RPSGT 2024 Full Practice Test

Answers only, no explanations. See "RPSGT 2024 Full Practice Test with Explanations"

In diagnosing sleep-related breathing disorders, what is the primary purpose of a polysomnogram (PSG)?

Evaluating changes in brain wave activity

Which of the following is NOT an indication for performing a polysomnogram in adults?

Diagnosis of restless leg syndrome

For diagnosing insomnia, which aspect of a patient’s history is crucial?

Detailed sleep habits

What is the primary purpose of maintaining a sleep diary?

Recording sleep & wake patterns

What is the most common type of circadian rhythm disorder?

Delayed sleep-wake disorder

In which type of sleep-disordered breathing does the brain have difficulty controlling breathing?

Central sleep apnea

Which medication effect is a risk factor for sleep-related hypoventilation?

Benzodiazepines

What is a potential complication of chronic use of respiratory depressants?

Pulmonary artery hypertension

Which step is crucial for fostering a supportive environment during patient orientation?

Introducing to ward staff

When planning clinical orientation for new clinicians, what is a key consideration?

Ensuring stakeholder engagement

In older adults, what is the most common sleep complaint?

Sleep maintenance insomnia

In elderly patients, what is the recommended initial treatment for insomnia?

Cognitive Behavioral Therapy for Insomnia (CBT-I)

Which questionnaire assesses a patient’s propensity for daytime sleepiness?

Epworth Sleepiness Scale

What is the maximum total score on the Epworth Sleepiness Scale?

24

For implementing pediatric sleep staging rules, what is the recommended minimum age?

2 months post-term

To promote better sleep hygiene, which activity is advised to avoid before bedtime?

Watching TV

For individuals who feel angry & frustrated due to their sleepiness, what is the recommended action for them?

Get up, turn on the light, & engage in a different activity

What tryptophan-containing substance is recommended as a light snack to aid sleep?

Turkey sandwich

What does “sleep therapy compliance” primarily refer to?

Adhering to CPAP usage

For CPAP compliance in the first 90 days, how many hours per night and nights per month are generally required?

4 hours per night, 70% of nights in a 30 day period

What is a general suggestion for patients struggling to adjust a CPAP mask when wearing it?

Practice wearing the mask around the house

How should patients deal with minor problems such as waking up with red marks or mask removal during sleep?

Make small adjustments to the mask fit

What is the main purpose of a home sleep apnea test?

Evaluate sleep-wake patterns

In which condition should a home sleep apnea test NOT be conducted?

Presence of pulmonary diseases

What is the main objective of actigraphy?

Monitor physical movement

After wearing a mask with airflow for 1-2 hours during rest activities, what is the next stage of PAP desensitization?

Wear the mask during a short nap

How can individuals desensitize to the sound of CPAP/Bi-PAP therapy?

Run the device during sleep without the mask

What action is suggested to alleviate nasal congestion during CPAP therapy?

Use a saline nasal spray before sleep

What is the primary purpose of desensitization to PAP therapy?

Overcoming discomfort & anxiety associated with therapy

In patients with obstructive sleep apnea (OSA), what is the primary goal of CPAP therapy?

To decrease the work of breathing

To reduce patient discomfort during exhalation, which feature of PAP machines is specifically designed?

Pressure relief technologies

Which PAP interface option is generally recommended in patients with nasal congestion?

Full face mask

Over a fixed-pressure CPAP machine, what is the primary advantage of an Automatic Primary Airway Pressure device?

Automatically adjusts pressure levels

What is the primary reason for downloading data from positive airway pressure (PAP) devices?

To monitor adherence and efficacy of therapy

Which of the following methods is NOT commonly used to access data from PAP devices?

Fax machines

To define adherence to CPAP therapy, what parameter is used?

Usage for greater than or equal to 4 hours per night for greater than or equal to 70% of nights

In a polysomnogram, how many channels are typically recorded?

12

During sleep studies, what method is NOT commonly used to measure respiratory effort during sleep studies?

Thermistor placed in front of nostrils

In a polysomnography analyzer, what is the primary function of the time code generator?

Coordinate different readings during significant events

Where is the ground electrode typically placed when applying EEG scalp electrodes using the 10-20 system?

Left mastoid bone

For optimal recording, which step is essential in preparing electrode sites?

Communicating with the patient about the process

What PAP interface option is most suitable in the event of nasal obstruction?

Oronasal

In site preparation, which of the following is a crucial step for a sleep study?

Verifying the medical order and patient history

According to accepted standards, what is the primary purpose of applying electrodes and sensors in polysomnography?

To facilitate data collection and analysis

What action should be taken to address patient-specific needs during sleep study preparation?

Analyzing and integrating patient information

Before a sleep study, what is the primary purpose of equipment calibration?

To verify proper functioning

What is a standard physiological calibration which is performed during a sleep study?

Ensuring proper electrode placement

During PAP compliance download, which parameter is crucial for monitoring?

Total leak

What is a montage in polysomnography?

An arrangement of recording channel selections

Why is the selection of the correct montage crucial during set up?

