Sleep Flashcards

1
Q

When does non-REM sleep occur?

A

at the start of the night

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2
Q

What happens biologically during non-REM sleep?

A

synchronised, rhythmic EEG activity; partial muscle relaxation; reduced cerebral blood flow;

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3
Q

What happens biologically during REM sleep?

A

EEG shows fast activity- similar to wakefulness; atonic muscles; cerbral blood flow increased; impaired thermal regulation

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4
Q

What is the difference between dreaming in NREM and REM?

A

in NREM there isnt dreaming per se but there are some non-narrative images whereas in REM there is narrative dreaming

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5
Q

What is the function of REM sleep?

A

mainly for early brain development which is likely dispensable in adults

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6
Q

What is the normal circadian rhythm length?

A

25 hours

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7
Q

How is bodyclock reset everydya?

A

behaviour cues and light- non-rod and non-cone cells are sensitive to certain freq of blue light which resets clock

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8
Q

What happens with lack of sleep?

A

prefrontal- irritable and suspicious; visual illusions; microsleeps and conc. lapses; doesn’t effect well-rehearsed tasks but does effect lateral thinking

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9
Q

What patients are REM parasomnias seen in?

A

pre- Parkinson’s

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10
Q

What happens in non-REM parasomnias?

A

confusional arousals; sleep alking; terros and paralyssi

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11
Q

When are the two peask of onset of narcolepsy?

A

age 15 and 36

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12
Q

Whta are the symtpoms of narcolepsy?

A

daytime sleepiness; cataplexy; hypnagog hallucinations; sleep paralysis; RBD

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13
Q

What is cataplexy?

A

loss of muscle tone triggered by emotion

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14
Q

What are hypnagogic hallucinations?

A

hallucinations occuring at sleep onset

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15
Q

What is RBD?

A

REM behviour disorder- loss of muscle atonia during REM

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16
Q

What are the investigations for narcolepsy

A

overnight polysomnography; multiple sleep latency test; LP