NEW RPSGT EXAM- 2022 Study Guide and
Practice Test | 100% Correct Answers | 66 Pages
The purpose of an intentional mask leak is to... Correct Answer: Wash out CO2 and prevent
rebreathing
Recommended guidelines state that HSV can be considered when.... Correct Answer: Cheyne
Stokes and central Apneas have not been eliminated.
What is aerophagia? Correct Answer: The swallowing of air
What is maxillomandibular advancement? Correct Answer: 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? Correct Answer: To eliminate
desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing
pressure? Correct Answer: 1
What are the AASM guidelines for supplemental O2 during PAP studies? Correct Answer: 1lmp
during PAP titration when SPO2 is less than or equal to 88% for 5 or more minutes and in the
absence of obstructive events.
If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still occur at 16cm, what levels of
BiLevel should be used? Correct Answer: IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol,
Anti depressants. Correct Answer: Alcohol: impairs arousal response which can lead to longer
than normal events and severe desats. Inhibits upper airway activity
What syndrome would a pt with COPD and OSA have? Correct Answer: Overlap syndrome
What are hypoxemia and hypercapnia? Correct Answer: Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood.
What would a patient with both hypoxemia and hypercapnia most likely be diagnosed with?
Correct Answer: Hypoventilation
What is an MWT's MOST important use? Correct Answer: Measure patients ability to resist the
urge to fall asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been
known to trigger what? Correct Answer: REM sleep behavior disorder
,Recommended impedance for eeg and eog Correct Answer: 5k ohms
The amount of space needed to archive digitized data is MOST impacted by? Correct Answer:
Sampling rate
Cortical activity is best described as Correct Answer: Spontaneous arousal
Calculate the AHI based on the following data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep Correct Answer: 11
According to RECOMMENDED guidelines, the minimum duration of a significant leg
movement is Correct Answer: .5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an
adult polysomnogram is Correct Answer: Occurrence of hypoventilation during the diagnostic
study in adult
The respiratory event that requires oxygen desaturation and/ or an arousal as part of the scoring
criteria is Correct Answer: Obstructive hypopnea
An ECG arrhythmia commonly seen when 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 Correct Answer: Atrial fibrillation
The stage that is the greatest portion of the epoch Correct Answer: The stage that is the greatest
portion of the epoch
What is the best response when a patient asks the technologist if they have sleep apnea and will
need to wear a CPAP mask? Correct Answer: Provide the patient with educational material
about sleep apnea
Which of the following is the MOST LIKELY cause of a 35 minute REM latency Correct
Answer: Untreated depression
A breathing pattern characterized by at least three cycles of crescendo breathing with duration of
at least 10 minutes is Correct Answer: Cheyne Stokes respiration
,An important responsibility of the scoring tech is to Correct Answer: Confirm accuracy of report
components
Which type of calibration is based on a series of patient instructions intended to verify the signal
response and quality Correct Answer: Physiological
The most important reason for performing a MWT is to Correct Answer: Measure the patient's
ability to resist the urge to fall asleep
The importance of selecting sampling rates according to RECOMMENDED guidelines is to
Correct Answer: Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia and associated PaCO2
elevation that worsens during sleep is Correct Answer: Obesity hypoventilation
The patient's medical history indicates the patient has been taking tricyclic antidepressants for
the past 5 years. The technologist should anticipate that the patient may have an increased
likelihood of Correct Answer: REM Sleep Behavior Disorder
According to RECOMMENDED guidelines, the sampling rate to provide the optimal resolution
