Sleep Flashcards

0
Q

What are the characteristics of non REM sleep?

A
Mostly at start of night
Reduced heart rate, bp, tidal volume
Non-narrative dreaming
Synchronised, rhythmic eeg
Partial muscle relaxation
Reduced cerebral blood flow
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1
Q

What is sleep?

A

Normal recurring reversible state of loss of ability to respond to external environment.
Not conscious, not unconscious

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2
Q

What are the characteristics of REM sleep?

A
Mostly at end of night
Fast eeg activity
Increased brain activity
Atomic muscles (except diaphragm and extra ocular muscles)
Increased cerebral blood flow
Impaired thermal regulation
Narrative dreaming
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3
Q

Which is more important, deep sleep or REM sleep?

A

Deep sleep

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4
Q

Why is deep sleep important?

A

Allows cortex to recover after busy day

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5
Q

What stage of life has,out REM sleep?

A

Neonatal period (50% REM)

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6
Q

What is the role of non REM sleep?

A

Cell division and growth

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7
Q

What is the role of REM sleep?

A

Consolidates memory

Maintains immunocompetence

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8
Q

What controls sleep?

A

Circadian rhythm and light

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9
Q

What are the effects of not sleeping?

A

Prefrontal effects
Irritability and suspiciousness
Visual illusions
Micro sleeps and concentration lapses

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10
Q

Name some non-REM parasomnias

A

Sleep walking
Sleep terrors-paralysis
Bruxism
Restless legs

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11
Q

What are the characteristics of narcolepsy?

A

Daytime sleepiness
Cataplexy
Hypnagogic hallucinations
Sleep paralysis

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12
Q

What investigations are done in suspected narcolepsy?

A

Overnight polysomnography
Multiple sleep latency test
Lumbar puncture

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