NEW RPSGT EXAM LATEST WITH 200+ QUESTIONS AND
CORRECT ANSWERS|AGRADE
The purpose of an intentional mask leak is to... - ANSWER: Wash out CO2 and
prevent rebreathing
Recommended guidelines state that HSV can be considered when.... - ANSWER:
Cheyne Stokes and central Apneas have not been eliminated.
What is aerophagia? - ANSWER: The swallowing of air
What is maxillomandibular advancement? - 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? - ANSWER: To eliminate
desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to
increasing pressure? - ANSWER: 1
What are the AASM guidelines for supplemental O2 during PAP studies? - 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? - ANSWER: IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray,
Alcohol, Anti depressants. - 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? - ANSWER: Overlap syndrome
What are hypoxemia and hypercapnia? - 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? - ANSWER: Hypoventilation
What is an MWT's MOST important use? - 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? - ANSWER: REM sleep behavior disorder
Recommended impedance for eeg and eog - ANSWER: 5k ohms
The amount of space needed to archive digitized data is MOST impacted by? -
ANSWER: Sampling rate
Cortical activity is best described as - 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 - ANSWER: 11
According to RECOMMENDED guidelines, the minimum duration of a significant leg
movement is - ANSWER: .5
According to RECOMMENDED guidelines, an optional parameter to include in the
report for an adult polysomnogram is - 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 - 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 - ANSWER: Atrial fibrillation
The stage that is the greatest portion of the epoch - 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? - 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 -
ANSWER: Untreated depression
A breathing pattern characterized by at least three cycles of crescendo breathing
with duration of at least 10 minutes is - ANSWER: Cheyne Stokes respiration
,An important responsibility of the scoring tech is to - 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 - ANSWER: Physiological
The most important reason for performing a MWT is to - 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 - ANSWER: Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia and
associated PaCO2 elevation that worsens during sleep is - 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 - 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 -
ANSWER: 500Hz
The electrode located 30% above the left pre-a crease is - ANSWER: C3
According to RECOMMENDED guidelines, four nap opportunities on a MSLT would
be acceptable when the patient - 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 - ANSWER: COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING SHOULD
BE INCLUDED WHEN RECORDING PEDIATRIC PATIENTS - ANSWER: END-TIDAL CO2
THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT IS THE
RESULT OF - ANSWER: SYSTEM REFERENCING
WHEN REVIEWING A PATIENT'S HISTORY IN PREPARATION FOR A
POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS SUGGESTIVE OF HYPOVENTILATION
INCLUDE - 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 - ANSWER: DECREASE SENSITIVITY
, WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE F4-M1 ELECTRODES DURING
REM SLEEP THE BEST IMMEDIATE ACTION WOULD BE TO - 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 - ANSWER:
SUNDOWNING
THE MOST COMMON METHOD TO MONITOR BLOOD OXYGEN SATURATION DURING
POLYSOMNOGRAPHY IS - ANSWER: PULSE OXIMETRY
THE MOST APPROPRIATE ACTION A TECHNOLOGIST WOULD TAKE WHEN THERE IS
CONFIRMED VENTRICULAR TACHYCARDIA GREATER THAN 30 SECONDS IS - 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 - ANSWER:
CALL THE PHYSICIAN FOR CONFIRMATION
WHICH OF THE FOLLOWING IS THE MOST LIKELY EFFECT OF ZOLPIDEM AND
ZALEPLON ON SLEEP ARCHITECTURE - ANSWER: INCREASED SLEEP LATENCY
WHICH OF THE FOLLOWING BEST DESCRIBES A REFERENTIAL MONTAGE - 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 -
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 - ANSWER: SOAKING IN 1:
10 BLEACH AND WATER FOR 10 MIN.
WHICH OF THE FOLLOWING WOULD BE MOST IMPORTANT TO DOCUMENT DURING
A POLYSOMNOGRAM - ANSWER: POSITION CHANGES
THE ELECTRODE ARRAY USED FOR RECORDING PHYSIOLOGIC ACTIVITY IS REFERRED
TO AS - ANSWER: MONTAGE
ACCORDING TO RECOMMENDED GUIDELINES, THE MAXIMUM ELECTRODE
IMPEDANCE FOR EEG AND EOG RECORDING IS - ANSWER: 5000 OHMS
ACCORDING TO RECOMMENDED GUIDELINES, UNATTENDED PORTABLE
MONITORING CAN BE USED AS AN ALTERNATIVE TO IN LAB TESTING WHEN -
CORRECT ANSWERS|AGRADE
The purpose of an intentional mask leak is to... - ANSWER: Wash out CO2 and
prevent rebreathing
Recommended guidelines state that HSV can be considered when.... - ANSWER:
Cheyne Stokes and central Apneas have not been eliminated.
