Quizz - 2024 Wisconsin Sleep Society Annual Conference

EEG deviations used in standard sleep recording (choose all that are correct):

F4-M1

Correct Incorrect Correct answer

F4-M2

Correct Incorrect Correct answer

F3-M1

Correct Incorrect Correct answer

F3-M2

Correct Incorrect Correct answer

C4-M2

Correct Incorrect Correct answer

C4-M1

Correct Incorrect Correct answer

C3-M1

Correct Incorrect Correct answer

C3-M2

Correct Incorrect Correct answer

O2-M2

Correct Incorrect Correct answer

O2-M1

Correct Incorrect Correct answer

O1-M1

Correct Incorrect Correct answer

O1-M2

Correct Incorrect Correct answer

What is alpha rhythm?

Sinusoidal 8-13Hz activity recorded over the occipital region with eye closure.

Correct Incorrect Correct answer

A relatively high amplitude brain wave pattern between approximately 4 and 9 hertz

Correct Incorrect Correct answer

Which of the following is NOT a positive airway pressure (PAP) modality?

CPAP

Correct Incorrect Correct answer

BiPAP-S

Correct Incorrect Correct answer

BPAP in spontaneous/timed mode or timed mode (BPAP-S/T and BPAP-T)

Correct Incorrect Correct answer

Adaptive servo-ventilation (ASV)

Correct Incorrect Correct answer

SPAP

Correct Incorrect Correct answer

Volume-assured pressure support (VAPS)

Correct Incorrect Correct answer

The goal of any titration is to determine the minimal pressure(s) required to resolve which of the following:

Apneas

Correct Incorrect Correct answer

Hypopneas

Correct Incorrect Correct answer

Snoring

Correct Incorrect Correct answer

Arousals related to obstructive events

Correct Incorrect Correct answer

All of the above

Correct Incorrect Correct answer

In which positions should the titration resolve the above events?

Supine

Correct Incorrect Correct answer

Left side

Correct Incorrect Correct answer

Right side

Correct Incorrect Correct answer

Stomach

Correct Incorrect Correct answer

All of the above.

Correct Incorrect Correct answer

In which stages of sleep should the titration resolve the above events?

REM

Correct Incorrect Correct answer

Stage 1

Correct Incorrect Correct answer

Stage 2

Correct Incorrect Correct answer

Stage 3

Correct Incorrect Correct answer

Wake

Correct Incorrect Correct answer

The recommended minimum starting CPAP should be 4 cm H2 O for pediatric and adult patients

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

CPAP should be increased until the following obstructive respiratory events are eliminated (no specific order)
Apneas, Hypopneas, RERAs, and snoring or the recommended maximum CPAP is reached

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

The recommended maximum CPAP should be 20 cm H2 O for patients <12 years and 15 cm H2 O for patients
≥12 years.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

CPAP should be increased by at least 1 cm H2O with an interval no shorter than 5 min, with the goal of
eliminating obstructive respiratory events.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

CPAP should be increased if at least 4 obstructive apnea is observed for patients <12 years or if at least 6
obstructive apneas are observed for patients ≥12 years.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

CPAP should be increased if at least 1 hypopnea is observed for patients <12 years or if at least 3 hypopneas are
observed for patients ≥12 years.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

The titration algorithm for split-night CPAP titration studies IS NOT identical to that of full-night CPAP titration
studies.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Does compliance with CPAP improve hypertension?

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Does compliance with CPAP have an effect on how safe a driver a patient is?

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

What is the effect on atrial fibrillation recurrence when a patient is compliant with CPAP?

None

Correct Incorrect Correct answer

Reduces the chance of recurrence

Correct Incorrect Correct answer

Increases the chance of recurrence

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What is the length of an epoch?

20 seconds

Correct Incorrect Correct answer

30 seconds

Correct Incorrect Correct answer

40 seconds

Correct Incorrect Correct answer

What is impendence measured in?

