Chap 14- sleep disorders

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6 Terms

1
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What are the two categories of sleep?

REM: increase cortical activity with reduced muscle tone

N-REM: Three distinct stages

2
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What are the causes for insomnia?

  • GERD

  • OSA

  • Chronic COPD

  • Asthma

  • Angina

  • Hypoglycemia

  • Hyperthyroidism

  • Pain

3
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What physical exam distinguishes cataplexy from pseudocataplexy?

Absence of deep tendon reflexes

4
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What are the risk factors for REM sleep disorder?

  • Male gender

  • Advanced age

  • SSRI use


REM sleep disorder - acting out during REM sleep ( no muscle atonia)

5
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What are alternative treatments available if patient with OSA cannot tolerate CPAP?

  • Bilevel postive airway pressure ( more tolerable, more expensive)

  • 20-pound weight loss

  • Upper airway surgery

6
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What is the preferred treatment for restless legs syndrome?

Gabapentin