sleep disorders

Question 1

primary sleep disorders

Answer 1

dyssomnias and parasomnias

Question 2

sleep disorders related to another mental disorders

Answer 2

insomnia, hyersomnia

Question 3

dyssomnias

Answer 3

primary insomnia
primary hypersomnia
narcopelsy
sleep related breathing disorders
circadian rhythm disorders
dyssomnia NOS

Question 4

NREM parasomnias

Answer 4

sleep terrors
somnoabulism
somniloquy (sleepwalking)
bruxism

Question 5

REM parasomnias

Answer 5

nighmare disorder

REM behavior disorders

Question 6

dx criteria

Answer 6

difficulty maintaining sleep for at least one month, causing significant distress or impairment

Question 7

ddx of primary insomnia

Answer 7

other sleep disorders
mental disorders
general medical condition)
drug induced

Question 8

cause of primary chronic insomnia

Answer 8

circadian and homeostatic systems out of whack

Question 9

treatment for chronic insomnia

Answer 9

CBT for insomnia, (s;eep hygiene, sleep restriction, stimulus control, muscle relaxation)

Question 10

meds for chronic insomnia

Answer 10

trazodone, zolpidem

Question 11

ddx for hypersomnia

Answer 11

primary hypersomnia, sleep apnea, narcolepsy

Question 12

diagnostic criteria for prymary hypersomnia

Answer 12

EDS for 1 month, causes cliniclly significant distress or impairment, does not occur in rekation to other sleep/mental disorders, medical conditions or drug sue

Question 13

narcolepsy dioagnostic criteria

Answer 13

irrestible attacks of refeshing sleep daily over 3 months, not due to any other casue, usually cataplexy

Question 14

diagnostic for narcolepsy

Answer 14

cataplexy

Question 15

REM phenomena seen with narcopelsy

Answer 15

cataplexy, hallucinations, sleep paralysis

Question 16

sleep onset REM periods on the MLST mean

Answer 16

narcolepsy

Question 17

treatment for narcolepsy

Answer 17

stimulants, sodium oxybate

Question 18

MOA of sodium oxybate

Answer 18

works at GAMA

Question 19

accounts for most excessive daytime sleepiness

Answer 19

sleep apnea

Question 20

“knock-on” effects of sleep apnea

Answer 20

mental issue, metabolic issues, heart problems, inflamation/accelerated atherosclerosis

Question 21

most effective treatment for sleep apnea

Answer 21

surgery (50% effective)

Question 22

causes of circadian rhythm sleep disorder

Answer 22

shift work, jet lag, delayed/advanced sleep [hase

Question 23

possible causes of restless legs

Answer 23

depression, folate/Fe deficiency

Question 24

treatment for RLS

Answer 24

dopamine agonists or clomazepam

Question 25

differences between nightmare disorder and night terror

Answer 25

night terror does not recall dreams, occurs early in the night, inconsolable. shows outward signs of intense fear and automnomic arousal

Question 26

can casue nightmare disprder

Answer 26

L-dopa, drug/EtOH withdrawal

Question 27

treatment for nightmare disorder

Answer 27

antidepressent, prazosin

Question 28

treatment for night terrors

Answer 28

naps and benzos (decrease SWS)

Question 29

time that sleep walking occurs

Answer 29

1st 1/3 of night

Question 30

occurs with sleep walking

Answer 30

enuresis, tourette’s sleep onset seizuers, childhood migraine,

Question 31

age that betwetting becomes pathological

Answer 31

age 5

Question 32

best treatment for enuresis

Answer 32

bell pad

Question 33

sx of REM behavior disorder

Answer 33

loss of atonia during sleep, violent motor activity associated with vivid dream recall

Question 34

drugs that can cause REM behavior disorder

Answer 34

stimulants, TCA, SSRI

Question 35

REM disorder can be harbringer of

Answer 35

neurodegenerative disease

Question 36

treatment of REM disorder

Answer 36

safety precautions, discontinuation of drugs, cloznazepam or melatonin

Question 37

sleep problems found in depression

Answer 37

difficulty maintaing sleep, early morning wakenings, decreased REM latency, increased REM density, decreased REM latency/SWS/decreased Slep effciency