RPSGT PRACTICE EXAM| 85 QUESTIONS|
WITH COMPLETE SOLUTIONS
A PATIENTS OXIMETER READING DURING PATIENT CALIBRATION IS 88%. WHICH
OF THE FOLLOWING WOULD BE THE APPROPRIATE RESPONSE? Correct Answer:
PLACE THE PROBE ON THE PATIENTS EARLOBE
A PATIENT WITH ONDINES CURSE WOULD BE EXPECTED TO HAVE WHICH TYPE
OF RESPIRATORY IMPAIRMENT IN SLEEP Correct Answer: CENTRAL SLEEP APNEA
ACCORDING TO THE AASM, INTERCOSTAL EMG ACTIVITY IS AN ACCEPTABLE
ALTERNATIVE SESOR FOR RECORDING WHAT PARMETER Correct Answer:
DETECTION OF RESPIRATORY EFFORT
SLOW ROLLING EYE MOVEMENTS OCCURING DURING STAGE N1 SLEEP WILL
BEST BE SEEN AT LOW FILTER SETTING OF Correct Answer: 0.3HZ
A 1.0 HZ EEG WAVE IS MEASURED AT 15MM PEAK TO PEAK. THE SENSITIVITY IS
5UV/MM. THE VOLTAGE OF THE WAVE IS Correct Answer: 75UV
A CHEYNE STOKES BREATHING PATTERN IS OFTEN SEEN IN PATIENTS WITH
Correct Answer: CONGESTIVE HEART FAILURE
CAPNOGRAPHY MEASURES Correct Answer: EXPIRED CO2
WHICH OF THE FOLLOWING HIGH FREQUENCY FILTER SETTINGS IS
RECOMMENDED FOR RECORDING SUBMENTAL EMG Correct Answer: 100HZ
ENDOESOPHAGEAL PRESSURE MEASUREMENTS WOULD BE MOST HELPFUL IN
EVALUTATING WHICH SLEEP DISORDERS Correct Answer: SLEEP RELATED
BREATHING DISORDERS
A PATIENT BEING EVALUATED FOR OBSTRUCTIVE SLEEP DISORDERED
BREATHING HAS ATRIAL FIBRILLATION. WHAT SHOULD THE TECH DO Correct
Answer: CONTINUE TO OBSERVE AND DOCUMENT RHYTHM
WHICH OF THE FOLLOWING IS THE MOST DANGEROUS CARDIAC RHYTHM Correct
Answer: VENTRICULAR FIBRILLATION
HOW WOULD YOU COMPUTE SLEEP EFFICIENCY Correct Answer: TOTAL SLEEP
TIME DIVIDED BY TIME IN BED X 100
HOW DO YOU CALCULATE APNEA + HYPOPNEA INDEX Correct Answer: # APNEAS
AND HYPOPNEAS DIVIDED BY TST X60
, WHICH HIGH PASS FILTER SETTING IS MOST APPROPRIATE FOR RECORDING
RESPIRATION Correct Answer: 0.1HZ
THE PURPOSE OF AN EXHALATION PORT IN A CPAP CIRCUIT IS Correct Answer: TO
VENT EXHALED C02
WHICH OF THE FOLLOWING ARE CHARACTERISTIC OF A PVC Correct Answer: THE
QRS IS WIDE AND BIZARRE
A NORMAL VARIATION IN SINUS RHYTHM WHICH IS RELATED TO RESPIRATORY
RATE AND RESULTS FROM VAGAL TONE INHIBITION DESCRIBES Correct Answer:
SINUS ARRHYTHMIA
A SUSTAINED HEART RATE OF >90 BEATS/MINUTE DESCRIBES Correct Answer:
SINUS TACHYCARDIA
PARTIAL AV BLOCK IN WHICH THE PR INTERVAL INCREASES PROGRESSIVELY
UNTIL THERE IS AN ATRIAL IMPULSE WITHOUT A CORRESPONDING
VENTRICULAR BEAT DESCRIBES Correct Answer: MOBITZ TYPE 1 AV BLOCK
