Sleeping

Question 1

Enuresis

Answer 1

Bed wetting

Question 2

Not a disorder until child > 5 years old

Answer 2

Enuresis

Question 3

Treat initially with behavioral therapy (bed alarms)

Answer 3

Enuresis

Question 4

Can use a TCA (imipramine) in refractory cases

Answer 4

Enuresis

Question 5

Occur 3 or more times a week for AT LEAST 3 months

Answer 5

Insomnia

Question 6

Excessive daytime sleepiness and daytime sleep attacks with decreased REM sleep latency. Occurs at least 3 times a month for 3 or more months

Answer 6

Narcolepsy.

Question 7

Can see decreased levels of hypocretin in CSF

Answer 7

Narcolepsy

Question 8

Treatment for narcolepsy

Answer 8

Amphetamines (methylphenidate) or nonamphetamine stimulants (modafinil)

Question 9

Problem between when patient would like to sleep and when they actually do. Secondary to jet lag or shift work

Answer 9

Circadian rhythm sleep-wake disorder

Question 10

Non-REM sleep arousal disorders

Answer 10

Sleepwalking and sleep terrors

Question 11

Cannot be comforted be others and cannot remember the dreams

Answer 11

Sleep terrors

Question 12

REM sleep disorders

Answer 12

Nightmare disorders, REM sleep behavior disorder, and restless legs

Question 13

Frightening, well-remembered dreams. Greater risk for suicide.

Answer 13

Nightmare disorder

Question 14

If nightmare disorder is comorbid with PTSD treat with

Answer 14

Alpha blockers

Question 15

Arousal from sleep with vocalizations and running, kicking, punching. Usually seen with narcolepsy

Answer 15

REM sleep behavior disorder

Question 16

50% go on to develop neurodegenerative disorder such as Parkinson’s

Answer 16

REM sleep behavior disorder

Question 17

Treat REM sleep behavior disorder with

Answer 17

Clonazepam (benzo) and melatonin

Question 18

Treat with dopamine agonists (pramipexole, ropinirole). Check serum ferritin level, associated with iron deficiency

Answer 18

Restless legs