Question 1

What is the peak age of incidence for SIDS?

Accepted Answer

A)  Birth to 1 month 
B)  2 to 4 months 
C)  4 to 8 months 
D)  8 months to 1 year 
A)  Birth to 1 month 
B)  2 to 4 months 
C)  4 to 8 months 
D)  8 months to 1 year B

Question 2

How would you diagnose central sleep apnea (CSA)?

Accepted Answer

A)  Obesity 
B)  Patient complains of EDS 
C)  Excessive snoring 
D)  10-s apnea without respiratory effort during sleep 
A)  Obesity 
B)  Patient complains of EDS 
C)  Excessive snoring 
D)  10-s apnea without respiratory effort during sleep D

Question 3

According to the National Heart Lung and Blood Institute (NHLBI), approximately how many Americans suffer from some type of sleep disorder?

Accepted Answer

A)  8 million 
B)  18 million 
C)  28 million 
D)  38 million 
A)  8 million 
B)  18 million 
C)  28 million 
D)  38 million B

Question 4

A patient comment regarding the lack of dreaming could mean that the patient is not spending a significant period of sleep in which stage?

Accepted Answer

A)  REM 
B)  N1 
C)  N2 
D)  N3 
A)  REM 
B)  N1 
C)  N2 
D)  N3

Question 5

Cheyne-Stokes breathing is associated most closely with which type of sleep disordered breathing?

Accepted Answer

A)  Central sleep apnea 
B)  Obstructive sleep apnea 
C)  Mixed sleep apnea 
D)  Sudden infant death syndrome 
A)  Central sleep apnea 
B)  Obstructive sleep apnea 
C)  Mixed sleep apnea 
D)  Sudden infant death syndrome

Question 6

What occurs during REM that results in sleep disordered breathing?

Accepted Answer

A)  Hypotension 
B)  Rise in heart rate 
C)  Fall in respiratory rate 
D)  Upper airway narrowing 
A)  Hypotension 
B)  Rise in heart rate 
C)  Fall in respiratory rate 
D)  Upper airway narrowing

Question 7

What sleep assessment study is used to diagnose sleep disorders?

Accepted Answer

A)  Overnight oximetry 
B)  Polysomnography 
C)  Electroencephalogram (EEG) 
D)  Leg twitch study 
A)  Overnight oximetry 
B)  Polysomnography 
C)  Electroencephalogram (EEG) 
D)  Leg twitch study

Question 8

What stage of sleep is characterized by large eye rolls and low-amplitude waves on EEG recordings?

Accepted Answer

A)  REM 
B)  N1 
C)  N2 
D)  N3 
A)  REM 
B)  N1 
C)  N2 
D)  N3

Question 9

During which stage of sleep are skeletal muscles partially paralyzed, thus greatly affecting ventilation and maintenance of the upper airway?

Accepted Answer

A)  REM 
B)  N1 
C)  N2 
D)  N3 
A)  REM 
B)  N1 
C)  N2 
D)  N3

Question 10

What treatments are available for a patient diagnosed with obstructive sleep apnea?
1) CPAP
2) RERA
3) BiPAP
4) UPPP

Accepted Answer

A) 1 and 3 
B) 2 and 4 
C) 1, 3, and 4 
D) 2, 3, and 4 
A) 1 and 3 
B) 2 and 4 
C) 1, 3, and 4 
D) 2, 3, and 4

Question 11

What is the most common complaint of patients with obstructive sleep apnea?

Accepted Answer

A)  Snoring 
B)  Headache 
C)  Bedwetting 
D)  Excessive daytime sleepiness 
A)  Snoring 
B)  Headache 
C)  Bedwetting 
D)  Excessive daytime sleepiness

Question 12

In which stage of sleep is "restorative sleep" thought to occur?

Accepted Answer

A)  REM 
B)  N1 
C)  N2 
D)  N3 
A)  REM 
B)  N1 
C)  N2 
D)  N3

Question 13

Which of the following will assist the RT in predicting sleep apnea?

Accepted Answer

A)  Epworth Sleepiness Scale (ESS) 
B)  Berlin Questionnaire 
C)  Inspection of the chest 
D)  Electrocardiogram (ECG) 
A)  Epworth Sleepiness Scale (ESS) 
B)  Berlin Questionnaire 
C)  Inspection of the chest 
D)  Electrocardiogram (ECG)

Question 14

With what pattern of sleep disordered breathing is SIDS thought to be associated?

