Sleep Apnoea and narcolepsy

Question 1

What is obstutive sleep apnosea syndomre symptoms

Answer 1

recurtent episodes of upper airway obstuctojn, usually ssocaed with heatly sonoir, often unrefreshing, poor daytime concentration, walking with a transied chocking sensation, lethargy or tireness, headache on walking, nocturanla polyuria, reduced libido

Question 2

what is the level at which sleep anoa occurs in the throat

Answer 2

at the back of tough

Question 3

what factors contibute to speep apnea

Answer 3

obistity, musle realaxion ,narrow pharynx

Question 4

what is th differnece in sleep apnea and hypoapnea

Answer 4

hypoapea, decrease in o2 stats

Question 5

When cn sleep apnea be dangerous

Answer 5

when it affects drivign

Question 6

what other conditons are socised iwth sleep apnoea

Answer 6

strokes, increaed hyperenti, incraesd risk of stroke, incrased risk of heart disease

Question 7

what is the ways to test sleep apenoa

Answer 7

pulsse oximiary, limited sleep studys, full polysomnography

Question 8

what isthe epwroth sellpintes scale

Answer 8

0 - would never slep
1- slight chance of sleep
2 - moderate
3 high

Question 9

what is seen in oximatry for sleep apnea over nigh

Answer 9

large fluxiain in spo2 overnight

Question 10

what does a multichannel sleep study do

Answer 10

measures the nasla flow rate and abdomial movement

Question 11

what does a polysomnogroaphty do

Answer 11

measures the oroanl airfow, thoracobdomianl movement, oximry, body position, eeg., ecg

Question 12

what is the ahi

Answer 12

the no. of apena and hpro apen that happen within one hourwha

Question 13

what is normal , mild , moderat and sever ahi

Answer 13

nomral - 0-5
mild 5-15
moderate 15-30
severe greater than 30

Question 14

what is the treatment for apena

Answer 14

identiyfa exeraction facotrs such as wig and alcohol and treating any hypothordis,
cpap - contius positive airway pressure
manibular repsoining spling
positional therapy devises

Question 15

what is narcolepsy

Answer 15

where cataplexy is pressent, day toime somnolane and hpyaagongi hallucinations and sleep paralysis

Question 16

what is the investigon forsleep narcosa

Answer 16

polysomograpty, mlst(epithworth day time sleepiness test)
csf oreixigion (neutorphil involved in slep cycyles)

Question 17

what is the drug treatmnet for sleep apnea

Answer 17

modafinil, dexamphetamine, venlafaxine, sodium oxybatee

Question 18

chronic ventilatory faliure signs

Answer 18

elaved pc02, low p02 , nomral blodo ph, elavated bicaornate

Question 19

what diseaes can cuase conviv ventiaory failure

Answer 19

copd, bronchiecatis,

chest wall abnormalities e..g kyphoscolioiss,

respiratory muscle weakness, motor neuron disease, muscular dystrophy, glycogen storage disease,

central hypoventilation, obesity, hypodensity syndrome, , and congenital central hypoventilation syndrome.

Question 20

what are tuypical synmptons of ventilatonry failure

Answer 20

breathlessne , orthopneoa ( weak diapman when lying flat) , ankle swelling moring headache, recurrent chest infection, disturbed sleep, paradox al abdominal wall motion

Question 21

paradoxial wall motion

Answer 21

when chest is drawn outward during insprationand and inward during inspiration

Question 22

what investigioan can be done for ventialory failrue

Answer 22

lung fuctio - lying and standing vital capacing
mouth pressure

assessment of hypoventilation - early moring abg , overnight oximetry, trancuatoin co2 monitoring

flureoscopic screein of diaphromas

Question 23

are these conditons obstucive or resticive

Answer 23

restricitve

Question 24

treatmenf for ventilary fialues

Answer 24

wieght loss, non invasive venitlation, oxyeen therapy if non hypoxic drive
tracehostomy ventilation

Question 25

what are the non invasive venitaion in neruomucald diease

Answer 25

supportive treamt, primar for symptons, pateins my be depended, may be withdraw at the end of life

Question 26

what is the survial for duchenne musclar dystrophy

Answer 26

around 20-40 years