage 1
Stage 3,4
REM

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2
Q

narcolepsy tetrad

A

sleep attacks + EDS
Cataplexy
Hypnagogic hallucinations
sleep paralysis

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3
Q

REM disorder

A

Narcolepsy

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4
Q

narcolepsy is linked to

A

orexin deficiency

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5
Q

narcolepsy TTT

A

CNS stimulants for EDS
TCA for Cataplexy

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6
Q

severe obstructive & mixed apnea TTT

A

tonsillectomy
tracheostomy

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7
Q

most effective TTT in insomnia

A

behavioral therapy

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8
Q

night terrors occur during

A

Stage 4

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9
Q

somnambulism occurs during

A

Stage 4
first 1/3 of the night

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10
Q

enuresis occurs during

A

Stage 3,4

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11
Q

SIDS incidence decreased by

A

placing baby on its back

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12
Q

SIDS RF

A

maternal smoking

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13
Q

2ry insomnia due to

A

medication abuse
anxiety & depression

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14
Q

REM
lower physiologic arousal levels
recalled after waking
waking time anxiety

A

Nightmares

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15
Q

NREM Stage 4
MC in boys
high physiologic arousal levels
not recalled
waking time anxiety

A

Night terrors

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16
Q

Stage 3,4
MC in boys
same-sex parent
common after change/new sibling

A

Enuresis

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17
Q

Bruxism occurs during

A

Stage 2

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18
Q

Bruxism TTT

A

oral devices
anxiety reduction

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19
Q

sleep deprivation affects

A

cerebral cortex

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20
Q

lymphocytes levels in sleep deprivation

A

DECREASED

21
Q

Cortisol levels in sleep deprivation

A

INCREASED

22
Q

chronic use of BZDs leads to

A

increased sleep latency

23
Q

awake brain
idle body

A

REM

24
Q

idle brain
awake body

A

NREM

25
Q

Recovery from sleep deprivation is marked by

A

increase in Stage 4 & REM

26
Q

responsible for Jet lag

A

Melatonin

27
Q

increased dopamine

A

increases wakefulness

28
Q

serotonin levels once sleep begins

A

INCREASE

29
Q

Dopamine levels once sleep begins

A

DECREASE

30
Q

Biochemical marker for REM

A

Ach:NE

31
Q

effects of depression on sleep cycles

A

↑REM
↓REM latency
↓ Delta sleep
early morning awakenings

32
Q

alcohol intoxication effects on sleep

A

↓REM
REM rebound + nightmares (on withdrawal)

33
Q

moderate alcohol consumption effect on sleep

A

early sleep onset
wakefulness during second 1/2 of night

34
Q

BZDs chronic use

A

↑sleep latency

35
Q

barbiturates effect on sleep

A

↓REM
REM rebound + nightmares

36
Q

males
decreased Stage 1, 3, 4 , REM
obesity
EDS
snoring

A

Sleep apnea

37
Q

60-seconds hyperventilation followed by apnea

A

Cheyne-Stokes

38
Q

old age effect on sleep

A

total sleep time= DECREASED
↓REM
↓Delta

39
Q

delta sleep is increased following

A

exercise (↑cerebral temp)

40
Q

hormonal changes occurring during sleep deprivation

A

↑PRL
↑5HT
↑TSH
↓DA

41
Q

REM deprivation affects

A

performance of complex tasks

42
Q

REM sleep functions

A

learning
consolidation
cerebral stimulation during sleep
dampens excitement
clear out brain cache

43
Q

the longer the period of wakefulness and sleep deprivation

A

the more stage 4 INCREASES
the more REM DECREASES

44
Q

REM latency

A

90 minutes

45
Q

Regulates circadian rhythym

A

Suprachiasmatic nucleus

46
Q

waking up occurs during

A

REM/Stage 2

47
Q

aroused EEG
associated w/ pons
saccadic eye movement
elaborate visual imagery

A

REM

48
Q

slowing of EEG
higher muscle tone
absence of eye movement
absence of mental activity

A

NREM

CLINICAL (4 decks)

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