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NEW RPSGT EXAM Study Guide and Practice Test Questions and Answers 2025/ 2026 Comprehensive Sleep Technology Exam Prep Guide with Solutions

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Master the new RPSGT exam with this comprehensive study guide and practice test featuring detailed questions and answers with solution, designed to strengthen understanding of sleep physiology, polysomnography procedures, scoring guidelines, and sleep disorder diagnosis while improving exam readiness and performance for 2025/ 2026 sleep technology certification and clinical practice.

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NEW RPSGT EXAM- Study Guide and Practice Test Questions and Answers
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Terms in this set (999)


The purpose of an intentional mask leak is Wash out CO2 and prevent rebreathing
to...

Recommended guidelines state that HSV Cheyne Stokes and central Apneas have not been eliminated.
can be considered when....

What is aerophagia? The swallowing of air

Treatment that involves cutting and advancing the upper and lower jaw bones;
What is maxillomandibular advancement?
enlarging and stabilizing the posterior airway.

What is the PRIMARY function of the To eliminate desaturations and arousals.
EPAP setting?

According to guidelines, how many 1
Hypopneas need to occur in peds pts
prior to increasing pressure?

What are the AASM guidelines for 1lmp during PAP titration when SPO2 is less than or equal to 88% for 5 or more
supplemental O2 during PAP studies? minutes and in the absence of obstructive events.

If a pts Apneas are fixed at 10cm, but IPAP: 14
Hypopneas and snoring still occur at EPAP: 10
16cm, what levels of BiLevel should be
used?

Which of the following can reduce the Alcohol: impairs arousal response which can lead to longer than normal events
effectiveness of CPAP and why: Nasal and severe desats. Inhibits upper airway activity
spray, Alcohol, Anti depressants.

What syndrome would a pt with COPD Overlap syndrome
and OSA have?

Hypoxemia: very low 02 in the blood
What are hypoxemia and hypercapnia?
Hypercapnia: very high CO2 in the blood.




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What would a patient with both Hypoventilation
hypoxemia and hypercapnia most likely
be diagnosed with?




What is an MWT's MOST important use? Measure patients ability to resist the urge to fall asleep

Tricyclic antidepressants, large amounts REM sleep behavior disorder
of caffeine and large amounts of
chocolate have been known to trigger
what?




Recommended impedance for eeg and 5k ohms
eog

The amount of space needed to archive Sampling rate
digitized data is MOST impacted by?

Cortical activity is best described as Spontaneous arousal

Calculate the AHI based on the following 11
data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep

According to RECOMMENDED .5
guidelines, the minimum duration of a
significant leg movement is




According to RECOMMENDED Occurrence of hypoventilation during the diagnostic study in adult
guidelines, an optional parameter to
include in the report for an adult
polysomnogram is

The respiratory event that requires Obstructive hypopnea
oxygen desaturation and/ or an arousal as
part of the scoring criteria is

An ECG arrhythmia commonly seen when Atrial fibrillation
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

The stage that is the greatest portion of The stage that is the greatest portion of the epoch
the epoch




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What is the best response when a patient Provide the patient with educational material about sleep apnea
asks the technologist if they have sleep
apnea and will need to wear a CPAP
mask?




Which of the following is the MOST Untreated depression
LIKELY cause of a 35 minute REM latency

A breathing pattern characterized by at Cheyne Stokes respiration
least three cycles of crescendo breathing
with duration of at least 10 minutes is

An important responsibility of the scoring Confirm accuracy of report components
tech is to

Which type of calibration is based on a Physiological
series of patient instructions intended to
verify the signal response and quality

The most important reason for Measure the patient's ability to resist the urge to fall asleep
performing a MWT is to

The importance of selecting sampling Minimize aliasing effect
rates according to RECOMMENDED
guidelines is to

The syndrome characterized by Obesity hypoventilation
prolonged episodes of severe hypoxemia
and associated PaCO2 elevation that
worsens during sleep is

The patient's medical history indicates the REM Sleep Behavior Disorder
patient has been taking tricyclic
antidepressants for the past 5 years. The
technologist should anticipate that the
patient may have an increased likelihood
of




According to RECOMMENDED 500Hz
guidelines, the sampling rate to provide
the optimal resolution for recording EEG
in a patient with suspected nocturnal
seizure is

The electrode located 30% above the left C3
pre-a crease is

According to RECOMMENDED Had REM on at least two nap opportunities
guidelines, four nap opportunities on a
MSLT would be acceptable when the
patient

A patient's history indicates a diagnosis of COPD AND OSA
overlap syndrome. The tech can
anticipate that the patient has

ACCORDING TO RECOMMENDED END-TIDAL CO2
GUIDELINES, WHICH OF THE
FOLLOWING SHOULD BE INCLUDED
WHEN RECORDING PEDIATRIC
PATIENTS




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THE ABILITY TO REMONTAGE WHILE SYSTEM REFERENCING
RECORDING ON DIGITAL EQUIPMENT IS
THE RESULT OF

WHEN REVIEWING A PATIENT'S HYPOXEMIA AND HYPERCAPNIA
HISTORY IN PREPARATION FOR A
POLYSOMNOGRAM, PHYSIOLOGIC
FINDINGS SUGGESTIVE OF
HYPOVENTILATION INCLUDE




WHEN THE AMPLITUDE OF A SIGNAL DECREASE SENSITIVITY
EXCEEDS THE PHYSICAL LIMITATIONS
OF A CHANNEL THE MOST IMPORTANT
ADJUSTMENT THE TECH CAN MAKE TO
OPTIMIZE WAVEFORM DISPLAY IS TO

WHEN INTERMITTENT 60 HZ ACTIVITY RELY ON F3-M2
OCCURS IN THE F4-M1 ELECTRODES
DURING REM SLEEP THE BEST
IMMEDIATE ACTION WOULD BE TO




A PATIENT WITH MILD DEMENTIA SUNDOWNING
BECOMES MORE CONFUSED AND/OR
AGITATED IN THE EARLY EVENING. THE
PATIENT IS MOST LIKELY EXPERIENCING

THE MOST COMMON METHOD TO PULSE OXIMETRY
MONITOR BLOOD OXYGEN
SATURATION DURING
POLYSOMNOGRAPHY IS




THE MOST APPROPRIATE ACTION A INITIATE EMERGENCY RESPONSE SYSTEM
TECHNOLOGIST WOULD TAKE WHEN
THERE IS CONFIRMED VENTRICULAR
TACHYCARDIA GREATER THAN 30
SECONDS IS

A PATIENT'S CHART INDICATES THAT CALL THE PHYSICIAN FOR CONFIRMATION
THEY USE 30 L/MIN OF OXYGEN AT
HOME. THE TECH NOTES THAT THE
PHYSICIAN'S ORDERS FOR THE PSG
SPECIFIES THE STUDY WITHOUT
SUPPLEMENTAL OXYGEN AND TO ADD
1.0 L/MIN OXYGEN IF THE SATURATION
IS LESS THAN 89%. THE BEST ACTION
FOR THE TECH IS TO

WHICH OF THE FOLLOWING IS THE INCREASED SLEEP LATENCY
MOST LIKELY EFFECT OF ZOLPIDEM
AND ZALEPLON ON SLEEP
ARCHITECTURE




WHICH OF THE FOLLOWING BEST THERE IS POTENTIAL FOR ELECTRODE CONTAMINATION
DESCRIBES A REFERENTIAL MONTAGE




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