Scoring and Sleep Stages B (p. D-14 - D-19) Flashcards

1
Q

What does PLMS stand for? (Also known as ___ ___)

What does RLS stand for?

A

Periodic Limb Movement Syndrome (AKA Nocturnal Myoclonus)

Restless Leg Syndrome

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2
Q

What are some qualities about PLMS that are not present in RLS? (x2)

A

Only occurs during sleep.
Duration is 0.5 sec to 10 sec
Most often occurs in stage 2 sleep

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3
Q

What are some qualities about RLS that are not present in PLMS? (x3)

A

Can occur during sleep or during the day
It is an intrinsic sleep disorder
Symptoms worse during the evening, making falling asleep difficult.

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4
Q

RLS is most common in what conditions? (x3)

A

Post-op, pregnancy, and in uremia

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5
Q

What does RBD stand for?

A

REM Behavior Disorder

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6
Q

What stage of sleep is bruxism most often seen?

A

Stage 2

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7
Q

What are the symptoms of bruxism?

A

Jaw/shoulder/ear pain
Insomnia
Morning headaches
Depression

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8
Q

Specifications for routine PSG recordings’ sampling rates:

Which ones are desirable at 500 Hz, minimal of 200 Hz? (x5)

A
ECG
EOG
EMG
EEG
Snoring Sounds
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9
Q

Specifications for routine PSG recordings’ sampling rates: Which ones are desirable at 100 Hz, minimal 25 Hz? (x4)

A

Nasal Pressure
Esophageal Pressure
Airflow
Rib Cage & Abdominal Movements

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10
Q

Specifications for routine PSG recordings’ filter settings: Which ones are 0.3 Hz low-frequency filter and 35 Hz high-frequency filter? (x2)

A

EEG and EOG

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11
Q

Specifications for routine PSG recordings’ filter settings: Which ones are 10 Hz low frequency filter and 100 Hz High frequency filter?

A

EMG and snoring

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12
Q

Specifications for routine PSG recordings’ filter settings: Which one is 0.3 Hz low frequency filter and 70 Hz high frequency filter? (x1)

A

ECG

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13
Q

Specifications for routine PSG recordings’ filter settings: Which one is 0.1 Hz low frequency filter and 15 Hz high frequency filter?

A

Respiration

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14
Q

Specifications for routine PSG recordings’ sampling rates:

Which ones are desirable at 25 Hz, minimal of 10 Hz? (x1)

A

Oxymetry

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15
Q

Specifications for routine PSG recordings’ sampling rates:

Which ones are desirable at 1 Hz, minimal of 1 Hz? (x1)

A

Body Position

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16
Q

What are the maximum electrode impedances for routine PSG recordings?

A

5 K Ohm

17
Q

What is the minimum Digital Resolution for routine PSG recordings?

A

12 bits per sample

18
Q

What are the recommended EEG derivations for F4, C4, and O2?

A

M1

19
Q

Where should the backup electrodes be placed in case of malfunction?

A

F3, C3, O1, and M2

20
Q

To stage sleep, a minimum of three EEG channels are required. What are they?

A

Frontal, central, and occipital derivations

21
Q

What are the recommended EOG derivations and electrode positions?
__ - __ and __-__.

A

E1 - M2 and E2-M1

22
Q

Electrode positions for EOG: Where is E1 placed? Where is E2 placed?

A

E1: 1 cm below and 1 cm lateral to the left outer canthus
E2: 1 cm above and 1 cm lateral to the right outer canthus

23
Q

Why do we record eye movements?

A

To determine REM and NREM

Capture slow eye movements

24
Q

What is the standard calibration voltage for EOG?

A

50 uV

25
Q

What is an alternate derivation to EOG for E1 and E2?

A

E1: Place 1 cm out and 1cm below the left outer canthus
E2: 1 cm out and 1 cm below the right outer canthus

26
Q

When reading an EOG, if the waveform is going up, it’s considered (positive or negative). If the waveform is going down, it’s considered (positive or negative).

A

If the waveform is going up, it’s negative. If the waveform is going down, it’s positive. Very counterintuitive.

27
Q

What does ALMA stand for?

A

Alternating Leg Movement Activity

D-14

28
Q

How do you score sleep onset?

A

The start of the first epoch scored as any stage other than stage W. (D-26)