BRPT Exam Prep UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
All of the following may be helpful in identifying 60- Hz artifact EXCEPT:
a. increasing the LFF from 0.3 Hz to 1.0 Hz.
b. decreasing the LFF from 0.3 Hz to 1.0 Hz.
c. applying and removing the AC (line) filter.
d. decreasing the HFF from 70 Hz to 35 Hz - CORRECT ANSWERS a.
increasing the LFF from 0.3 Hz to 1.0Hz
The two inferior chin electrodes are placed on the:
a. submentalis
b. mental foramen
c. mastoid
d. orbicular oris - CORRECT ANSWERS a.
An adult patient with good resolution of the apneas on IPAP of 10 cm/H20 and
EPAP of 6 cm/H20 begins having hypopneas after rolling supine. According to
RECOMMENDED guidelines, what bilevel pressures would be appropriate
after observing 3 obstructive hypopneas?
a. IPAP 11 and EPAP 6
b. IPAP 12 and EPAP 4
c. IPAP 10 and EPAP 7
d. IPAP 10 and EPAP 5 - CORRECT ANSWERS a. IPAP 11 and EPAP 6
Which of the following is a physiologic artifact?
a. Eye movement
b. Electrode pop
c. 50/60 Hz
,d. IV drip - CORRECT ANSWERS a. Eye movement
According to recommended guidelines for pediatric CPAP titration, how many
hypopneas must occur prior to increasing pressure?
a. 2
b. 4
c. 1
d. 3 - CORRECT ANSWERS c. 1
CO2 monitoring, using either end-tidal or transcutaneous sensors, is mandatory
in children for the scoring of:
a. apnea
b. hypopnea
c. central events
d. hypoventilation - CORRECT ANSWERS d. hypoventilation
What would increase the resolution of EEG spikes and improve definition of the
waveforms?
a. increasing sensitivity
b. applying 50/60 Hz filter
c. using a 100 uV voltage
d. increasing sampling rate - CORRECT ANSWERS d. increasing
sampling rate
Indirect monitoring of oxygen level by the use of sensors that detect light wave
absorption is:
a. capnography
b. electromyography
c. pulse oximetry
,d. thermal sensor - CORRECT ANSWERS c. pulse oximetry
According to RECOMMENDED guidelines for patient < 12 years, CPAP
should be increased after observing at least:
a. 3 RERAs
b. 4 hypopneas
c. 2 obstructive apneas
d. 5 minutes of unambiguous snoring - CORRECT ANSWERS a. 3
RERAs
What is the best tool that a physician could use to more clearly explain the
results of the sleep study and the importance of therapy to the patient?
a. histogram
b. electroencephalogram
c. Plethsymograph
d. Sleep diary - CORRECT ANSWERS a. histogram
According to recommended guidelines, adaptive servo ventilation can be
considered during a titration study when a down titration:
a. has not eliminated Cheyne Stokes respiration or central emergent apneas
b. Causes poor sleep efficiency due to continuing respiratory related arousals
c. Fails to maintain oxygen levels consistently above 85% or greater than 10
minutes.
d. Results in resolution of central events and emergence of obstructive events -
CORRECT ANSWERS a. Has not eliminated Cheyne Stokes respiration
or central emergent apneas
According to RECOMMENDED guidelines for adult patients, CPAP pressure
should be increased:
, a. at intervals of > 5 minutes after observing 2 obstructive apneas
b. at intervals of greater than or equal to 10 minutes after observing 2
hypopneas
c. after 2 minutes and observing RERAs
d. after 2 minutes of loud or unambiguous snoring - CORRECT ANSWERS
a. at intervals of > 5 minutes after observing 2 obstructive apneas
In patients with severe sleep-disordered breathing, the most commonly seen
resulting from successful PAP titration is:
a. increased hypoxemia
b. attenuation of alpha activity
c. REM and slow wave rebound
d. Increase in PLMs - CORRECT ANSWERS c. REM and slow wave
rebound
Ventricular fibrillation is:
a. seen from time to time in normal patients
b. Always a medical emergency
c. Associated with normal blood flow from the heart
d. A regular sinus rhythm - CORRECT ANSWERS b. always a medical
emergency
According to the RECOMMENDED guidelines, the beginning pressure for a
PAP titration is:
a. 4 cm/H20
b. 5 cm/H20
c. 6 cm/H20
d. 7 cm/H20 - CORRECT ANSWERS a. 4 cm/H20
QUESTIONS AND CORRECT ANSWERS
All of the following may be helpful in identifying 60- Hz artifact EXCEPT:
a. increasing the LFF from 0.3 Hz to 1.0 Hz.
b. decreasing the LFF from 0.3 Hz to 1.0 Hz.
c. applying and removing the AC (line) filter.
d. decreasing the HFF from 70 Hz to 35 Hz - CORRECT ANSWERS a.
increasing the LFF from 0.3 Hz to 1.0Hz
The two inferior chin electrodes are placed on the:
a. submentalis
b. mental foramen
c. mastoid
d. orbicular oris - CORRECT ANSWERS a.