WHAT IS THE MOST LIKELY LOW FREQUENCY FILTER SETTING OF CHANNEL 1
Correct Answer: 1.0 HZ
WHICH CHANNEL SETTING IS BEST FOR EMG RECORDING Correct Answer: 2 CHAN
2 HAS A VERY QUICH RETURN TO BASELINE, (VERY SHORT TIME CONSTAT)
REFER TO THE 30 SECOND EPOCH SHOWN HERE. IF THE NEXT EPOCH CONTAINS
30 SECONDS OF LOW VOLTAGE, MIXED FREQUENCY IN THE 4-7 HZ RANGE, AND
NO EYE MOVEMENTS, WHAT IS THE SLEEP STAGE OF THAT NEXT EPOCH? Correct
Answer: STAGE N1 THE EPOCH SHOWN CONTAINS A K COMPLEX, POSSIBLE A
SPINDLE AND LESS THAN 20% HIGH AMPLITUDE SLOW WAVES, MAKING IT
STAGE N2 THERE IS AN AROUSAL AT THE END OF THE EPOCH. IF THE
FOLLOWING EPOCH IS AS DESCRIVED, WITHOUT EITHER A K COMPLEX OR
SPINDLE. IT IS THEN STAGE N1
A PATIENT HAS POOR EXTREMITY CIRCULATION THAT IS AFFECTING THE
ACCURACY OF THE PULSE OXIMETRY READINGS FROM FINGER PROBE. WHICH
WOULD BE THE MOST APPROPRIATE ACTION Correct Answer: PUT THE PROBE ON
THE PATIENTS EAR
SCORING STAGE N1 SLEEP REQUIRES AN ABSENCE OF Correct Answer: SLEEP
SPINDLES
CARDIAC ACTIVITY IN WHICH ALL ATRIAL IMPULSES ARE BLOCKED AT THE AV
JUNCTION, AND THE ATRIA AND VENTRICLES BEAT INDEPENDENTLY IS CALLED
Correct Answer: 3RD DEGREE AV BLOCK
WITH COMPLETE SOLUTIONS
A PATIENTS OXIMETER READING DURING PATIENT CALIBRATION IS 88%. WHICH
OF THE FOLLOWING WOULD BE THE APPROPRIATE RESPONSE? Correct Answer:
PLACE THE PROBE ON THE PATIENTS EARLOBE
A PATIENT WITH ONDINES CURSE WOULD BE EXPECTED TO HAVE WHICH TYPE
OF RESPIRATORY IMPAIRMENT IN SLEEP Correct Answer: CENTRAL SLEEP APNEA
ACCORDING TO THE AASM, INTERCOSTAL EMG ACTIVITY IS AN ACCEPTABLE
ALTERNATIVE SESOR FOR RECORDING WHAT PARMETER Correct Answer:
DETECTION OF RESPIRATORY EFFORT
SLOW ROLLING EYE MOVEMENTS OCCURING DURING STAGE N1 SLEEP WILL
BEST BE SEEN AT LOW FILTER SETTING OF Correct Answer: 0.3HZ
A 1.0 HZ EEG WAVE IS MEASURED AT 15MM PEAK TO PEAK. THE SENSITIVITY IS
5UV/MM. THE VOLTAGE OF THE WAVE IS Correct Answer: 75UV
A CHEYNE STOKES BREATHING PATTERN IS OFTEN SEEN IN PATIENTS WITH
Correct Answer: CONGESTIVE HEART FAILURE
CAPNOGRAPHY MEASURES Correct Answer: EXPIRED CO2
WHICH OF THE FOLLOWING HIGH FREQUENCY FILTER SETTINGS IS
RECOMMENDED FOR RECORDING SUBMENTAL EMG Correct Answer: 100HZ
ENDOESOPHAGEAL PRESSURE MEASUREMENTS WOULD BE MOST HELPFUL IN
EVALUTATING WHICH SLEEP DISORDERS Correct Answer: SLEEP RELATED
BREATHING DISORDERS
