Sleep Technician's Flashcards-RPSGT
Exam Questions and Answers12
Requirements for scoring Cheyne-Stokes Breathing - ANSWERS-Must be at least 3 consecutive
cycles of waning-waxing pattern in airflow with a duration of at least 10 seconds each, and at
least 5 central apneas or hypopneas per hour of sleep.
Primary Central Apnea - ANSWERS-This is characterized by cessations of airflow and concurrent
cessations of respiratory effort. Diagnostic features include an average of 5 of these events per
hour.
Behavioral Insomnia of Childhood - ANSWERS-aka 'Limit-Setting Disorder," characterized by a
parent promoting poor sleep hygiene techniques in child, such as putting toys in crib or
frequently altering feed times.
Paradoxical Insomnia - ANSWERS-aka "Sleep State Misperception," consists of complaint of
insomnia without any evidence. Use of a sleep diary or log may be appropriate.
Idiopathic Insomnia - ANSWERS-aka "Lifelong Insomnia." this is identified as at infancy and
persists throughout life. Appears to be no external cause for this, and no other sleep disorder
exists as a contributing factor.
Adjustment Insomnia - ANSWERS-aka "acute insomnia," this is a short-term insomnia that is
associated with a specific stressor. Very common, typically corrects itself when stressor
becomes absent.
Psychophysiological Insomnia - ANSWERS-Common type of insomnia that lasts at least one
month. NOT caused by a stressor, but rather a learned response to not fall asleep when
planned. Falling asleep at normal bedtimes is difficult.
, Recurrent Isolated Sleep Paralysis - ANSWERS-This includes episodes of the inability to move
during sleep (hypnogogic) or awakening (hypnopompic.)
REM Behavior Disorder - ANSWERS-Consists of physical activities during REM sleep. Normal
muscle atonia does not occur in these patients and the patient is likely to remember the dream
associated with the events.
Catathrenia - ANSWERS-aka "sleep-related groaning," this consists of groaning during
exhalation, mainly during REM sleep.
Short Sleeper - ANSWERS-When a person sleeps <5 hours and is able to maintain normal
functionality and wakefulness. This type of individual does not require the normal amount of
sleep.
Propriospinal Myoclonus of Sleep - ANSWERS-These events are similar to sleep starts, but
mainly involve body movements in the trunk and neck areas. They typically occur at sleep onset
or during brief arousals from sleep.
Excessive Fragmentary Myoclonus - ANSWERS-Characterized by frequent small twitches of
fingers, toes, or muscles of the mouth during wake or sleep. They are typically benign, occur in
NREM sleep, and persist >20 min.
Sleep Starts (Hypnic Jerks) - ANSWERS-Sudden muscle jerks or movements at sleep onset, often
accompanied by feelings of surprise or fear.
Hypnogogic Foot Termor (HFT) and Alternating Leg Muscle Activation (ALMA) - ANSWERS-
Rhythmic leg or foot movements at sleep onset. The latter is characterized by movement in one
leg followed by movement in another leg. They are typically benign but can cause brief arousals.
Exam Questions and Answers12
Requirements for scoring Cheyne-Stokes Breathing - ANSWERS-Must be at least 3 consecutive
cycles of waning-waxing pattern in airflow with a duration of at least 10 seconds each, and at
least 5 central apneas or hypopneas per hour of sleep.
Primary Central Apnea - ANSWERS-This is characterized by cessations of airflow and concurrent
cessations of respiratory effort. Diagnostic features include an average of 5 of these events per
hour.
Behavioral Insomnia of Childhood - ANSWERS-aka 'Limit-Setting Disorder," characterized by a
parent promoting poor sleep hygiene techniques in child, such as putting toys in crib or
frequently altering feed times.
Paradoxical Insomnia - ANSWERS-aka "Sleep State Misperception," consists of complaint of
insomnia without any evidence. Use of a sleep diary or log may be appropriate.
Idiopathic Insomnia - ANSWERS-aka "Lifelong Insomnia." this is identified as at infancy and
persists throughout life. Appears to be no external cause for this, and no other sleep disorder
exists as a contributing factor.
Adjustment Insomnia - ANSWERS-aka "acute insomnia," this is a short-term insomnia that is
associated with a specific stressor. Very common, typically corrects itself when stressor
becomes absent.
Psychophysiological Insomnia - ANSWERS-Common type of insomnia that lasts at least one
month. NOT caused by a stressor, but rather a learned response to not fall asleep when
planned. Falling asleep at normal bedtimes is difficult.
, Recurrent Isolated Sleep Paralysis - ANSWERS-This includes episodes of the inability to move
during sleep (hypnogogic) or awakening (hypnopompic.)
REM Behavior Disorder - ANSWERS-Consists of physical activities during REM sleep. Normal
muscle atonia does not occur in these patients and the patient is likely to remember the dream
associated with the events.
Catathrenia - ANSWERS-aka "sleep-related groaning," this consists of groaning during
exhalation, mainly during REM sleep.
Short Sleeper - ANSWERS-When a person sleeps <5 hours and is able to maintain normal
functionality and wakefulness. This type of individual does not require the normal amount of
sleep.
Propriospinal Myoclonus of Sleep - ANSWERS-These events are similar to sleep starts, but
mainly involve body movements in the trunk and neck areas. They typically occur at sleep onset
or during brief arousals from sleep.
Excessive Fragmentary Myoclonus - ANSWERS-Characterized by frequent small twitches of
fingers, toes, or muscles of the mouth during wake or sleep. They are typically benign, occur in
NREM sleep, and persist >20 min.
Sleep Starts (Hypnic Jerks) - ANSWERS-Sudden muscle jerks or movements at sleep onset, often
accompanied by feelings of surprise or fear.
Hypnogogic Foot Termor (HFT) and Alternating Leg Muscle Activation (ALMA) - ANSWERS-
Rhythmic leg or foot movements at sleep onset. The latter is characterized by movement in one
leg followed by movement in another leg. They are typically benign but can cause brief arousals.
