ABDSM Final Exam - Dental Sleep Medicine Exam Practice Questions and Correct Answers| Brand New Version 2026/2027 | Graded A+ | Guaranteed Pass (Verified)

ABDSM Final Exam - Dental Sleep Medicine Exam Practice Questions and Correct Answers| Brand New Version 2026/2027 | Graded A+ | Guaranteed Pass (Verified) Treatment strategies for insomnia in the presence of OSA should make note of the following true statement: A. Hypnotics, such as benzodiazepines, can have adverse effects on nocturnal respiration, thus exacerbating OSA B. The newer nonbenzodiazepine agents, such as zolpidem and eszopiclone, appear to increase AHI C. Cognitive Behavioral Therapy, CBT, is non-pharmacologic and therefore poses no risk D. CBT is reported to be more effective for insomnia in the presence of OSA than when used for insomnia without comorbidities – Correct Answer :A. Hypnotics, such as benzodiazepines, can have adverse effects on nocturnal respiration, thus exacerbating OSA Which of the following statements is true about sleep restriction? A. Approximately 30% of Americans sleep less than 7.5 hours per night B. Partial sleep deprivation has been studied more extensively than total sleep deprivation C. Sleep restriction does not impact sleep architecture D. Significant cognitive dysfunction can occur if sleep is repeatedly restricted to less than 7 hours per night less What can be concluded regarding nasal resistance and treatment of OSA with OAT? a. Lower nasal resistance is a predictor of improved OAT response b. Higher nasal resistance is a predictor of improved OAT response c. Women with higher nasal resistance show improved response to OAT d. Nasal resistance increases with protrusive positioning of the mandible – Correct Answer :a. Lower nasal resistance is a predictor of improved OAT response Which of the following is listed from highest to lowest level of evidence? A. Case reports, Case series, Case control studies, Cohort studies B. Randomized controlled double-blind studies, Systematic reviews/Meta-analyses, Cohort studies C. Systematic reviews/Meta-analyses, Cohort studies, Case reports D. Randomized controlled double-blind studies, Case series, Cohort studies – Correct Answer :C. Systematic reviews/Meta-analyses, Cohort studies, Case reports A study in which the experiences of individuals with and without a particular disease are analyzed retrospectively to identify putative causative events (exposures) is called a: A. Systematic Review B. Meta-analysis C. Case reports D. Case-control studies – Correct Answer :D. Case-control studies - Correct Answer :D. Significant cognitive dysfunction can occur if sleep is repeatedly restricted to than 7 hours per night In a Randomized controlled trial, if there is incomplete randomization between the intervention group and the control group, this is known as: A. Selection bias B. Performance bias C. Exclusion bias D. Detection bias – Correct Answer :A. Selection bias What can be concluded regarding nasal obstruction and OSA? a. Nasal obstruction is associated with snoring b. Nasal obstruction is associated with OSA c. Nasal obstruction is associated with lowered concentration of pulmonary nitric oxide d. All of the above - Correct Answer :d. All of the above If a test for a disease has a sensitivity of only 40 percent, it means that: A. It has very few false negative results B. Fails to find the disease 60 percent of the time C. It has high specificity D. Should never be used – Correct Answer :B. Fails to find the disease 60 percent of the time What percentage of patients with hypertension suffer from OSA? A. 25% B. 30% C. 40% D. 50% - Correct Answer :30-50%! In determining treatment options for TMD symptoms triggered by use of an oral appliance for OSA, the dentist should initially recommend: A. Discontinued use of the appliance until the adverse symptoms resolve. B. Continued use of the appliance with watchful waiting and application of palliative exercises and stretching. C. Use of appropriate medication to mask adverse symptoms in order to continue advancement. D. Increase in vertical dimension to prevent the patient from clenching on the appliance. - Correct Answer :B. Continued use of the appliance with watchful waiting and application of palliative exercises and stretching. Patient report of dry mouth in the morning with OAT may be related to all of the following EXCEPT: A. Obligate mouth breathing B. Medications C. Lip competence D. Insufficient vertical - Correct Answer :D. Insufficient vertical In contrast to young adults, older sleepers have: A. More stage III sleep. B. More REM stage sleep. C. Later bedtimes. D. More arousals from sleep. - Correct Answer :D. More arousals from sleep. Standard AADSM protocol for post delivery follow up of the oral appliance involves: A. a phone call within two weeks of delivery to the patient B. an office visit within two weeks of delivery C. an office visit within one month of delivery D. a HSAT or pulse oximetry recording acquired within 90 days - Correct Answer :C. An office visit within one month of delivery When discussing device selection with a patient you should address all of the following EXCEPT? A. Available space for and position of the protrusion mechanism B. Missing teeth and compromised teeth C. AHI and percentage of sleep time below 88% oxygen saturation D. Patient preference - Correct Answer :C. AHI and percentage of sleep time below 88% oxygen saturation Who publishes the CPT code book? A. The Centers for Medicare & Medicaid Services B. The American Medical Association C. The Office of the Inspector General D. The Durable Medical Equipment Service E. The American Academy of Sleep Medicine - Correct Answer :B. The American Medical Association The "Flip-Flop Switch" metaphor of sleep describes: A. the balance between slow wave sleep and REM stage sleep B. a long, slow progressions from wakefulness to NREM stage 1 sleep mutual inhibition between wake promoting neurons and sleep promoting neurons D. the abrupt suppression of actigraphy activity at the onset of REM sleep E. A and C - Correct Answer :E. A and C Which statement is true regarding Melatonin: A. Melatonin is necessary for sleep B. Melatonin is released from the Pineal Gland C. Increased release of Melatonin at end of day is primary factor in sleep drive D. Caffeine is a non-specific melatonin blocker - Correct Answer :b. Melatonin is released from the Pineal Gland