A PATIENT BEING EVALUATED FOR OBSTRUCTIVE SLEEP DISORDERED
BREATHING HAS ATRIAL FIBRILLATION. WHAT SHOULD THE TECH DO Correct
Answer: CONTINUE TO OBSERVE AND DOCUMENT RHYTHM
WHICH OF THE FOLLOWING IS THE MOST DANGEROUS CARDIAC RHYTHM Correct
Answer: VENTRICULAR FIBRILLATION
HOW WOULD YOU COMPUTE SLEEP EFFICIENCY Correct Answer: TOTAL SLEEP
TIME DIVIDED BY TIME IN BED X 100
HOW DO YOU CALCULATE APNEA + HYPOPNEA INDEX Correct Answer: # APNEAS
AND HYPOPNEAS DIVIDED BY TST X60
, WHICH HIGH PASS FILTER SETTING IS MOST APPROPRIATE FOR RECORDING
RESPIRATION Correct Answer: 0.1HZ
THE PURPOSE OF AN EXHALATION PORT IN A CPAP CIRCUIT IS Correct Answer: TO
VENT EXHALED C02
WHICH OF THE FOLLOWING ARE CHARACTERISTIC OF A PVC Correct Answer: THE
QRS IS WIDE AND BIZARRE
A NORMAL VARIATION IN SINUS RHYTHM WHICH IS RELATED TO RESPIRATORY
RATE AND RESULTS FROM VAGAL TONE INHIBITION DESCRIBES Correct Answer:
SINUS ARRHYTHMIA
A SUSTAINED HEART RATE OF >90 BEATS/MINUTE DESCRIBES Correct Answer:
SINUS TACHYCARDIA
PARTIAL AV BLOCK IN WHICH THE PR INTERVAL INCREASES PROGRESSIVELY
UNTIL THERE IS AN ATRIAL IMPULSE WITHOUT A CORRESPONDING
VENTRICULAR BEAT DESCRIBES Correct Answer: MOBITZ TYPE 1 AV BLOCK
WHAT IS THE MOST LIKELY LOW FREQUENCY FILTER SETTING OF CHANNEL 1
Correct Answer: 1.0 HZ
WHICH CHANNEL SETTING IS BEST FOR EMG RECORDING Correct Answer: 2 CHAN
2 HAS A VERY QUICH RETURN TO BASELINE, (VERY SHORT TIME CONSTAT)
REFER TO THE 30 SECOND EPOCH SHOWN HERE. IF THE NEXT EPOCH CONTAINS
30 SECONDS OF LOW VOLTAGE, MIXED FREQUENCY IN THE 4-7 HZ RANGE, AND
NO EYE MOVEMENTS, WHAT IS THE SLEEP STAGE OF THAT NEXT EPOCH? Correct
Answer: STAGE N1 THE EPOCH SHOWN CONTAINS A K COMPLEX, POSSIBLE A
SPINDLE AND LESS THAN 20% HIGH AMPLITUDE SLOW WAVES, MAKING IT
STAGE N2 THERE IS AN AROUSAL AT THE END OF THE EPOCH. IF THE
FOLLOWING EPOCH IS AS DESCRIVED, WITHOUT EITHER A K COMPLEX OR
SPINDLE. IT IS THEN STAGE N1
A PATIENT HAS POOR EXTREMITY CIRCULATION THAT IS AFFECTING THE
ACCURACY OF THE PULSE OXIMETRY READINGS FROM FINGER PROBE. WHICH
WOULD BE THE MOST APPROPRIATE ACTION Correct Answer: PUT THE PROBE ON
THE PATIENTS EAR
SCORING STAGE N1 SLEEP REQUIRES AN ABSENCE OF Correct Answer: SLEEP
SPINDLES
CARDIAC ACTIVITY IN WHICH ALL ATRIAL IMPULSES ARE BLOCKED AT THE AV
JUNCTION, AND THE ATRIA AND VENTRICLES BEAT INDEPENDENTLY IS CALLED
Correct Answer: 3RD DEGREE AV BLOCK
