SLEEP-WAKE DISORDERS - Circadian Rhythm Disorders

Question 1

Teenage male with sleep disorder,
excess daytime fatigue, usually in
morning. (2x)

Answer 1

Circadian rhythm sleep disorder

Question 2

At what time should a teen use light
therapy for delayed sleep phase
syndrome? (2x)

Answer 2

Morning

Question 3

Vignette: Otherwise normal adolescent
presents with irritability, poor grades,
fatigue after earlier school start time this
year. A: Deficiency most likely associated
with disorder? B: Diagnosis related to
changes?

Answer 3

A: Melatonin B: Delayed sleep phase

syndrome

Question 4

Which disorder can be addressed by bright

light therapy in the morning?

Answer 4

Delayed sleep phase syndrome

Question 5

Teen pt often stays up until midnight doing
work, doesn’t feel rested in the morning
and sleeps until midday on weekends,
what’s the diagnosis?

Answer 5

Delayed sleep phase syndrome

Question 6

15 yo can’t sleep until 2am, but sleeps 11
hours on weekends. Treatment for primary
sleep disorder?

Answer 6

BLUE light therapy qAM, half hour

Question 7

What treatment has efficacy when
combined with CBT for delayed sleep phase
disorder?

Answer 7

Morning bright light therapy