Sleep- Circadian Rhythm Disorders

Question 1

Types of circadian rhythm disorders

Answer 1

Jet lag and shift work disorder

Question 2

Nonpharm treatment of jet lag

Answer 2

Taking <30 minute naps at least 8 hours before bedtime, timed light exposure

Question 3

Pharm treatment of jet lag

Answer 3

Melatonin, ramelteon, short-acting BZDRAs

Question 4

When should you take a med for jet lag?

Answer 4

The target destination bedtime

Question 5

Shift work disorder definition

Answer 5

Difficulty with sleep or wakefulness at times that are imposed by shifts running counter to the light-dark cycle

Question 6

Shift work disorder is associated with a higher rate of what>

Answer 6

Injury, divorce, on-job sleepiness, substance use

Question 7

Nonpharm treatment for shift work disorder

Answer 7

Sleep scheduling, sleep hygiene, naps before or during shifts, exposure to bright lights at night and darkness during the day

Question 8

Pharm treatment for shift work disorder

Answer 8

Melatonin, ramelteon, short-acting BZDRAs or suvorexant, modafinil and armodafinil for wakefulness

Question 9

What should you watch out for when using short-acting BZDRAs?

Answer 9

Next-day drowsiness