Sleep

Question 1

what happens to REM latency in depression

Answer 1

shortens

Question 2

deficit in which chemical is responsible for narcolepsy

Answer 2

hypocretin

Question 3

strongest anti-cataplectic med

Answer 3

sodium oxybate

Question 4

name three tx for daytime sleepiness associated with narcolepsy

Answer 4

1. modafinil 2. methyphenidate 3. dexedrine

Question 5

what happens to sleep latency in chronic alcohol drinkers

Answer 5

increase sleep latency

Question 6

first line tx for primary insomnia

Answer 6

CBTi

Question 7

which neurotransmitter is released during rem sleep

Answer 7

Ach

Question 8

what is the effect of benzos on rem sleep

Answer 8

suppresses rem

Question 9

what are the four ways to diagnose narcolepsy

Answer 9

1. PSM showing REM latency <15 min 2. hypocretin-1 deficiency 3. cataplexy 3, MSLT of SL<8 mins, or 2 or more SOREMPs

Question 10

best tx for sleep paralysis and hypnogogic hallucinations

Answer 10

SSRIs and TCAs

Question 11

what happens to REM as one ages

Answer 11

REM gets shorter, more episodes but less total REM

Question 12

what does a sleep attack on EEG look like?

Answer 12

rapid transition from alpha waves to theta waves

Question 13

what pattern will be seen on an EEG during a night terro

Answer 13

slow waves

Question 14

what pattern is seen on EEG during REM

Answer 14

sawtooth waves

Question 15

which stage of sleep does a young adult spend 50% of their time?

Answer 15

Stage II

Question 16

K complexes are seen in which stage of sleep

Answer 16

II

Question 17

what pattern is seen on EEG when you are awake and eyes open

Answer 17

beta waves

Question 18

what pattern is seen on EEG when you are drowsy and eyes closed

Answer 18

alpha waves

Question 19

what pattern is seen on EEG when you are in Stage I

Answer 19

theta waves

Question 20

where is circadian rhythm regulated

Answer 20

suprachiasmatic nuclei in the anterior pituitary

Question 21

Is there generally a positive family hx associated with sleep terror

Answer 21

yes

Question 22

what is on the differential for sleep terror in adolescents

Answer 22

temporal lobe epilepsy

Question 23

Which are the two types of non Rem sleep disorders

Answer 23

1. sleepwalking 2. sleep terrors

Question 24

Which illness is most associated with REM sleep behavior disorder

Answer 24

Parkinson’s

Question 25

what is somnambulism

Answer 25

sleepwalking

Question 26

when does narcolepsy typically occur

Answer 26

late adolesc, early adulthood (before 30)

Question 27

which gender is sleep terrors more common

Answer 27

males

Question 28

which muscle does RLS affect

Answer 28

anterior tibialis

Question 29

what is the tx for REM behavior sleep d/o (RBD)

Answer 29

clonazepam

Question 30

what is the first thing to do when creating a QI project

Answer 30

create an aims statement/objectives