An adult patient with good resolution of the apneas on IPAP of 10 cm/H20 and
EPAP of 6 cm/H20 begins having hypopneas after rolling supine. According to
RECOMMENDED guidelines, what bilevel pressures would be appropriate
after observing 3 obstructive hypopneas?
a. IPAP 11 and EPAP 6
b. IPAP 12 and EPAP 4
c. IPAP 10 and EPAP 7
d. IPAP 10 and EPAP 5 - CORRECT ANSWERS a. IPAP 11 and EPAP 6
Which of the following is a physiologic artifact?
a. Eye movement
b. Electrode pop
c. 50/60 Hz
,d. IV drip - CORRECT ANSWERS a. Eye movement
According to recommended guidelines for pediatric CPAP titration, how many
hypopneas must occur prior to increasing pressure?
a. 2
b. 4
c. 1
d. 3 - CORRECT ANSWERS c. 1
CO2 monitoring, using either end-tidal or transcutaneous sensors, is mandatory
in children for the scoring of:
a. apnea
b. hypopnea
c. central events
d. hypoventilation - CORRECT ANSWERS d. hypoventilation
What would increase the resolution of EEG spikes and improve definition of the
waveforms?
a. increasing sensitivity
b. applying 50/60 Hz filter
c. using a 100 uV voltage
d. increasing sampling rate - CORRECT ANSWERS d. increasing
sampling rate
Indirect monitoring of oxygen level by the use of sensors that detect light wave
absorption is:
a. capnography
b. electromyography
c. pulse oximetry
,d. thermal sensor - CORRECT ANSWERS c. pulse oximetry
According to RECOMMENDED guidelines for patient < 12 years, CPAP
should be increased after observing at least:
a. 3 RERAs
b. 4 hypopneas
c. 2 obstructive apneas
d. 5 minutes of unambiguous snoring - CORRECT ANSWERS a. 3
RERAs
What is the best tool that a physician could use to more clearly explain the
results of the sleep study and the importance of therapy to the patient?
a. histogram
b. electroencephalogram
c. Plethsymograph
d. Sleep diary - CORRECT ANSWERS a. histogram
According to recommended guidelines, adaptive servo ventilation can be
considered during a titration study when a down titration:
a. has not eliminated Cheyne Stokes respiration or central emergent apneas
b. Causes poor sleep efficiency due to continuing respiratory related arousals
c. Fails to maintain oxygen levels consistently above 85% or greater than 10
minutes.
d. Results in resolution of central events and emergence of obstructive events -
CORRECT ANSWERS a. Has not eliminated Cheyne Stokes respiration
or central emergent apneas
According to RECOMMENDED guidelines for adult patients, CPAP pressure
should be increased:
, a. at intervals of > 5 minutes after observing 2 obstructive apneas
b. at intervals of greater than or equal to 10 minutes after observing 2
hypopneas
c. after 2 minutes and observing RERAs
d. after 2 minutes of loud or unambiguous snoring - CORRECT ANSWERS
a. at intervals of > 5 minutes after observing 2 obstructive apneas
In patients with severe sleep-disordered breathing, the most commonly seen
resulting from successful PAP titration is:
a. increased hypoxemia
b. attenuation of alpha activity
c. REM and slow wave rebound
d. Increase in PLMs - CORRECT ANSWERS c. REM and slow wave
rebound
Ventricular fibrillation is:
a. seen from time to time in normal patients
b. Always a medical emergency
c. Associated with normal blood flow from the heart
d. A regular sinus rhythm - CORRECT ANSWERS b. always a medical
emergency
According to the RECOMMENDED guidelines, the beginning pressure for a
PAP titration is:
a. 4 cm/H20
b. 5 cm/H20
c. 6 cm/H20
d. 7 cm/H20 - CORRECT ANSWERS a. 4 cm/H20