Ohms

Correct Incorrect Correct answer

Watts

Correct Incorrect Correct answer

Charge

Correct Incorrect Correct answer

The end of a polysomnogram is called this.

End of night

Correct Incorrect Correct answer

Lights On

Correct Incorrect Correct answer

Final epoch

Correct Incorrect Correct answer

First epoch after lights out that sleep occurs.

PLMS

Correct Incorrect Correct answer

Alpha

Correct Incorrect Correct answer

Sleep Onset

Correct Incorrect Correct answer

Start scoring Stage 2 when one of these appears in the second half of the epoch.

Alpha rhythm

Correct Incorrect Correct answer

Sleep spindles or K complexes

Correct Incorrect Correct answer

Alpha intrusion

Correct Incorrect Correct answer

The 10 second duration was chosen for the minimum of a respiratory event because

It’s the timing of two missed breaths

Correct Incorrect Correct answer

It was arbitrary

Correct Incorrect Correct answer

It was chosen radomnly

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The Latin word that means along side of sleep

Circadian Rhythm

Correct Incorrect Correct answer

Narcolepsy

Correct Incorrect Correct answer

Parasomnia

Correct Incorrect Correct answer

Hypopneas have a compete cessation of breathing

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Central apneas show no effort in the respiratory channels

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

REM sleep was discovered in 1952

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Sleep walking is more common in children because they have less development of the sleep/wake switching
mechanism

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

A multiple sleep latency test is performed to diagnose narcolepsy

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

A maintenance of wakefulness test is performed to diagnose narcolepsy

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Loss of muscle tone when experiencing strong emotion is called

PLMS

Correct Incorrect Correct answer

Cataplexy

Correct Incorrect Correct answer

RLS

Correct Incorrect Correct answer

Cognitive Behavior Therapy can be useful in treating insomnia

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Listening to a patient is important

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Motivational Interviewing (MI) is used to help get patients to adhere to CPAP treatment

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

In Motivational Interviewing (MI) a patient doesn’t need to accept label to change

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Emphasis on personal choice and responsibility is important in MI

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

MI requires an objective evaluation of problem

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Giving patients strong push back during MI is helpful

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Reflection is part of MI

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Goals and strategies are negotiated with the patient during CPAP trial

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Open vs closed ended questions are more helpful in MI

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Personalized feedback based on the patient’s concerns is helpful in MI

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Barriers to having an in lab PSG include

Living in a rural area

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Living in a city near hospitals

Correct Incorrect Correct answer

Barriers to having an in lab PSG include

Not having transportation

Correct Incorrect Correct answer

Having a disability that makes it hard for your to apply a Home Sleep Test

Correct Incorrect Correct answer

Home Sleep Testing has made it easier for patients to get diagnosed with sleep apnea

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Workplace shortages are increasing the wait to have an in lab PSG

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Sleep technologists are more in involved in patient education than in the past

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Richardson and Kleitman conducted the Mammoth Cave sleep experiment for 32 days

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

The study done in Mammath Cave proved people have a circadian rhythm

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

The next questions pertain to how sleep medicine has changed over the years. Paper was used instead of digital records

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

We use Rechtschaffen and Kales (R&K) guidelines now instead of AASM Guidelines

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Patients have higher acuity than in the past

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Home Sleep Testing started at the same time as in lab PSG

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

The first CPAP machine was set to a specific pressure, not a range

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Humidification was always available for CPAP machines

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

There were sleep experiments that took place in Mammoth Cave

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

There are new roles in sleep medicine such as CPAP coaches and sleep navigators

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

The preferred patient to tech ration at most sleep centers is 2:1

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Earlier in sleep medicine, there was a stage of sleep called Stage 4

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

The BRPT now has a credential called the CCSH

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

There is a surgical implant that treats OSA

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

Quizz – 2024 Wisconsin Sleep Society Annual Conference

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