What is aerophagia? - ANSWER: The swallowing of air
What is maxillomandibular advancement? - 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? - ANSWER: To eliminate
desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to
increasing pressure? - ANSWER: 1
What are the AASM guidelines for supplemental O2 during PAP studies? - 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? - ANSWER: IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray,
Alcohol, Anti depressants. - 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? - ANSWER: Overlap syndrome
What are hypoxemia and hypercapnia? - 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? - ANSWER: Hypoventilation
What is an MWT's MOST important use? - 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? - ANSWER: REM sleep behavior disorder
Recommended impedance for eeg and eog - ANSWER: 5k ohms
The amount of space needed to archive digitized data is MOST impacted by? -
ANSWER: Sampling rate
Cortical activity is best described as - 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 - ANSWER: 11
According to RECOMMENDED guidelines, the minimum duration of a significant leg
movement is - ANSWER: .5
According to RECOMMENDED guidelines, an optional parameter to include in the
report for an adult polysomnogram is - 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 - 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 - ANSWER: Atrial fibrillation
The stage that is the greatest portion of the epoch - 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? - 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 -
ANSWER: Untreated depression
A breathing pattern characterized by at least three cycles of crescendo breathing
with duration of at least 10 minutes is - ANSWER: Cheyne Stokes respiration
,An important responsibility of the scoring tech is to - 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 - ANSWER: Physiological
The most important reason for performing a MWT is to - 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 - ANSWER: Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia and
associated PaCO2 elevation that worsens during sleep is - 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 - 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 -
ANSWER: 500Hz
The electrode located 30% above the left pre-a crease is - ANSWER: C3
According to RECOMMENDED guidelines, four nap opportunities on a MSLT would
be acceptable when the patient - 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 - ANSWER: COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING SHOULD
BE INCLUDED WHEN RECORDING PEDIATRIC PATIENTS - ANSWER: END-TIDAL CO2
THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT IS THE
RESULT OF - ANSWER: SYSTEM REFERENCING
WHEN REVIEWING A PATIENT'S HISTORY IN PREPARATION FOR A
POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS SUGGESTIVE OF HYPOVENTILATION
INCLUDE - 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 - ANSWER: DECREASE SENSITIVITY
, WHEN INTERMITTENT 60 HZ ACTIVITY OCCURS IN THE F4-M1 ELECTRODES DURING
REM SLEEP THE BEST IMMEDIATE ACTION WOULD BE TO - 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 - ANSWER:
SUNDOWNING
THE MOST COMMON METHOD TO MONITOR BLOOD OXYGEN SATURATION DURING
POLYSOMNOGRAPHY IS - ANSWER: PULSE OXIMETRY
THE MOST APPROPRIATE ACTION A TECHNOLOGIST WOULD TAKE WHEN THERE IS
CONFIRMED VENTRICULAR TACHYCARDIA GREATER THAN 30 SECONDS IS - 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 - ANSWER:
CALL THE PHYSICIAN FOR CONFIRMATION
WHICH OF THE FOLLOWING IS THE MOST LIKELY EFFECT OF ZOLPIDEM AND
ZALEPLON ON SLEEP ARCHITECTURE - ANSWER: INCREASED SLEEP LATENCY
WHICH OF THE FOLLOWING BEST DESCRIBES A REFERENTIAL MONTAGE - 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 -
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 - ANSWER: SOAKING IN 1:
10 BLEACH AND WATER FOR 10 MIN.
WHICH OF THE FOLLOWING WOULD BE MOST IMPORTANT TO DOCUMENT DURING
A POLYSOMNOGRAM - ANSWER: POSITION CHANGES
THE ELECTRODE ARRAY USED FOR RECORDING PHYSIOLOGIC ACTIVITY IS REFERRED
TO AS - ANSWER: MONTAGE
ACCORDING TO RECOMMENDED GUIDELINES, THE MAXIMUM ELECTRODE
IMPEDANCE FOR EEG AND EOG RECORDING IS - ANSWER: 5000 OHMS
ACCORDING TO RECOMMENDED GUIDELINES, UNATTENDED PORTABLE
MONITORING CAN BE USED AS AN ALTERNATIVE TO IN LAB TESTING WHEN -
