RPSGT Questions and Answers
Updated 2026
RequirementsAforAscoringACheyne-StokesABreathingA-
AAnswerAMustAbeAatAleastA3AconsecutiveAcyclesAofAwaning-
waxingApatternAinAairflowAwithAaAdurationAofAatAleastA10AsecondsAeach,Aand
AatAleastA5AcentralAapneasAorAhypopneasAperAhourAofAsleep.
PrimaryACentralAApneaA-
AAnswerAThisAisAcharacterizedAbyAcessationsAofAairflowAandAconcurrentAcessati
onsAofArespiratoryAeffort.ADiagnosticAfeaturesAincludeAanAaverageAofA5AofAthes
eAeventsAperAhour.
BehavioralAInsomniaAofAChildhoodA-AAnswerAakaA'Limit-
SettingADisorder,"AcharacterizedAbyAaAparentApromotingApoorAsleepAhygieneAte
chniquesAinAchild,AsuchAasAputtingAtoysAinAcribAorAfrequentlyAalteringAfeedAti
mes.
ParadoxicalAInsomniaA-
AAnswerAakaA"SleepAStateAMisperception,"AconsistsAofAcomplaintAofAinsomniaA
withoutAanyAevidence.AUseAofAaAsleepAdiaryAorAlogAmayAbeAappropriate.
IdiopathicAInsomniaA-
AAnswerAakaA"LifelongAInsomnia."AthisAisAidentifiedAasAatAinfancyAandApersis
tsAthroughoutAlife.AAppearsAtoAbeAnoAexternalAcauseAforAthis,AandAnoAotherAs
leepAdisorderAexistsAasAaAcontributingAfactor.
AdjustmentAInsomniaA-AAnswerAakaA"acuteAinsomnia,"AthisAisAaAshort-
termAinsomniaAthatAisAassociatedAwithAaAspecificAstressor.AVeryAcommon,Atypic
allyAcorrectsAitselfAwhenAstressorAbecomesAabsent.
PsychophysiologicalAInsomniaA-
AAnswerACommonAtypeAofAinsomniaAthatAlastsAatAleastAoneAmonth.ANOTAcaus
, edAbyAaAstressor,AbutAratherAaAlearnedAresponseAtoAnotAfallAasleepAwhenApla
nned.AFallingAasleepAatAnormalAbedtimesAisAdifficult.
RecurrentAIsolatedASleepAParalysisA-
AAnswerAThisAincludesAepisodesAofAtheAinabilityAtoAmoveAduringAsleepA(hypno
gogic)AorAawakeningA(hypnopompic.)
REMABehaviorADisorderA-
AAnswerAConsistsAofAphysicalAactivitiesAduringAREMAsleep.ANormalAmuscleAato
niaAdoesAnotAoccurAinAtheseApatientsAandAtheApatientAisAlikelyAtoArememberAt
heAdreamAassociatedAwithAtheAevents.
CatathreniaA-AAnswerAakaA"sleep-
relatedAgroaning,"AthisAconsistsAofAgroaningAduringAexhalation,AmainlyAduring
AREMAsleep.
ShortASleeperA-
AAnswerAWhenAaApersonAsleepsA<5AhoursAandAisAableAtoAmaintainAnormalAf
unctionalityAandAwakefulness.AThisAtypeAofAindividualAdoesAnotArequireAtheAno
rmalAamountAofAsleep.
PropriospinalAMyoclonusAofASleepA-
AAnswerATheseAeventsAareAsimilarAtoAsleepAstarts,AbutAmainlyAinvolveAbodyA
movementsAinAtheAtrunkAandAneckAareas.ATheyAtypicallyAoccurAatAsleepAonsetA
orAduringAbriefAarousalsAfromAsleep.
ExcessiveAFragmentaryAMyoclonusA-
AAnswerACharacterizedAbyAfrequentAsmallAtwitchesAofAfingers,Atoes,AorAmuscles
AofAtheAmouthAduringAwakeAorAsleep.ATheyAareAtypicallyAbenign,AoccurAinANR
EMAsleep,AandApersistA>20Amin.
SleepAStartsA(HypnicAJerks)A-
AAnswerASuddenAmuscleAjerksAorAmovementsAatAsleepAonset,AoftenAaccompanie
dAbyAfeelingsAofAsurpriseAorAfear.