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46 Cards in this Set

  • Front
  • Back
active mental concentration is associated with what type of waves and in which part of the brain?
beta waves, frontal lobe
awake person who relaxes with closed eyes is associated with what type of waves and in which part of the brain?
alpha waves, occipital and parietal
NREM sleep is characterized by ___ wave EEG activity while REM is characterized by ____ EEG activity
slower; fast
what percentage of sleep occurs as NREM?
75%
slow eye movements characterized which type of sleep?
NREM
increased muscle tone characterizes which type of sleep?
NREM
Stage 1 is what % of NREM?
5%
what type of wave activity is involved in stage 1?
theta waves
what type of wave activity is involved in stage 2?
spindle shaped waves (sleep spindles) and K-complexes
in which stage does bruxism occur?
stage 2
What % of NREM is stage 2?
45%
what type of wave activity is involved in stage 3 and 4?
delta waves
What % of NREM is stage 3 and 4?
25%
which stage is the deepest part of NREM?
stages 3 and 4
somnambulism, enuresis and night terrors are associated with which stage of sleep?
stages 3, 4 NREM
what stage is associated with rapid eye movements?
REM
what stage is associated with decreased muscle tone?
REM
what type of waves are associated with REM?
sawtooth waves
what is the average REM latency?
90 min
what disorders is associated with shortened REM latency? (2)
major depressive disorder, narcolepsy
rare condition that includes episodes of REM without muscle atonia
REM sleep behavior disorder
describe the sleep architecture
sleep progresses through stages 1-4 of NREM then 4-1 of NREM then into REM
describe the changes in sleep architecture for the elderly
decreased REM sleep, total sleep time and delta sleep; increased nighttime awakening
describe the changes in sleep architecture for depression
decreased sleep latency, REM latency, REM later in sleep cycle, and delta sleep; increased REM early in cycle, first REM period, total REM and nighttime awakening
rare disorder resulting from mutations in prion protein gene leading to degeneration of the thalamus causing inability to sleep
fatal familial insomnia
which NTs promote sleep?
serotonin and ACh
which NTs promote arousal and wakefulness?
NE and dopamine
2 categories of sleep disorders
dyssomnias and parasomnias
sleep disorder characterized by problems in the timing, quality, or amount of sleep
dyssomnias
sleep disorder characterized by abnormalities in physiology or behavior associated with sleep
parasomnias
dx criteria for insomnia:
difficulty falling or staying asleep that occurs 3 times per week for at least a mo
common causes of insomnia
caffeine, CNS stimulants, drug withdraw, pain creating medical conditions
tx of insomnia
avoid caffeine, develop sleep ritual, maintain fixed sleep schedule, relax
tx of breathing-related sleep disorder
weight loss, CPAP, surgery
sx of narcolepsy
hypnagogic/hypnopompic hallucinations upon waking, cataplexy, sleep paralysis
benzodiazepines reduce which stage of sleep?
delta (stages 3, 4)
condition in which daytime sleepiness results from airway obstruction
Pickwickian syndrome
changes in sleep architecture with narcolepsy
decreased sleep latency and abnormal REM
describes upon falling asleep
hypnagogic
describes upon awakening
hypnopompic
dx criteria for narcolepsy
episodes of sudden sleepiness that occur daily for at least 3 mo despite normal amt of sleep, sleepiness relieved by naps
tx of narcolepsy
stimulant meds, planned daily naps
is sleepiness relieved by naps in primary hypersomnias?
no
with what deficiencies is restless leg syndrome associated?
decreased dopamine in subcortical brain, Fe (disrupts dopamine production) and Mg
during which stage of sleep do sleep terrors occur?
stages 3, 4
sleep disorder usually seen in adolescents and involves recurrent periods of hypersomnia and hyperphagia, each lasting 1-3 weeks
Kleine-Levin syndrome