for recording EEG in a patient with suspected nocturnal seizure is Correct Answer: 500Hz
The electrode located 30% above the left pre-a crease is Correct Answer: C3
According to RECOMMENDED guidelines, four nap opportunities on a MSLT would be
acceptable when the patient Correct Answer: Had REM on at least two nap opportunities
A patient's history indicates a diagnosis of overlap syndrome. The tech can anticipate that the
patient has Correct Answer: COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING
SHOULD BE INCLUDED WHEN RECORDING PEDIATRIC PATIENTS Correct Answer:
END-TIDAL CO2
THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT IS
THE RESULT OF Correct Answer: SYSTEM REFERENCING
WHEN REVIEWING A PATIENT'S HISTORY IN PREPARATION FOR A
POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS SUGGESTIVE OF HYPOVENTILATION
INCLUDE Correct Answer: HYPOXEMIA AND HYPERCAPNIA
WHEN THE AMPLITUDE OF A SIGNAL EXCEEDS THE PHYSICAL LIMITATIONS OF A
CHANNEL THE MOST IMPORTANT ADJUSTMENT THE TECH CAN MAKE TO
OPTIMIZE WAVEFORM DISPLAY IS TO Correct Answer: DECREASE SENSITIVITY
, WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE F4-M1 ELECTRODES
DURING REM SLEEP THE BEST IMMEDIATE ACTION WOULD BE TO Correct Answer:
RELY ON F3-M2
A PATIENT WITH MILD DEMENTIA BECOMES MORE CONFUSED AND/OR
AGITATED IN THE EARLY EVENING. THE PATIENT IS MOST LIKELY
EXPERIENCING Correct Answer: SUNDOWNING
THE MOST COMMON METHOD TO MONITOR BLOOD OXYGEN SATURATION
DURING POLYSOMNOGRAPHY IS Correct Answer: PULSE OXIMETRY
THE MOST APPROPRIATE ACTION A TECHNOLOGIST WOULD TAKE WHEN THERE
IS CONFIRMED VENTRICULAR TACHYCARDIA GREATER THAN 30 SECONDS IS
Correct Answer: INITIATE EMERGENCY RESPONSE SYSTEM
A PATIENT'S CHART INDICATES THAT 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
Correct Answer: CALL THE PHYSICIAN FOR CONFIRMATION
WHICH OF THE FOLLOWING IS THE MOST LIKELY EFFECT OF ZOLPIDEM AND
ZALEPLON ON SLEEP ARCHITECTURE Correct Answer: INCREASED SLEEP
LATENCY
WHICH OF THE FOLLOWING BEST DESCRIBES A REFERENTIAL MONTAGE Correct
Answer: THERE IS POTENTIAL FOR ELECTRODE CONTAMINATION
ACCORDING TO RECOMMENDED GUIDELINES, THE DEVICE THAT SHOULD BE
USED TO MONITOR AIRFLOW AND DETECT APNEA DURING A DIAGNOSTIC
STUDY IS Correct Answer: ORONASAL THERMAL SENSOR
WHICH PROCESS WOULD BE AN ADEQUATE ROUTINE FOR DISINFECTING CUP
ELECTRODES AFTER REMOVING ADHESIVE RESIDUE, GEL AND ORGANIC
MATERIAL, AND WASHING IN WARM WATER AND MILD DETERGENT Correct
Answer: SOAKING IN 1: 10 BLEACH AND WATER FOR 10 MIN.
WHICH OF THE FOLLOWING WOULD BE MOST IMPORTANT TO DOCUMENT
DURING A POLYSOMNOGRAM Correct Answer: POSITION CHANGES
THE ELECTRODE ARRAY USED FOR RECORDING PHYSIOLOGIC ACTIVITY IS
REFERRED TO AS Correct Answer: MONTAGE
ACCORDING TO RECOMMENDED GUIDELINES, THE MAXIMUM ELECTRODE
IMPEDANCE FOR EEG AND EOG RECORDING IS Correct Answer: 5000 OHMS
Practice Test | 100% Correct Answers | 66 Pages
The purpose of an intentional mask leak is to... Correct Answer: Wash out CO2 and prevent
rebreathing
Recommended guidelines state that HSV can be considered when.... Correct Answer: Cheyne
Stokes and central Apneas have not been eliminated.
What is aerophagia? Correct Answer: The swallowing of air
What is maxillomandibular advancement? Correct Answer: 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? Correct Answer: To eliminate
desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing
pressure? Correct Answer: 1
What are the AASM guidelines for supplemental O2 during PAP studies? Correct Answer: 1lmp
during PAP titration when SPO2 is less than or equal to 88% for 5 or more minutes and in the
absence of obstructive events.
If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still occur at 16cm, what levels of
BiLevel should be used? Correct Answer: IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol,
Anti depressants. Correct Answer: Alcohol: impairs arousal response which can lead to longer
than normal events and severe desats. Inhibits upper airway activity
What syndrome would a pt with COPD and OSA have? Correct Answer: Overlap syndrome
What are hypoxemia and hypercapnia? Correct Answer: Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood.
What would a patient with both hypoxemia and hypercapnia most likely be diagnosed with?
