ASTEP FINAL EXAM QUESTIONS AND ANSWERS
A patient should be done drinking caffeine 30 before an MSLT - CORRECT ANSWER✅✅False
What do you do if a patient falls asleep after 15 min. during an MWT - CORRECT ANSWER✅✅Wake the
patient up and end the test
How soon before an MSLT should the patient be done smoking - CORRECT ANSWER✅✅30 min.
Which of the following is true regarding the MSLT - CORRECT ANSWER✅✅Begins about 1.5-3.0 hours
after lights on and consists of 4 or 5 naps
An airline pilot treated with PAP may need to undergo this test prior to work - CORRECT
ANSWER✅✅MWT
When measuring the head for EEG placement what system would you use? - CORRECT
ANSWER✅✅10/20 system
If a drug is to be given at HS the medication should be given? - CORRECT ANSWER✅✅Hour of sleep
List tasks a patient must perform during biocalibrations to test three separate signals? - CORRECT
ANSWER✅✅Look right
Look left
Blink your eyes
hold your breath
move right leg
move left leg
It is recommended that a patient washes out of Modafinil prior to MSLT testing? - CORRECT
ANSWER✅✅True
, It was determined after the patient underwent an all-night sleep study that he had an AHI of 15.7 while
supine and an AHI 2.1 lateral. Which of the following treatments would be most appropriate? - CORRECT
ANSWER✅✅Positional therapy
By 6 months of age, which of the following waveforms are identifiable on a PSG? - CORRECT
ANSWER✅✅Sleep spindles
K complexes
Delta waves
Bundle Branch Block is the result of one ventricle firing slower than the other? - CORRECT
ANSWER✅✅True
The QRS complex represents which of the following? - CORRECT ANSWER✅✅Ventricular depolarization
Absence of airflow and respiratory effort for >20 sec. or 2 missed breaths followed by an arousal,
awakening or >3% desaturation - CORRECT ANSWER✅✅Central Apnea
>90% decrease in airflow for 2 missed breaths associated with absent respiratory effort during one
portion of the event and the presence of inspiratory effort in another portion, regardless of which
comes first - CORRECT ANSWER✅✅Mixed apnea
>30% decrease in nasal pressure for 2 missed breaths followed by an arousal or >3% desaturation -
CORRECT ANSWER✅✅Hypopneas
Which type of AV block has a PR interval that lenghthens with each beat until QRS complex is dropped? -
CORRECT ANSWER✅✅2nd degree AV block- Wenchebach
Your patient has come in for a CPAP titration. At a pressure of 20cm H2O, your patient continues to have
obstructive events while lateral. What action do you take next? - CORRECT ANSWER✅✅Switch the
titration mode to Bi-level
A patient should be done drinking caffeine 30 before an MSLT - CORRECT ANSWER✅✅False
What do you do if a patient falls asleep after 15 min. during an MWT - CORRECT ANSWER✅✅Wake the
patient up and end the test
How soon before an MSLT should the patient be done smoking - CORRECT ANSWER✅✅30 min.
Which of the following is true regarding the MSLT - CORRECT ANSWER✅✅Begins about 1.5-3.0 hours
after lights on and consists of 4 or 5 naps
An airline pilot treated with PAP may need to undergo this test prior to work - CORRECT
ANSWER✅✅MWT
When measuring the head for EEG placement what system would you use? - CORRECT
ANSWER✅✅10/20 system
If a drug is to be given at HS the medication should be given? - CORRECT ANSWER✅✅Hour of sleep
List tasks a patient must perform during biocalibrations to test three separate signals? - CORRECT
ANSWER✅✅Look right
Look left
Blink your eyes
hold your breath
move right leg
move left leg
It is recommended that a patient washes out of Modafinil prior to MSLT testing? - CORRECT
ANSWER✅✅True
, It was determined after the patient underwent an all-night sleep study that he had an AHI of 15.7 while
supine and an AHI 2.1 lateral. Which of the following treatments would be most appropriate? - CORRECT
ANSWER✅✅Positional therapy
By 6 months of age, which of the following waveforms are identifiable on a PSG? - CORRECT
ANSWER✅✅Sleep spindles
K complexes
Delta waves
Bundle Branch Block is the result of one ventricle firing slower than the other? - CORRECT
ANSWER✅✅True
The QRS complex represents which of the following? - CORRECT ANSWER✅✅Ventricular depolarization
Absence of airflow and respiratory effort for >20 sec. or 2 missed breaths followed by an arousal,
awakening or >3% desaturation - CORRECT ANSWER✅✅Central Apnea
>90% decrease in airflow for 2 missed breaths associated with absent respiratory effort during one
portion of the event and the presence of inspiratory effort in another portion, regardless of which
comes first - CORRECT ANSWER✅✅Mixed apnea
>30% decrease in nasal pressure for 2 missed breaths followed by an arousal or >3% desaturation -
CORRECT ANSWER✅✅Hypopneas
Which type of AV block has a PR interval that lenghthens with each beat until QRS complex is dropped? -
CORRECT ANSWER✅✅2nd degree AV block- Wenchebach
Your patient has come in for a CPAP titration. At a pressure of 20cm H2O, your patient continues to have
obstructive events while lateral. What action do you take next? - CORRECT ANSWER✅✅Switch the
titration mode to Bi-level
