sleep hx

Question 1

4 elements of sleep

Answer 1

neurologic repair
immunologic repair
circadian rhythms
normal architecture

Question 2

ideal amount of sleep

Answer 2

6-9 hrs (7-8 hrs optimal)

Question 3

what amounts of sleep could be harmful?

Answer 3

less than 6 or more than 9 assoc with increased mortality

Question 4

what is the pattern of slow wave sleep as we age?

Answer 4

slow wave sleep decreases with age

Question 5

how many REM cycles per night?

Answer 5

typically 4-6, more in AM

Question 6

what are 3 common sleep d/o of childhood?

Answer 6

sleep walking
night terrors
bed wetting

Question 7

what does OSA increase the risk of?

Answer 7

HTN, MI, CVA

also auto accidents, depression, dementia

Question 8

5 warning signs for sleep d/o

Answer 8

falling asleep at work/driving
snoring
obesity/HTN
AM headaches
depression/insomnia/memory loss

Question 9

what is the tool to measure sleepiness?

Answer 9

epworth sleepiness scale

max score 24, over 10 is abnormal

Question 10

describe nacrolepsy

Answer 10

genetic, manifests in teens

involves cataplexy, hypnogogic hallucinations and sleep paralysis

Question 11

describe idiopathic hypersomnia

Answer 11

excessive sleepiness but does not fit criteria for narcolepsy

Question 12

elements of sleep hygiene

Answer 12

only sex and sleep in bed
don’t watch TV in bed
don’t watch clock
keep regular hours

Question 13

what drugs can affect sleep?

Answer 13

caffeine
alcohol
nicotine
rec drugs

Question 14

why is a good social hx important for pts with suspected sleep d/o?

Answer 14

may reveal h/o abuse, molestation, trauma, assault, PTSD

Question 15

what is REM behavior d/o?

Answer 15

pt does not become paralyzed during REM sleep and can act out dreams

Question 16

5 causes of sleepiness

Answer 16

insufficient sleep 
sleep disorder
irregular sleep times 
medical problems 
drugs

Question 17

causes of excessive daytime sleepiness

Answer 17

poor sleep hygiene, insufficient sleep, shift work, OSA, periodic limb movements, medical problems

Question 18

wooten sleepiness scale

Answer 18

quantify daytime sleepiness by asking pt if they have fallen asleep during different activities

Question 19

6 common categories of sleep d/o

Answer 19

OSA
shift work sleep d/o
narcolepsy
idiopathic hypersomnia
RLS
insomnia

Question 20

4 stages of sleep

Answer 20

drowsiness
light sleep (50%)
deep sleep
REM sleep (20%, dreaming)