Sleeping

Question 1

These are divided into two major categories

Answer 1

Dyssomias and Parasommias

Question 2

Dyssomias vs Parasommias

Answer 2

1. Difficulty in getting enough sleep, problems with sleep quality and complaints about sleep quality
2. Abnormal psychological or behavioral events that occur during sleep.

Question 3

They have trouble falling asleep at night, can’t go back to sleep or sleep but not feel well. Time

Answer 3

Insomnia. 3 nights per week for 3 months

Question 4

Episodic vs Persistent vs Recurrent

Answer 4

1. They last at least one month but less than 3 months
   2 Last 3 months of longer
2. 2 or more episodes within a space of 1 year

Question 5

Sleeping too much

Answer 5

Hypersomnolence Disorder. 3 times a week for 3 months

Question 6

Characterized by the following

Answer 6

Despite 7 hours of sleep:
a. Recurrent periods of sleep or lapses into sleep within the same day
b. Prolonged main sleep episode of more than 9 hours is not refreshing
c. Difficulty staying awake after abrupt awakening

Question 7

Hyper-somnolence. Mild, Moderate vs Severe

Answer 7

Difficulty in maintaining daytime alertness (days/week)
1. 1-2
2. 3-4
3. 5-7

Question 8

Narcolepsy

Answer 8

In addition to daytime sleepiness there is a sudden loss of muscle tone or cataplexy.

Commonly Report Sleep Paralysis.

Question 9

Obstructive Sleep Apnea vs Central Sleep Apnea

Answer 9

1. Airflow stops despite respiratory activity. Sleepiness or fatigue in the morning.
2. Cessation of respiratory activity. Not tired in the morning.

Both require a polysomnography that state they have 5 apneas per hour of sleep

Question 10

Sleep Related Hypoventilation

Answer 10

Decrease of airflow without a complete pause in breathing

Question 11

Disturbed sleep brought on by the brains inability to synchronize its sleep patterns with the current patterns of day and night types

Answer 11

Circadian Rhythm Sleep-Wake Disorder

Question 12

1. Jet lag type
2. Shift Work Type
3. Delayed Sleep Phase Type
4. Advanced Sleep Phase Type
5. Irregular Sleep-Wake Type
6. Non Hour Sleep-Wake Type

Answer 12

1. Cross multiple time-zones
2. Multiple work schedules
3. Stay up late and sleep late.
4. Early to bed and Early to Rise
5. Highly Varied
6. 25-26 hour cycle with later bedtimes

Question 13

Nightmare Disorder

Answer 13

So Distressful that they impair a person’s ability to carry normal activities

Question 14

Non-Rapid Eye movement Arousal Disorders

Answer 14

Nightmares occur during REM. Sleep Terrors occur in NREM.
1. Usually with a piercing scream
2. Child is extremely upset, often sweating and frequent rapid hearbeat.
3. Cannot be easily awakened and comforted. They do not remember sleep terrors.

Question 15

Somnambulism

Answer 15

Sleep walking. In occasion, associated with violent behavior