Sleep Flashcards

1
Q

What is sleep?

A

A normal, reversible, recurring state in which we lose the ability to respond to our external environment.

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2
Q

At which stage of the night is REM sleep?

A

Mostly towards the end of the night.

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3
Q

In REM sleep, is there more brain activity than in non-REM sleep?

A

Yes, it is similar to that seen in wakefulness.

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4
Q

Which muscles are not affected by the profound muscle atonia seen in REM sleep?

A

Ocular muscles

Diaphragm

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5
Q

What form of dreaming occurs in REM sleep?

A

Narrative dreaming

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6
Q

What do non-REM dreams involve?

A

A single image associated with intense emotion.

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7
Q

Which phase of sleep is thought to be dispensible?

A

REM sleep

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8
Q

Which drugs can abolish REM sleep?

A

Tricyclic antidepressants

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9
Q

What phase of sleep is most important - can be referred to as deep sleep?

A

Non-REM sleep.

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10
Q

What 3 factors control the onset of sleep?

A

Homeostatic response
Emotional response
Circadian rhythm

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11
Q

What is the circadian rhythm?

A

The ‘body clock’.

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12
Q

What is the function of the circadian rhythm?

A
Controls:
Temperature
Sleepiness
Appetite
Alertness
Hormone secretion
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13
Q

Which cells are responsible for detecting light for the body clock?

A

Retinal ganglion cells

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14
Q

What does sleep deprivation affect?

A

Alertness

Does not impair ability at well-rehearsed tasks.

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15
Q

At which time of night is the risks of sleep deprivation greatest?

A

4am

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16
Q

What are parasomnias?

A

Conditions affecting sleep.

17
Q

What are REM parasomnias?

A

Where muscle function is not lost in REM sleep.

It can be idiopathic, but also linked to dementia and PD.

18
Q

What are the features of narcolepsy?

A

Daytime solemness
Cataplexy
Hypnagogic hallucinations
Sleep paralysis

19
Q

How is narcolepsy diagnosed?

A

Overnight polysomnography

Multiple sleep latency test

20
Q

What occurs in narcolepsy?

A

Patient falls asleep quickly, however enters REM sleep almost instantly.

Results in non-refreshing, expendable sleep only.