Sleep disorders (insomnia, hypersomnolence disorder, narcolepsy, sleep apnea)

Question 1

Insomnia

Answer 1

A. Dissatisfaction with sleep quality or quantity characterized by 1+ of the following

1. hard to fall asleep
2. frequently wakes up and hard to fall back asleep
3. wakes up early am and can’t return to sleep

B. Clinically significant distress/impairment

C. 3+ x nights / week

D. Present for at least 3 months

E. Person has opportunity to sleep

Question 2

Hypersomnolence disorder

Answer 2

A. Excessive sleepiness despite sleeping 7+ hours + at least one of the following

1. recurrent periods of sleep in the same day
2. prolonged main sleep episode of 9+ hours that is not restorative
3. hard to be fully awake after abrupt awakening

B. at least 3 x week, for at least 3 months

Question 3

Narcolepsy

DON’T NEED TO KNOW SPECIFIC CRITERIA

Answer 3

Recurrent episodes of falling asleep/napping throughout the same day. 3 x week over the past 3 months.

cataplexy: sudden loss of muscle control while conscious. may be after laughing or joking

Question 4

Obstructive sleep apnea hypopnea

Answer 4

Polysomnography shows obstructive apnea (pauses of breathing) or hypopnea (shallow breathing) + other symptoms (snoring, snorting/gasping, etc.).