Correct Answer: Hypoventilation
What is an MWT's MOST important use? Correct Answer: Measure patients ability to resist the
urge to fall asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been
known to trigger what? Correct Answer: REM sleep behavior disorder
,Recommended impedance for eeg and eog Correct Answer: 5k ohms
The amount of space needed to archive digitized data is MOST impacted by? Correct Answer:
Sampling rate
Cortical activity is best described as Correct Answer: Spontaneous arousal
Calculate the AHI based on the following data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep Correct Answer: 11
According to RECOMMENDED guidelines, the minimum duration of a significant leg
movement is Correct Answer: .5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an
adult polysomnogram is Correct Answer: Occurrence of hypoventilation during the diagnostic
study in adult
The respiratory event that requires oxygen desaturation and/ or an arousal as part of the scoring
criteria is Correct Answer: Obstructive hypopnea
An ECG arrhythmia commonly seen when 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 Correct Answer: Atrial fibrillation
The stage that is the greatest portion of the epoch Correct Answer: The stage that is the greatest
portion of the epoch
What is the best response when a patient asks the technologist if they have sleep apnea and will
need to wear a CPAP mask? Correct Answer: Provide the patient with educational material
about sleep apnea
Which of the following is the MOST LIKELY cause of a 35 minute REM latency Correct
Answer: Untreated depression
A breathing pattern characterized by at least three cycles of crescendo breathing with duration of
at least 10 minutes is Correct Answer: Cheyne Stokes respiration
,An important responsibility of the scoring tech is to Correct Answer: Confirm accuracy of report
components
Which type of calibration is based on a series of patient instructions intended to verify the signal
response and quality Correct Answer: Physiological
The most important reason for performing a MWT is to Correct Answer: Measure the patient's
ability to resist the urge to fall asleep
The importance of selecting sampling rates according to RECOMMENDED guidelines is to
Correct Answer: Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia and associated PaCO2
elevation that worsens during sleep is Correct Answer: Obesity hypoventilation
The patient's medical history indicates the patient has been taking tricyclic antidepressants for
the past 5 years. The technologist should anticipate that the patient may have an increased
likelihood of Correct Answer: REM Sleep Behavior Disorder
According to RECOMMENDED guidelines, the sampling rate to provide the optimal resolution
for recording EEG in a patient with suspected nocturnal seizure is Correct Answer: 500Hz
The electrode located 30% above the left pre-a crease is Correct Answer: C3
According to RECOMMENDED guidelines, four nap opportunities on a MSLT would be
acceptable when the patient Correct Answer: Had REM on at least two nap opportunities
A patient's history indicates a diagnosis of overlap syndrome. The tech can anticipate that the
patient has Correct Answer: COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING
SHOULD BE INCLUDED WHEN RECORDING PEDIATRIC PATIENTS Correct Answer:
END-TIDAL CO2
THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT IS
THE RESULT OF Correct Answer: SYSTEM REFERENCING
WHEN REVIEWING A PATIENT'S HISTORY IN PREPARATION FOR A
POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS SUGGESTIVE OF HYPOVENTILATION
INCLUDE Correct Answer: HYPOXEMIA AND HYPERCAPNIA
WHEN THE AMPLITUDE OF A SIGNAL EXCEEDS THE PHYSICAL LIMITATIONS OF A
CHANNEL THE MOST IMPORTANT ADJUSTMENT THE TECH CAN MAKE TO
OPTIMIZE WAVEFORM DISPLAY IS TO Correct Answer: DECREASE SENSITIVITY
, WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE F4-M1 ELECTRODES
DURING REM SLEEP THE BEST IMMEDIATE ACTION WOULD BE TO Correct Answer:
RELY ON F3-M2
A PATIENT WITH MILD DEMENTIA BECOMES MORE CONFUSED AND/OR
AGITATED IN THE EARLY EVENING. THE PATIENT IS MOST LIKELY
EXPERIENCING Correct Answer: SUNDOWNING
THE MOST COMMON METHOD TO MONITOR BLOOD OXYGEN SATURATION
DURING POLYSOMNOGRAPHY IS Correct Answer: PULSE OXIMETRY
THE MOST APPROPRIATE ACTION A TECHNOLOGIST WOULD TAKE WHEN THERE
IS CONFIRMED VENTRICULAR TACHYCARDIA GREATER THAN 30 SECONDS IS
Correct Answer: INITIATE EMERGENCY RESPONSE SYSTEM
A PATIENT'S CHART INDICATES THAT 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
Correct Answer: CALL THE PHYSICIAN FOR CONFIRMATION
WHICH OF THE FOLLOWING IS THE MOST LIKELY EFFECT OF ZOLPIDEM AND
ZALEPLON ON SLEEP ARCHITECTURE Correct Answer: INCREASED SLEEP
LATENCY
WHICH OF THE FOLLOWING BEST DESCRIBES A REFERENTIAL MONTAGE Correct
Answer: THERE IS POTENTIAL FOR ELECTRODE CONTAMINATION
ACCORDING TO RECOMMENDED GUIDELINES, THE DEVICE THAT SHOULD BE
USED TO MONITOR AIRFLOW AND DETECT APNEA DURING A DIAGNOSTIC
STUDY IS Correct Answer: ORONASAL THERMAL SENSOR
WHICH PROCESS WOULD BE AN ADEQUATE ROUTINE FOR DISINFECTING CUP
ELECTRODES AFTER REMOVING ADHESIVE RESIDUE, GEL AND ORGANIC
MATERIAL, AND WASHING IN WARM WATER AND MILD DETERGENT Correct
Answer: SOAKING IN 1: 10 BLEACH AND WATER FOR 10 MIN.
WHICH OF THE FOLLOWING WOULD BE MOST IMPORTANT TO DOCUMENT
DURING A POLYSOMNOGRAM Correct Answer: POSITION CHANGES
THE ELECTRODE ARRAY USED FOR RECORDING PHYSIOLOGIC ACTIVITY IS
REFERRED TO AS Correct Answer: MONTAGE
ACCORDING TO RECOMMENDED GUIDELINES, THE MAXIMUM ELECTRODE
IMPEDANCE FOR EEG AND EOG RECORDING IS Correct Answer: 5000 OHMS
