NEW RPSGT EXAM 2026 STUDY GUIDE AND PRACTICE
TEST EXAM QUESTIONS AND ANSWERS
The purpose of an intentional mask leak is to... - CORRECT ANSWER✅✅Wash out CO2 and prevent
rebreathing
Recommended guidelines state that HSV can be considered when.... - CORRECT ANSWER✅✅Cheyne
Stokes and central Apneas have not been eliminated.
What is aerophagia? - CORRECT ANSWER✅✅The swallowing of air
What is maxillomandibular advancement? - CORRECT ANSWER✅✅Treatment that involves cutting and
advancing the upper and lower jaw bones; enlarging and stabilizing the posterior airway.
What is the PRIMARY function of the EPAP setting? - CORRECT ANSWER✅✅To eliminate desaturations
and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing pressure? -
CORRECT ANSWER✅✅1
What are the AASM guidelines for supplemental O2 during PAP studies? - CORRECT ANSWER✅✅1lmp
during PAP titration when SPO2 is less than or equal to 88% for 5 or more minutes and in the absence of
obstructive events.
If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still occur at 16cm, what levels of BiLevel
should be used? - CORRECT ANSWER✅✅IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti
depressants. - CORRECT ANSWER✅✅Alcohol: impairs arousal response which can lead to longer than
normal events and severe desats. Inhibits upper airway activity
,What syndrome would a pt with COPD and OSA have? - CORRECT ANSWER✅✅Overlap syndrome
What are hypoxemia and hypercapnia? - CORRECT ANSWER✅✅Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood.
What would a patient with both hypoxemia and hypercapnia most likely be diagnosed with? - CORRECT
ANSWER✅✅Hypoventilation
What is an MWT's MOST important use? - CORRECT ANSWER✅✅Measure patients ability to resist the
urge to fall asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been known to
trigger what? - CORRECT ANSWER✅✅REM sleep behavior disorder
Recommended impedance for eeg and eog - CORRECT ANSWER✅✅5k ohms
The amount of space needed to archive digitized data is MOST impacted by? - CORRECT
ANSWER✅✅Sampling rate
Cortical activity is best described as - CORRECT ANSWER✅✅Spontaneous arousal
Calculate the AHI based on the following data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep - CORRECT ANSWER✅✅11
,According to RECOMMENDED guidelines, the minimum duration of a significant leg movement is -
CORRECT ANSWER✅✅.5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an adult
polysomnogram is - CORRECT ANSWER✅✅Occurrence of hypoventilation during the diagnostic study in
adult
The respiratory event that requires oxygen desaturation and/ or an arousal as part of the scoring criteria
is - CORRECT ANSWER✅✅Obstructive hypopnea
An ECG arrhythmia commonly seen when recording PSG's, particularly in patients that have obstructive
sleep apnea and cardiac disease. It can be identified by the morphology of an irregularly irregular
ventricular rhythm associated with replacement of consistent P waves by rapid oscillations that vary in
size, shape, and timing - CORRECT ANSWER✅✅Atrial fibrillation
The stage that is the greatest portion of the epoch - CORRECT ANSWER✅✅The stage that is the
greatest portion of the epoch
What is the best response when a patient asks the technologist if they have sleep apnea and will need to
wear a CPAP mask? - CORRECT ANSWER✅✅Provide the patient with educational material about sleep
apnea
Which of the following is the MOST LIKELY cause of a 35 minute REM latency - CORRECT
ANSWER✅✅Untreated depression
A breathing pattern characterized by at least three cycles of crescendo breathing with duration of at
least 10 minutes is - CORRECT ANSWER✅✅Cheyne Stokes respiration
An important responsibility of the scoring tech is to - CORRECT ANSWER✅✅Confirm accuracy of report
components
Which type of calibration is based on a series of patient instructions intended to verify the signal
response and quality - CORRECT ANSWER✅✅Physiological
, The most important reason for performing a MWT is to - CORRECT ANSWER✅✅Measure the patient's
ability to resist the urge to fall asleep
The importance of selecting sampling rates according to RECOMMENDED guidelines is to - CORRECT
ANSWER✅✅Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia and associated PaCO2
elevation that worsens during sleep is - CORRECT ANSWER✅✅Obesity hypoventilation
The patient's medical history indicates the patient has been taking tricyclic antidepressants for the past
5 years. The technologist should anticipate that the patient may have an increased likelihood of -
CORRECT ANSWER✅✅REM Sleep Behavior Disorder
According to RECOMMENDED guidelines, the sampling rate to provide the optimal resolution for
recording EEG in a patient with suspected nocturnal seizure is - CORRECT ANSWER✅✅500Hz
The electrode located 30% above the left pre-a crease is - CORRECT ANSWER✅✅C3
According to RECOMMENDED guidelines, four nap opportunities on a MSLT would be acceptable when
the patient - CORRECT ANSWER✅✅Had REM on at least two nap opportunities
A patient's history indicates a diagnosis of overlap syndrome. The tech can anticipate that the patient
has - CORRECT ANSWER✅✅COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING SHOULD BE INCLUDED
WHEN RECORDING PEDIATRIC PATIENTS - CORRECT ANSWER✅✅END-TIDAL CO2
THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT IS THE RESULT OF - CORRECT
ANSWER✅✅SYSTEM REFERENCING
TEST EXAM QUESTIONS AND ANSWERS
The purpose of an intentional mask leak is to... - CORRECT ANSWER✅✅Wash out CO2 and prevent
rebreathing
Recommended guidelines state that HSV can be considered when.... - CORRECT ANSWER✅✅Cheyne
Stokes and central Apneas have not been eliminated.
