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99 Cards in this Set

  • Front
  • Back
which of the following filter settings are most appropriate for these channels:EEG,EOG,EKG,EMG
EEG:0.3/35
EOG:0.1/35
EKG:1.0/35
EMG:10/70
The low frequency filter is used for
eliminating unwanted slow frequencies
If the ROC channel on psg is 5 and the LOC channel is 6,what will it look like when the patient looks up
move toward each other
what is the best solution for disinfecting electrodes
bleach
what should the tech do first to make surre the proper test is being preformed
review the chart for the docs orders
a polysomnograph records what
electric potentials from body
voltages from other devices
output signal from auxilliary equipment
which is not a bioelectric potential recording:
EOG,EMG,RESPIRATORY AIRFLOW,EKG
respiratory airflow
what is the function of the differential amplifier
to record the differences between two signal inputs
what is it when you select 2 signal inputs applied to a differential amplifier and assigned to a specific channel
a recording montage which shows which signals will be displayed in which channels
G1 represents what
the first signal inpput into a differential amplifier
if G1 recieves an input of -100uv and G2 recieves 50uv, what is the output voltage
-50uv, subtracting G2 form G1
if G1 recieves -50uv, and G2 recieves +50uv, it equals what
-100uv
if G1&G2 both recieve an input of -50uv what is the output
0
how can you determine the frequency of an EEG signal
by counting the cycles of the wavein one second
frequency is measured how
in cycles per second, or hertz(Hz)
how do you determine the amplitude of an EEG signal
by comparing the height of the recorded waveform against a calibration signal of known value
the amplitude of a wave is a measure of
voltage
a low frequency filter is used to
eliminate unwanted slow frequencies
a high frequency filter is used to
eliminate unwanted fast frequencies
sensitvity
ratio of input voltage to the amplitude of the pen deflection
an appropriate EEG gain setting
5uv/mm and 50uv/cm ( they are the same)
If an EEG amplifier is calibrated to 50uv/cm, a
-75uv signal should do what
a negative signal produces an upward pen deflection, while a positive signal produces a downward pen deflection
an equalizer or gain control is used to
make fine adjustments to the sensitivity of an amplifier
the standarded paper speed used in PSG is
10 mm/sec. which produces 30 second epochs
what is the proper setting for recording the EEG:LFF=10hz,HFF=100hz
LFF=1hz,HFF=30hz
LFF=.3hz,HFF=30hz
LFF=.1hz,HFF=.5hz
LFF=.3hz,HFF=30hz or
LFF=1hz,HFF=30hz
what is the proper setting for recording the EMG
LFF=10hz,HFF=100hz
*the HFF can be set at 70hz to off and the LFF at or close to 10hz
what is the proper setting for recording respiratory effort and airflow
LFF=.1hz,HFF=.5hz *usually the HFF would be set a little higher
if the high frequency filter is 15 hz to record the EEG, how could this damage the info on the PSG
the 15 hz HFF setting could attenuate certain types of abnormal fast frequency, (seizure spikes), and alpha activity
a major difference between an AC&DC amplifier is
AC has a high frequency filter while DC amplifier doesn't
the overall quality and accuracy of a sleep study is primarily determined by
proper electrode application and recording methodology
a bio-calibration routine is use dto
establish a baseline scoringreference for study,verify correct signal derivations, confirm the integritiy of derived signals
in PSG, the recording of the eye movements is based on
the electrical potential difference betweeen the cornea and the retna of each eye,* if the patient looks toward the electrode, the wave produced will be positive, (downward)deflection
according to polarity convention, an eye movement to the right should result in
a downward pen deflection in the ROC channel and an upward pen deflection in the LOC channel
if the low freq.filter is raised from .3 hz to 1 hz in an eeg channel what will happen on the recording
the 1 hz setting will reduce the amplitude of slow delta waves
amplitude is the measurement of the, and is measured in
height of the wave,microvolts
frequency is the measurement of the ,and measured in
speed of the wave,hertz
sensitivity can be explained in what equation
sensitivity =voltage/pen deflection
the low frequency filter is most related to the
time constant
the electro-occulogram is the recording for what
the corneo-retinal potential difference
the rapid eye movement in REM sleep is detectable in the EOG of blind patients if what is normal
the corneo-retinal potential,which is the same for all pt.
electro-occulogram measures
the difference between the positive electrical charge in the cornea and the negative charge in the retina
what is the recommended impedance for EEG electrodes
less then 5,000(5k), lower the better
EEG signals recorded in the lab originate from
action potentials of neurons
polysomnography includes all but which measurements,
EMG,ERG,Respiratory,EOG
ERG,the retina
the distance between the nasion to the inion is 36cm, what is the distance from Cz to Pz
7.2 cm , Cz to Pz is 20% of the total distance from the nasion to the inion.
