Science Medicine Pulmonology
NEW RPSGT EXAM Study Guide and Practice Test
RPSGT Exam 2026 Updated Edition
Advanced Study Guide with High-
Yield Questions and Accurate
Answers
The purpose of an intentional mask leak is to... Wash out CO2 and prevent rebreathing
Recommended guidelines state that HSV can be Cheyne Stokes and central Apneas have not been eliminated.
considered when....
What is aerophagia? The swallowing of air
What is maxillomandibular advancement? 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? To eliminate desaturations and arousals.
According to guidelines, how many Hypopneas need to 1
occur in peds pts prior to increasing pressure?
What are the AASM guidelines for supplemental O2 1lmp during PAP titration when SPO2 is less than or equal to 88% for 5 or more
during PAP studies? minutes and in the absence of obstructive events.
If a pts Apneas are fixed at 10cm, but Hypopneas and IPAP: 14
snoring still occur at 16cm, what levels of BiLevel should EPAP: 10
be used?
Which of the following can reduce the effectiveness of Alcohol: impairs arousal response which can lead to longer than normal events
CPAP and why: Nasal spray, Alcohol, Anti depressants. and severe desats. Inhibits upper airway activity
,What syndrome would a pt with COPD and OSA have? Overlap syndrome
What are hypoxemia and hypercapnia? Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood.
What would a patient with both hypoxemia and Hypoventilation
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 of caffeine and REM sleep behavior disorder
large amounts of chocolate have been known to trigger
what?
Recommended impedance for eeg and eog 5k ohms
The amount of space needed to archive digitized data is Sampling rate
MOST impacted by?
Cortical activity is best described as Spontaneous arousal
Calculate the AHI based on the following data 11
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep
According to RECOMMENDED guidelines, the minimum .5
duration of a significant leg movement is
According to RECOMMENDED guidelines, an optional Occurrence of hypoventilation during the diagnostic study in adult
parameter to include in the report for an adult
polysomnogram is
The respiratory event that requires oxygen desaturation Obstructive hypopnea
and/ or an arousal as part of the scoring criteria is
An ECG arrhythmia commonly seen when recording Atrial fibrillation
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 epoch The stage that is the greatest portion of the epoch
,What is the best response when a patient asks the Provide the patient with educational material about sleep apnea
technologist if they have sleep apnea and will need to
wear a CPAP mask?
Which of the following is the MOST LIKELY cause of a 35 Untreated depression
minute REM latency
A breathing pattern characterized by at least three cycles Cheyne Stokes respiration
of crescendo breathing with duration of at least 10
minutes is
An important responsibility of the scoring tech is to Confirm accuracy of report components
Which type of calibration is based on a series of patient Physiological
instructions intended to verify the signal response and
quality
The most important reason for performing a MWT is to Measure the patient's ability to resist the urge to fall asleep
The importance of selecting sampling rates according to Minimize aliasing effect
RECOMMENDED guidelines is to
The syndrome characterized by prolonged episodes of Obesity hypoventilation
severe hypoxemia and associated PaCO2 elevation that
worsens during sleep is
The patient's medical history indicates the patient has REM Sleep Behavior Disorder
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 guidelines, the sampling 500Hz
rate to provide the optimal resolution for recording EEG
in a patient with suspected nocturnal seizure is
The electrode located 30% above the left pre-a crease is C3
According to RECOMMENDED guidelines, four nap Had REM on at least two nap opportunities
opportunities on a MSLT would be acceptable when the
patient
A patient's history indicates a diagnosis of overlap COPD AND OSA
syndrome. The tech can anticipate that the patient has
ACCORDING TO RECOMMENDED GUIDELINES, WHICH END-TIDAL CO2
OF THE FOLLOWING SHOULD BE INCLUDED WHEN
RECORDING PEDIATRIC PATIENTS
THE ABILITY TO REMONTAGE WHILE RECORDING ON SYSTEM REFERENCING
