NEW RPSGT EXAM Practice Test Questions and
Correct Answers | Latest Update
The purpose of an intentional mask leak is to... Ans: Wash out CO2 and
prevent rebreathing
Recommended guidelines state that HSV can be considered when.... Ans:
Cheyne Stokes and central Apneas have not been eliminated.
What is aerophagia? Ans: The swallowing of air
What is maxillomandibular advancement? Ans: Treatment that involves
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cutting and advancing the upper and lower jaw bones; enlarging and
stabilizing the posterior airway.
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What is the PRIMARY function of the EPAP setting? Ans: To eliminate
desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts
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prior to increasing pressure? Ans: 1
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What are the AASM guidelines for supplemental O2 during PAP studies?
Ans: 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? Ans: IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why:
Nasal spray, Alcohol, Anti depressants. Ans: 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? Ans: Overlap
syndrome
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What are hypoxemia and hypercapnia? Ans: 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? Ans: Hypoventilation
What is an MWT's MOST important use? Ans: Measure patients ability to
resist the urge to fall asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of
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chocolate have been known to trigger what? Ans: REM sleep behavior
disorder
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Recommended impedance for eeg and eog Ans: 5k ohms
The amount of space needed to archive digitized data is MOST impacted
by? Ans: Sampling rate
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Cortical activity is best described as Ans: Spontaneous arousal
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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 Ans: 11
According to RECOMMENDED guidelines, the minimum duration of a
significant leg movement is Ans: .5
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According to RECOMMENDED guidelines, an optional parameter to
include in the report for an adult polysomnogram is Ans: 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 Ans: 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
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oscillations that vary in size, shape, and timing Ans: Atrial fibrillation
The stage that is the greatest portion of the epoch Ans: The stage that is
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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? Ans: Provide the
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patient with educational material about sleep apnea
Which of the following is the MOST LIKELY cause of a 35 minute REM
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latency Ans: Untreated depression
A breathing pattern characterized by at least three cycles of crescendo
breathing with duration of at least 10 minutes is Ans: Cheyne Stokes
respiration
An important responsibility of the scoring tech is to Ans: 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 Ans: Physiological
The most important reason for performing a MWT is to Ans: Measure the
patient's ability to resist the urge to fall asleep
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The importance of selecting sampling rates according to RECOMMENDED
guidelines is to Ans: Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia
and associated PaCO2 elevation that worsens during sleep is Ans: 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 Ans: REM
Sleep Behavior Disorder
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According to RECOMMENDED guidelines, the sampling rate to provide the
optimal resolution for recording EEG in a patient with suspected
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nocturnal seizure is Ans: 500Hz
The electrode located 30% above the left pre-a crease is Ans: C3
According to RECOMMENDED guidelines, four nap opportunities on a
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MSLT would be acceptable when the patient Ans: Had REM on at least two
nap opportunities
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A patient's history indicates a diagnosis of overlap syndrome. The tech
can anticipate that the patient has Ans: COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING
SHOULD BE INCLUDED WHEN RECORDING PEDIATRIC PATIENTS Ans: END-
TIDAL CO2
THE ABILITY TO REMONTAGE WHILE RECORDING ON DIGITAL EQUIPMENT
IS THE RESULT OF Ans: SYSTEM REFERENCING
WHEN REVIEWING A PATIENT'S HISTORY IN PREPARATION FOR A
POLYSOMNOGRAM, PHYSIOLOGIC FINDINGS SUGGESTIVE OF
HYPOVENTILATION INCLUDE Ans: HYPOXEMIA AND HYPERCAPNIA