What is aerophagia? - CORRECT ANSWER✅✅The swallowing of air
What is maxillomandibular advancement? - CORRECT ANSWER✅✅Treatment that involves cutting and
advancing the upper and lower jaw bones; enlarging and stabilizing the posterior airway.
What is the PRIMARY function of the EPAP setting? - CORRECT ANSWER✅✅To eliminate desaturations
and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing pressure? -
CORRECT ANSWER✅✅1
What are the AASM guidelines for supplemental O2 during PAP studies? - CORRECT ANSWER✅✅1lmp
during PAP titration when SPO2 is less than or equal to 88% for 5 or more minutes and in the absence of
obstructive events.
If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still occur at 16cm, what levels of BiLevel
should be used? - CORRECT ANSWER✅✅IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti
depressants. - CORRECT ANSWER✅✅Alcohol: impairs arousal response which can lead to longer than
normal events and severe desats. Inhibits upper airway activity
,What syndrome would a pt with COPD and OSA have? - CORRECT ANSWER✅✅Overlap syndrome
What are hypoxemia and hypercapnia? - CORRECT ANSWER✅✅Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood.
What would a patient with both hypoxemia and hypercapnia most likely be diagnosed with? - CORRECT
ANSWER✅✅Hypoventilation
What is an MWT's MOST important use? - CORRECT ANSWER✅✅Measure patients ability to resist the
urge to fall asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been known to
trigger what? - CORRECT ANSWER✅✅REM sleep behavior disorder
Recommended impedance for eeg and eog - CORRECT ANSWER✅✅5k ohms
The amount of space needed to archive digitized data is MOST impacted by? - CORRECT
ANSWER✅✅Sampling rate
Cortical activity is best described as - CORRECT ANSWER✅✅Spontaneous arousal
Calculate the AHI based on the following data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep - CORRECT ANSWER✅✅11
,According to RECOMMENDED guidelines, the minimum duration of a significant leg movement is -
CORRECT ANSWER✅✅.5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an adult
polysomnogram is - CORRECT ANSWER✅✅Occurrence of hypoventilation during the diagnostic study in
adult
The respiratory event that requires oxygen desaturation and/ or an arousal as part of the scoring criteria
is - CORRECT ANSWER✅✅Obstructive hypopnea
An ECG arrhythmia commonly seen when recording PSG's, particularly in patients that have obstructive
sleep apnea and cardiac disease. It can be identified by the morphology of an irregularly irregular
ventricular rhythm associated with replacement of consistent P waves by rapid oscillations that vary in
size, shape, and timing - CORRECT ANSWER✅✅Atrial fibrillation
The stage that is the greatest portion of the epoch - CORRECT ANSWER✅✅The stage that is the
greatest portion of the epoch
What is the best response when a patient asks the technologist if they have sleep apnea and will need to
wear a CPAP mask? - CORRECT ANSWER✅✅Provide the patient with educational material about sleep
apnea
Which of the following is the MOST LIKELY cause of a 35 minute REM latency - CORRECT
ANSWER✅✅Untreated depression
A breathing pattern characterized by at least three cycles of crescendo breathing with duration of at
least 10 minutes is - CORRECT ANSWER✅✅Cheyne Stokes respiration
An important responsibility of the scoring tech is to - CORRECT ANSWER✅✅Confirm accuracy of report
components
Which type of calibration is based on a series of patient instructions intended to verify the signal
response and quality - CORRECT ANSWER✅✅Physiological
, The most important reason for performing a MWT is to - CORRECT ANSWER✅✅Measure the patient's
ability to resist the urge to fall asleep
The importance of selecting sampling rates according to RECOMMENDED guidelines is to - CORRECT
ANSWER✅✅Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia and associated PaCO2
elevation that worsens during sleep is - CORRECT ANSWER✅✅Obesity hypoventilation
The patient's medical history indicates the patient has been taking tricyclic antidepressants for the past
5 years. The technologist should anticipate that the patient may have an increased likelihood of -
CORRECT ANSWER✅✅REM Sleep Behavior Disorder
According to RECOMMENDED guidelines, the sampling rate to provide the optimal resolution for
recording EEG in a patient with suspected nocturnal seizure is - CORRECT ANSWER✅✅500Hz
The electrode located 30% above the left pre-a crease is - CORRECT ANSWER✅✅C3
According to RECOMMENDED guidelines, four nap opportunities on a MSLT would be acceptable when
the patient - CORRECT ANSWER✅✅Had REM on at least two nap opportunities
A patient's history indicates a diagnosis of overlap syndrome. The tech can anticipate that the patient
has - CORRECT ANSWER✅✅COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING SHOULD BE INCLUDED
WHEN RECORDING PEDIATRIC PATIENTS - CORRECT ANSWER✅✅END-TIDAL CO2
THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT IS THE RESULT OF - CORRECT
ANSWER✅✅SYSTEM REFERENCING
