Sleep Disorders

Question 1

Sleep Apnea Tx

Answer 1

• Nasal continuous positive airway pressure (CPAP)
  Weight loss
  Corrective surgery
  Avoidance of sedatives and alcohol, which worsen the condition
  Tonsillectomy or tracheostomy for severe and mixed sleep apnea

Question 2

Insomnia Tx

Answer 2

sleep hygiene techniques
Behavioral
modification techniques (bed for sleep only)
Medical therapy consists of zolpidem,
eszopiclone, zaleplon, or ramelteon. Dyphen hydramine, trazadone, quetiapine and after zol accor to OnlineME
+- Phototherapy w circadian rythm is off

Question 3

Narcolepsy

Answer 3

forced naps during the day

to maintain alertness:
Modafinil OR
methylphenidate and
dextroamphetamine

at bedtime:
Gamma-hydroxybutyrate (GHB)

Question 4

OSA Dx criteria

Answer 4

> =15 apneas/h of >=5 apneas + snoring

Question 5

Central Sleep Apnea

Answer 5

Bilevel or BiPap

Question 6

Narcolepsy Dx Criteria

Answer 6

3 events /mont / 3 weeks. + Waking refreshed ***

Question 7

Narcolepsy Lab test

Answer 7

An abnormally low concentration of orexin-A/hypocretin-1 in cerebrospinal fluid (​CSF) is indicative of what is termed type 1 narcolepsy

Question 8

Insomnia Dx Crt

Answer 8

3 events /mont / 3 weeks.