the distance between the nasion to the inion is 32 cm,what is the distance from inion to Oz
3.2 cm, The inion to Oz is 10% of the distance from the inion to the nasion
The distance from ear to ear is 40 cm, what is the distance from Cz to C3
8.0cm, Cz to C3 is 20% of the distance from ear to ear, 20% of 40cm is 8.0cm
the distance from Cz to T4 is 14cm, what is the distance from C4 to T4
7.0cm, C4 is halfway between Cz and T4, so half of 14 is 7
The total circumference of the head is 56cm,what is the distance from Oz to O1
2.8cm, OZ to O1 is 5% of the total circumference of the head
the total o circumference of the head is 60cm, what is the distance from O2 to T4
12.0,O2 to O4 is 205 of the total circumference of the head,20% of 60 is 12
What electrode site is half the distance from T5 to Pz
P3,which is located half way between T5 and Pz
What electrode site is half the distance from O1 to T3
T5, which is located half way from O1 and T3
What electrode site is half of the distance fromF8 to Fz
F4, which is half way
the distance from Fp1 through C3 to O1 is 24cm, what is the distance from C3 to P3
6.0cm,C3 to P3 represents 25% of this measurement
What electrode site is half way between Fp2 and C4
F4
The total circumference of the head is 50cm, what is the distance from T3 to Oz
12.5cm, T3 to Oz is 25% of the total circumference of the head
the distance from Fp2 to T4 is 10cm, what is the distance from Fp2 to F8
5.0cm, half of 10 is 5
what electrode site is half the distance from T3 to T4
Cz is located half way
G1=60uV,G2=10uV, what is the total output voltage
50 uV, 60-10
Which of these is a DC channel
SpO2
what type of wire is best for recording the EEG activity
gold cups, lower impedence, great fit on the scalp
The rate at which a wave repeats itself or osccillates is
frequency
what is the disadvatage to using gold cups
increased cost
a change in sensitivity produces a change in
the height of the wave
the amplitude of an EEG wave is generally measured in
microvolts(uV)
cycles per second is synonymous with
Hertz(Hz)
the frequency of a waveform can be altered by changing
the filters
changing the sensitivity setting from 20uV/mm to 40uV/mm will do what to the wave
cut it in half
what is the best LFF setting for an EEG channel
0.5Hz, is recommended
what is the best HFF setting for an EMG channel
70Hz
what is the best HFF setting for an EEG channel
35Hz
what is the best HFF setting for a respiratory channel
5.0Hz
the shape of the wave matters most for which: EMG,EEG,Sp02,body postion
EEG, detail helps in determining sleep stages
what is the best sensitivity setting for an EEg channel
70uV/mm(7uV/mm),is best ,for pts. with low amplitude it should be changed to 50uV/mm(5)
which montage includes the full EEG hookup to rule out seizure activity
REM behavior disorder
which montage includes extra eye hookups,above and below the eye
MSLT,staging is very important, extra eye leads increase EOG reliability
what montage usually includes a pressure channel and additional flow channel
CPAP
what montage is most commonly used for overnite diagnostic studies
Baseline, used in diagnosing common sleep disorder,OSA & PLMS
polysomnography is the study of
physiologic parameters as they relate to sleep
what %of the total circumference of the head is T5 away from T3
10%
what 2 muscles should the chin EMG be placed over
mentalis and submentalis, above and below the chin line
what electrod esite is not used in a baseline study:
leg EMG,ROC,arm EMG,thoracic belt
arm EMG, are used in REM behavior disorders
the exploring electrode recieves a voltage of -20uV,the output voltage is 50uV,what voltage did the refence electrode recieve at this time
-70uv,out put voltage is = to the exploring electrodes voltage - the reference electrodes voltage(-20-70,or-20+70=50)
what muscle should the leg EMG electrode be placed on
anterior tibialis,runs along the outside of the shin bone
the recording of electrical activity generated by the eyes is abbreviated
EOG,electro-occolography
G1=-25uV,G2=-25uV, what is the output voltage
0uV,when the inputs are identical thery cancel each other out
which electrode is 20% of the horizontal measurement of the head to the left of Cz (pre-auricular point to pre-auricular point)
C3
if the montage has the ROC as channel 5 and the LOC as channel 6, what will the waves on these channels do when the pt. looks up
move toward each other,looking up causes aa positive charge for ROC and neg. for LOC,so, ROC goes down and LOC goes up,moving towards each other
G1=-80uV the output is 20uV what is the voltage at G2
-100uV,(-80--100,is also-80+100) which is equal to the output voltage of 20uV
what electrode site is half the distance fromFp2 to T4
F8
what % of the entire vertical measurement of the head is Pz away from the inion
30%, Oz is 10% of this distance from the inion,Pz is another 20%,making it 30%
G2=-70uV,output is 15uV,what is the voltage in G1
-55uV,(-55--70 = -55+70)
the distance from ear to ear is 36cm, what is the distance from the left ear to T3
3.6cm,the distance from the left ear is 10% of the total distance from ear to ear,10% of 36 is 3.6cm
the distance from T6 to Pz is 8cm, what is it from P4 to Pz
4cm,P4 is halfway between T6 and Pz, hlaf of 8 is 4cm
what electrode site is located half the distance from O2 to C4
P4,which is halfway between O2 and C4
the distance from F7 to F3 is 6cm, what is the distance from F3 to Fz
6cm, F7 and Fz are equidistant to F3
what electrode site is 10% of the inion
Oz,placed 10% of hte vertical measurement of the head above the inion
a stress loop is often helpful when applying which electrodes
leg EMG,reduces them getting pulled off
what is the best sensitivity setting for EEGs in adults
7uV/mm