DIGITAL EQUIPMENT IS THE RESULT OF
, WHEN REVIEWING A PATIENT'S HISTORY IN HYPOXEMIA AND HYPERCAPNIA
PREPARATION FOR A POLYSOMNOGRAM,
PHYSIOLOGIC FINDINGS SUGGESTIVE OF
HYPOVENTILATION INCLUDE
WHEN THE AMPLITUDE OF A SIGNAL EXCEEDS THE DECREASE SENSITIVITY
PHYSICAL LIMITATIONS OF A CHANNEL THE MOST
IMPORTANT ADJUSTMENT THE TECH CAN MAKE TO
OPTIMIZE WAVEFORM DISPLAY IS TO
WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE RELY ON F3-M2
F4-M1 ELECTRODES DURING REM SLEEP THE BEST
IMMEDIATE ACTION WOULD BE TO
A PATIENT WITH MILD DEMENTIA BECOMES MORE SUNDOWNING
CONFUSED AND/OR AGITATED IN THE EARLY
EVENING. THE PATIENT IS MOST LIKELY EXPERIENCING
THE MOST COMMON METHOD TO MONITOR BLOOD PULSE OXIMETRY
OXYGEN SATURATION DURING POLYSOMNOGRAPHY
IS
THE MOST APPROPRIATE ACTION A TECHNOLOGIST INITIATE EMERGENCY RESPONSE SYSTEM
WOULD TAKE WHEN THERE IS CONFIRMED
VENTRICULAR TACHYCARDIA GREATER THAN 30
SECONDS IS
A PATIENT'S CHART INDICATES THAT THEY USE 30 CALL THE PHYSICIAN FOR CONFIRMATION
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 MOST LIKELY INCREASED SLEEP LATENCY
EFFECT OF ZOLPIDEM AND ZALEPLON ON SLEEP
ARCHITECTURE
WHICH OF THE FOLLOWING BEST DESCRIBES A THERE IS POTENTIAL FOR ELECTRODE CONTAMINATION
REFERENTIAL MONTAGE
ACCORDING TO RECOMMENDED GUIDELINES, THE ORONASAL THERMAL SENSOR
DEVICE THAT SHOULD BE USED TO MONITOR AIRFLOW
AND DETECT APNEA DURING A DIAGNOSTIC STUDY IS
WHICH PROCESS WOULD BE AN ADEQUATE ROUTINE SOAKING IN 1: 10 BLEACH AND WATER FOR 10 MIN.
FOR DISINFECTING CUP ELECTRODES AFTER
REMOVING ADHESIVE RESIDUE, GEL AND ORGANIC
MATERIAL, AND WASHING IN WARM WATER AND MILD
DETERGENT
NEW RPSGT EXAM Study Guide and Practice Test
RPSGT Exam 2026 Updated Edition
Advanced Study Guide with High-
Yield Questions and Accurate
Answers
The purpose of an intentional mask leak is to... Wash out CO2 and prevent rebreathing
Recommended guidelines state that HSV can be Cheyne Stokes and central Apneas have not been eliminated.
considered when....
What is aerophagia? The swallowing of air
What is maxillomandibular advancement? 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? To eliminate desaturations and arousals.
According to guidelines, how many Hypopneas need to 1
occur in peds pts prior to increasing pressure?
What are the AASM guidelines for supplemental O2 1lmp during PAP titration when SPO2 is less than or equal to 88% for 5 or more
during PAP studies? minutes and in the absence of obstructive events.
If a pts Apneas are fixed at 10cm, but Hypopneas and IPAP: 14
snoring still occur at 16cm, what levels of BiLevel should EPAP: 10
be used?
Which of the following can reduce the effectiveness of Alcohol: impairs arousal response which can lead to longer than normal events
CPAP and why: Nasal spray, Alcohol, Anti depressants. and severe desats. Inhibits upper airway activity
,What syndrome would a pt with COPD and OSA have? Overlap syndrome
What are hypoxemia and hypercapnia? Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood.
What would a patient with both hypoxemia and Hypoventilation
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 of caffeine and REM sleep behavior disorder
large amounts of chocolate have been known to trigger
what?
Recommended impedance for eeg and eog 5k ohms
The amount of space needed to archive digitized data is Sampling rate
MOST impacted by?
Cortical activity is best described as Spontaneous arousal
Calculate the AHI based on the following data 11
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep
According to RECOMMENDED guidelines, the minimum .5
duration of a significant leg movement is
According to RECOMMENDED guidelines, an optional Occurrence of hypoventilation during the diagnostic study in adult
parameter to include in the report for an adult
polysomnogram is
The respiratory event that requires oxygen desaturation Obstructive hypopnea
and/ or an arousal as part of the scoring criteria is
An ECG arrhythmia commonly seen when recording Atrial fibrillation
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 epoch The stage that is the greatest portion of the epoch
,What is the best response when a patient asks the Provide the patient with educational material about sleep apnea
technologist if they have sleep apnea and will need to
wear a CPAP mask?