Accepted Answer

A)  CSA 
B)  OSA 
C)  MSA 
D)  RERA 
A)  CSA 
B)  OSA 
C)  MSA 
D)  RERA

Question 15

What is the first sign of sleep disordered breathing?

Accepted Answer

A)  Snoring 
B)  Excessive daytime sleepiness (EDS) 
C)  Hypercarbia 
D)  Cyanosis 
A)  Snoring 
B)  Excessive daytime sleepiness (EDS) 
C)  Hypercarbia 
D)  Cyanosis

Question 16

Which phase of sleep is characterized by delta or slow waves?

Accepted Answer

A)  REM 
B)  N1 
C)  N2 
D)  N3 
A)  REM 
B)  N1 
C)  N2 
D)  N3

Question 17

A patient has an apnea-hypopnea index (AHI) of 12. What would this be considered?

Accepted Answer

A)  Normal 
B)  Mild sleep apnea 
C)  Moderate sleep apnea 
D)  Severe sleep apnea 
A)  Normal 
B)  Mild sleep apnea 
C)  Moderate sleep apnea 
D)  Severe sleep apnea

Question 18

If, upon assessment, the Mallampati score is class 4, the patient would be at high risk for which type of sleep disordered breathing?

Accepted Answer

A)  CSA 
B)  OSA 
C)  Mixed sleep apnea (MS
A)  
D)  SIDS 
A)  CSA 
B)  OSA 
C)  Mixed sleep apnea (MS
A)  
D)  SIDS

Question 19

In which stage of sleep does the brain show electrical activity similar to wakefulness on EEG tracings?

Accepted Answer

A)  REM 
B)  N1 
C)  N2 
D)  N3 
A)  REM 
B)  N1 
C)  N2 
D)  N3

Question 20

Which of the following would be most suggestive of a patient who is liable to have sleep disordered breathing?

Accepted Answer

A)  One with a smoking history 
B)  An obese patient 
C)  A very tall and thin patient 
D)  A patient with a history of hypertension 
A)  One with a smoking history 
B)  An obese patient 
C)  A very tall and thin patient 
D)  A patient with a history of hypertension

Exam 19: Assessment of Sleep and Breathing

What is the peak age of incidence for SIDS?

How would you diagnose central sleep apnea (CSA)?

According to the National Heart Lung and Blood Institute (NHLBI), approximately how many Americans suffer from some type of sleep disorder?

A patient comment regarding the lack of dreaming could mean that the patient is not spending a significant period of sleep in which stage?

Cheyne-Stokes breathing is associated most closely with which type of sleep disordered breathing?

What occurs during REM that results in sleep disordered breathing?

What sleep assessment study is used to diagnose sleep disorders?

What stage of sleep is characterized by large eye rolls and low-amplitude waves on EEG recordings?

During which stage of sleep are skeletal muscles partially paralyzed, thus greatly affecting ventilation and maintenance of the upper airway?

What treatments are available for a patient diagnosed with obstructive sleep apnea? 1) CPAP 2) RERA 3) BiPAP 4) UPPP

What is the most common complaint of patients with obstructive sleep apnea?

In which stage of sleep is "restorative sleep" thought to occur?

Which of the following will assist the RT in predicting sleep apnea?

With what pattern of sleep disordered breathing is SIDS thought to be associated?

What is the first sign of sleep disordered breathing?

Which phase of sleep is characterized by delta or slow waves?

A patient has an apnea-hypopnea index (AHI) of 12. What would this be considered?

If, upon assessment, the Mallampati score is class 4, the patient would be at high risk for which type of sleep disordered breathing?

In which stage of sleep does the brain show electrical activity similar to wakefulness on EEG tracings?

Which of the following would be most suggestive of a patient who is liable to have sleep disordered breathing?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment of the Respiratory Care Patient

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Clinical Application of the Chest Radiograph

Interpretation of the Electrocardiogram

Assessment of the Neonatal and Pediatric Patient

Assessment of the Older Patient

Respiratory Monitoring in the Intensive Care Unit

Assessment of Cardiac Output

Assessment of Hemodynamic Pressures

Flexible Fiber-Optic Bronchoscopy

Nutritional Assessment of Patients With Respiratory Disease

Assessment of the Home Care Patient

Documentation of the Patient Assessment

Filters