Sleep Apnoea And Narcolepsy

Question 1

Pathophysiological cause of sleep apneoa

Answer 1

Muscle relaxation
Narrow pharynx
Obesity

Question 2

Apnoea definition

Answer 2

Airway obstruction for 10s or more

Question 3

Hypopnoeas

Answer 3

Partial airway obstruction for 10s or more

Question 4

What is a microarousal

Answer 4

When sleep is broken

Question 5

Effects/symptoms of apnoeas and hypopnoeas

Answer 5

Poor concentration

Daytime sleepiness

Question 6

Hypersomnolence meaning

Answer 6

Sleepiness

Question 7

How is OSAS diagnosed

Answer 7

Main think is clinical history(poor sleep, snoring,ect)

Epworth questionnaire

Overnight sleep study

Question 8

What is Epworth Sleepiness Scale

Answer 8

Likely hood from 0-3 that patient would fall asleep in 8 diffrent scenarios

Question 9

What score is considered abnormal in Epworth sleepiness scale

Answer 9

11 and above

Question 10

Desaturation rate

Answer 10

Number of apnoeas per hour

Question 11

Desaturation rate considered normal

Answer 11

0-5

Question 12

Desaturation rate considered mild

Answer 12

5-15

Question 13

Desaturation rate considered moderate

Answer 13

15-30

Question 14

Desaturation rate considered severe

Answer 14

> 30

Question 15

Treatment of Sleep apnoea

Answer 15

Weight loss
Avoidance of alcohol
If endocrine issue, get it sorted

CPAP

If they don’t like CPAP then us mandibular repositioning splint

Question 16

Cataplexy

Answer 16

Appearing to collapse in a sleep like state

Question 17

Narcolepsy clinical features

Answer 17

Cataplexy

Excessive daytime sleepiness

Hypnagogic/hynopompic hallucinations(hallucinations just before or after sleep

Sleep paralysis