Sleep apnea

Question 1

What is “apnea” defined as?

Answer 1

Cessation of air movement greater than 10 sec

Question 2

Sleep related hypoventilation is

Answer 2

> 10 mmHg increase in PaCO2

Question 3

What is defined as an “arousal”

Answer 3

Abrupt change in EEG >16 Hz lasting > 3 seconds

Question 4

Greater than 5 central hypopneas or apneas is defined as

Answer 4

Cheyne Stokes Breathing

Question 5

Hypopnea is defined as

Answer 5

> 30% change in air movement for > 10 seconds, resulting in at least a 4% decrease in oxygen sat

Question 6

What percent of children with Down’s syndrome have sleep apnea by age 4?

Answer 6

60%

Question 7

How many RERAs to diagnose UARS?

Answer 7

10

Question 8

What neck size/circumference puts you at increased risk of sleep apnea?

Answer 8

17 inches for men, 16 inches for women

Question 9

What is Klein-Levine syndrome

Answer 9

Episodes of Hypersomnia lasting several days in a row and irritability, while with normal behavior in between

Question 10

What stage of sleep is characterized by sharp waves and slow eye movements

Answer 10

Stage I

Question 11

OSAHS score

Answer 11

Tongue size, tonsil size, and BMI, total score of 12, 8 or higher there is 90% chance of having moderate OSA and 74% change of severe

Question 12

What are some options for treating narcolepsy with cataplexy?

Answer 12

gamma-hydroxybutyrate, TCAs, SSRI

Question 13

What are the most prominent pharyngeal dilators?

Answer 13

genioglossus, tensor palatini