Sleep 2 Flashcards
First step to manage restless legs syndrome?
Check for iron deficiency anemia
Pts > 65 y/o who experience chronic insomnia are most likely to have what comorbid psych condition?
Alcohol abuse
EEG findings in stage II (N2) sleep?
K-complexes and sleep spindles
65 y/o pt w/ pillow punching (x several months) in his sleep w/ sudden awakening from dreams involving pursuit by assailants.
Dx?
REM behavior D/O
Evidence suggests that after completing tx for insomnia, long term outcomes are better among pts w/ which therapy?
CBT
EEG biofeedback is more effective than progressive muscle relaxation in treating?
Insomnia
17 y/o w/ increased sleep duration to 18 hrs, lethargy, and cognitive slowing.
Sleep EEG normal.
Dx?
Kline-Levin syndrome
Pt w/ complaints of excessive daytime sleepiness, morning HAs, and excessive nighttime sweating. Sxs most consistent with?
OSA
Characteristic of sleep in ppl > 65 y/o, compared to younger adults?
Increased fragmentation
Pt reports frequent insomnia, frequent nighttime awakenings, and excessive daytime sleepiness.
Sleep study - brief, lower external jerks w/ brief, repeated arousals.
Pt unaware of these mvmts.
Dx?
Periodic limb mvmts
Which med most effective tax of cataplexy?
Clomipramine (TCAs secondary to increased NE)
51 y/o pt w/ dysthymic d/o has responded well to Citalopram.
However, pt continues to complain of morning HAs, anxiety, and daytime fatigue. Psychiatrist prescribes clonazepam and pt immediately reports profound daytime sedation.
Differential dx, in addition to a direct sedative effect of the drug, should include?
OSA
Night terrors typically occur when?
Childhood
Somnambulism (sleepwalking) during childhood is associated w/ which of the following stages of sleep measured by an eeg?
Stage IV
42 y/o anesthesiologist w/ repeated episodes of falling asleep in OR, mild depression, irritability, and mild cognitive troubles.
UDS neg.
Gained substantial weight in 18 months, he attributes to poor eating.
Dx?
Breathing related sleep D/O