Which of the following is the MOST LIKELY cause of a 35 Untreated depression
minute REM latency
A breathing pattern characterized by at least three cycles Cheyne Stokes respiration
of crescendo breathing with duration of at least 10
minutes is
An important responsibility of the scoring tech is to Confirm accuracy of report components
Which type of calibration is based on a series of patient Physiological
instructions intended to verify the signal response and
quality
The most important reason for performing a MWT is to Measure the patient's ability to resist the urge to fall asleep
The importance of selecting sampling rates according to Minimize aliasing effect
RECOMMENDED guidelines is to
The syndrome characterized by prolonged episodes of Obesity hypoventilation
severe hypoxemia and associated PaCO2 elevation that
worsens during sleep is
The patient's medical history indicates the patient has REM Sleep Behavior Disorder
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 guidelines, the sampling 500Hz
rate to provide the optimal resolution for recording EEG
in a patient with suspected nocturnal seizure is
The electrode located 30% above the left pre-a crease is C3
According to RECOMMENDED guidelines, four nap Had REM on at least two nap opportunities
opportunities on a MSLT would be acceptable when the
patient
A patient's history indicates a diagnosis of overlap COPD AND OSA
syndrome. The tech can anticipate that the patient has
ACCORDING TO RECOMMENDED GUIDELINES, WHICH END-TIDAL CO2
OF THE FOLLOWING SHOULD BE INCLUDED WHEN
RECORDING PEDIATRIC PATIENTS
THE ABILITY TO REMONTAGE WHILE RECORDING ON SYSTEM REFERENCING
DIGITAL EQUIPMENT IS THE RESULT OF
, WHEN REVIEWING A PATIENT'S HISTORY IN HYPOXEMIA AND HYPERCAPNIA
PREPARATION FOR A POLYSOMNOGRAM,
PHYSIOLOGIC FINDINGS SUGGESTIVE OF
HYPOVENTILATION INCLUDE
WHEN THE AMPLITUDE OF A SIGNAL EXCEEDS THE DECREASE SENSITIVITY
PHYSICAL LIMITATIONS OF A CHANNEL THE MOST
IMPORTANT ADJUSTMENT THE TECH CAN MAKE TO
OPTIMIZE WAVEFORM DISPLAY IS TO
WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE RELY ON F3-M2
F4-M1 ELECTRODES DURING REM SLEEP THE BEST
IMMEDIATE ACTION WOULD BE TO
A PATIENT WITH MILD DEMENTIA BECOMES MORE SUNDOWNING
CONFUSED AND/OR AGITATED IN THE EARLY
EVENING. THE PATIENT IS MOST LIKELY EXPERIENCING
THE MOST COMMON METHOD TO MONITOR BLOOD PULSE OXIMETRY
OXYGEN SATURATION DURING POLYSOMNOGRAPHY
IS
THE MOST APPROPRIATE ACTION A TECHNOLOGIST INITIATE EMERGENCY RESPONSE SYSTEM
WOULD TAKE WHEN THERE IS CONFIRMED
VENTRICULAR TACHYCARDIA GREATER THAN 30
SECONDS IS
A PATIENT'S CHART INDICATES THAT THEY USE 30 CALL THE PHYSICIAN FOR CONFIRMATION
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 MOST LIKELY INCREASED SLEEP LATENCY
EFFECT OF ZOLPIDEM AND ZALEPLON ON SLEEP
ARCHITECTURE
WHICH OF THE FOLLOWING BEST DESCRIBES A THERE IS POTENTIAL FOR ELECTRODE CONTAMINATION
REFERENTIAL MONTAGE
ACCORDING TO RECOMMENDED GUIDELINES, THE ORONASAL THERMAL SENSOR
DEVICE THAT SHOULD BE USED TO MONITOR AIRFLOW
AND DETECT APNEA DURING A DIAGNOSTIC STUDY IS
WHICH PROCESS WOULD BE AN ADEQUATE ROUTINE SOAKING IN 1: 10 BLEACH AND WATER FOR 10 MIN.
FOR DISINFECTING CUP ELECTRODES AFTER
REMOVING ADHESIVE RESIDUE, GEL AND ORGANIC
MATERIAL, AND WASHING IN WARM WATER AND MILD
DETERGENT
