Sleep II Flashcards

1
Q

What is the narcoleptic triad?

A

Sleep Paralysis, Cataplexy (episodes of weakness), hypersomnolence, vivid dreams/hallucinations (hypnogogic, hypnopompic

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2
Q

Narcoleptics have ______ sleep quality

A

impaired

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3
Q

What does the mean sleep latency test measure?

A

how long it takes someone to fall asleep for a 20 minute nap after a full night of sleep

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4
Q

Cataplexy does not involve loss of ______. It is triggered by ______, especially ______

A

consciousness; emotion; laughter

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5
Q

The boundaries between ______ and _____ sleep are lost in narcolepsy

A

wakefulness; REM sleep

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6
Q

_____ is produced in the posterior lateral hypothalamus and is decreased in narcoleptics

A

Hypocretin

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7
Q

Hypersomnolence is treated with ______, while REM sleep depressing drugs like gamma hydroxybutyrate and SSRis is used to treat ______

A

stimulants; cataplexy

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8
Q

The origins of arousal disorders start in _____ sleep

A

non-REM (slow wave)

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9
Q

There is no ____ about events in arousal disorders

A

recall/memory

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10
Q

REM disorder patients don’t lose _____ ___ during their REM sleep

A

muscle atonia

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11
Q

RBD disorders are associated with ________ disease and ____ ___ dementia

A

Parkinson’s disease; Lewy Body

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12
Q

Restless leg is a _____ movement while periodic limb movement is _____

A

voluntary; involuntary

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13
Q

What are the symptoms of RLS?

A

Urge to move legs
R- worse with rest
G- getting up helps relieve sensation
E- worse in the evening

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14
Q

What are the causes of secondary RLS?

A

P- pregnancy
I- iron deficient
C- chronic renal failure

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15
Q

RLS is more common in ___ and gets more common as you __

A

women, age

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16
Q

RBD disorders are more common in __ aged 50-60

A

men

17
Q

RLS have impaired _______ transmission

A

dopaminergic

18
Q

RLS may have a loss of inhibition at the ___-____ level

A

supra-spinal

19
Q

What is the most common treatment for RLS?

A

dopamine antagonists

20
Q

2 or more REMs in the MSLT indicates what diagnosis?

A

Narcolepsy

21
Q

____ is a common stimulant (non-amphetamine) given to narcoleptics

A

Modafil

22
Q

What is a drug that can treat RBD?

A

Clonazepam