Because it cannot be changed once recording starts

In a sleep study facility, what is a recommended practice for preventing cross-contamination?

Having separate areas for clean and dirty equipment

In a sleep study setup, which statement describes the handling of reusable items?

Reusable items must be disinfected according to manufacturer guidelines

In PSG based on the International 10-20 system, what EEG derivation is typically recommended for routine use?

C4-M1

In EEG monitoring, what placement is recommended for the reference electrodes?

At Fpz

Where should the chin EMG electrodes be placed for a PSG?

On the mentalis muscle

For pediatric polysomnography, what is the recommended arrival time?

Between 8 pm - 9 pm

During pediatric polysomnography, which bodily function is monitored?

Brain waves, eye movements, muscle tension, breathing, heart rate, and oxygen levels

Before undergoing a sleep study, what should be avoided for pediatric patients?

Caffeinated drinks after lunch

What should be the starting time of the initial nap opportunity for the MLST?

1 to 2 hours after waking

What minimum total sleep time is recommended on the night before an MLST to support a narcolepsy diagnosis?

More than 6 hours

In the MSLT, how many nap opportunities are usually provided?

5

What sleep disorder involves repetition of pauses in breathing during sleep?

Sleep apnea

Before an MWT, what information should patients share with sleep specialists?

CPAP data

What is the recommended duration for patients to avoid changing medication before MWT?

2 weeks

What is the primary purpose of Home Sleep Apnea Testing (HSAT)?

To evaluate patients for obstructive sleep apnea in a home setting

What is a contraindication for HSAT?

Patients with uncontrolled hypertension

When a patient undergoes HSAT, what should be included in the documentation?

Date and time of equipment pick-up and return

What EEG pattern is characteristic of absence seizures?

Spike and wave

Which of the following EEG abnormality is associated with benign focal epilepsy of childhood?

Centro-temporal spikes

What EEG hallmark is indicative of Lennox-Gastaut syndrome?

Slow spike and waves

In polysomnography, what is the primary purpose of biocalibration?

To ensure proper functioning of recording equipment

Which artifact is characterized by long duration, high-amplitude shifts in electrical potential due to perspiration?

Sweat artifact

In polysomnography equipment, what is the purpose of a patient ground electrode?

To improve common mode rejection and reduce electrical interference

During acclimation, what is the main purpose of gradually introducing PAP therapy to patients?

To minimize discomfort and facilitate patient adaptation

What physiological information does ECG primarily provide during cardio-respiratory polysomnography?

Autonomic nervous system activity

In polysomnography, what is the purpose of the high-frequency filter?

To attenuate signals above a certain frequency

By the low-frequency filter (LFF) setting, which parameter is directly controlled?

Time constant

What happens to the recorded signal when the sensitivity setting is set high?

Amplifies voltage

In EEG & EOG channels during polysomnography, what is the recommended upper limit for electrode impedance?

5,000 ohms

During polysomnography, which of the following statements regarding the limitations of impedance pneumography is true?

No standards exist for signal reproductions representing changes in thoriac impedance

In polysomnography, what is the acceptable impedance range for EEG, EOG, & EMG electrodes?

< 10k ohms

If the impedance of any pair of electrodes (excluding ECG) exceeds 10k ohms, what action should be taken?

Remove, re-prep, & replace the electrode

What waveform must be followed by an arousal to transition to stage N1, in scoring stage N2 sleep?

K complex

What features distinguish an epoch that is scored as stage R sleep?

Low chin EMG tone

If an epoch contains both slow eye movements & rapid eye movements, how is an epoch scored?

Stage W

Which EEG frequency range characterizes delta waves according to scoring rules?

0-3.99 Hz

During a polysomnography, what defines respiratory effort-related arousal (RERA)?

Flattening of PAP device flow waveform

What additional criteria is required when scoring arousals during REM sleep?

Increased sub mental EMG

During non-REM sleep stages, which EEG frequency pattern indicates arousal?

Frequencies below 16 Hz

During REM sleep, what EEG frequency pattern characterizes arousal?

Alpha-theta waves

During a polysomnography, how is a hypopnea duration measured?

From the nadir preceding reduced breathing to the next breath reaching baseline

During polysomnography, what is necessary for scoring a hypopnea event?

30% decrease in airflow

What event requires the activation of the Emergency Response System?

Cheyne-Stokes breathing

As an apnea, what is the key criteria for scoring a respiratory event?

90% drop in signal excursion

When should an apnea be scored as mixed?

When there’s a resumption in inspiratory effort

How should hypopneas be scored?

With a 30% drop in signal excursion and a 2-3% desaturation

What is criteria for scoring a central hypopnea?

Absence of snoring

In a PLMS series, what defines a candidate leg movement event for possible inclusion?

All the above (Duration of 5-10 seconds, amplitude of 8 uV above resting EMG, occurrence in a sleep epoch)

To define a PLMS series, how many consecutive leg movements are needed?

5-90 seconds

In polysomnography, what characterizes bruxism?

All of the above (sustained elevations of chin EMG activity, brief elevations of chin or masseter EMG)