Rpsgt Sleep Disorders

Front 1

What are the three behavioral factors in the model of insomnia?

Back 1

Predisposing, precipitating, and perpetuating

Front 2

What are the predisposing factors in the model of insomnia?

Back 2

somatic and cognitive hyperarousal and decreased homeostatic sleep drive...ruminate...worry

Front 3

What are the precipitating factors in the model of insomnia?

Back 3

Medical or psychiatric disorders, medicines, stressfull life situations, drugs, circadian disorders

Front 4

What are the perpetuating factors in the model of insomnia?

Back 4

cognitive and behavioral factors (ie staying in bed awake, sleeping in)

Front 5

What predisposes an individual to insomnia?

Back 5

Sleep hygeine

Front 6

What does cognitive behavioral therapy treat for insomnia? How?

Back 6

the perpetuating factors in the model of insomnia.

stimulus control and sleep restriction

Front 7

What are four respiratory depressents?

Back 7

Alcohol, opitates, barbituates, benzodiazapines, and other tranquilizers.

Front 8

primary hypersomnia

Back 8

EDS over a long period of time. Symptoms are present nearly all the time

Front 9

recurring hypersomnia

Back 9

periods of EDS

Front 10

What type of syndrome is Klein Levin?

Back 10

recurring hypersomnia

Front 11

What are characteristics of Klein Levin?

Back 11

recurring hypersomnia and excessive eating or sexuality

Front 12

People with hypersomnia have ______ nights of sleep?

Back 12

Regular

Front 13

What differentiates hypersomnia from narcolepsy symtomology?

Back 13

People with narcolepsy have a sudden onset of sleepiness, hypersomniacs experience the symptoms all the time

Front 14

Three types of primary insomnia:

Back 14

psychophysiological, idiopathic, sleep state misperception

Front 15

Psychophysiological insomnia symptoms

Back 15

1.Mild to severe sleepiness
2.Difficulty falling or staying asleep
3.Can sleep well anywhere but in their bed

Front 16

Idiopathic insomnia symptoms

Back 16

1.Long term insomnia
2.Difficulties with attention or concentration
3.Atypical reactions to medications

Front 17

Sleep state misperception symptoms

Back 17

Complaining of insomnia while sleep durations and quality are normal.

Front 18

Five symptoms of narcolepsy:

Back 18

EDS, cataplexy, sleep paralysis, hyonogogic hallucinations, and automatic behavior

Front 19

Symptoms of primary RLS:

Back 19

Begins before 40, slow onset, can come and go, progressively gets worse

Front 20

Symptoms of secondary RLS:

Back 20

Sudden onset of symptoms, after age 40, most associated with medical conditions or drugs.

Front 21

Two proposed mechanisms of RLS

Back 21

Dopamine and Iron system

Front 22

Two RLS drugs. Which is better?

Back 22

Ropinirole and Pramipexole.

Pramipexole has less side effects

Front 23

What sets PLMD from RLS?

Back 23

PLMD happens at night while sleeping and movements are involuntary

Front 24

____patients with RLS have PLMD. ____patients with PLMD have RLS

Back 24

Most
None

Front 25

Diagnostic critera for PLMD

Back 25

5 PLMs per hour or more

Front 26

Food allergy insomnia

Back 26

Symptoms such as rash, SOB, and GI upset can cause comprimised sleep

Front 27

Limit setting sleep disorder

Back 27

Parent's inability to enforce a consistent bedtime, child sleeps adequately after falling asleep

Front 28

Altitude insomnia

Back 28

People who travel to high altitudes can experience acute insomnia

Front 29

Sleep onset assiciation disorder

Back 29

When a child (mostly) needs a set of cues to fall asleep..tv, rocking, pacifier

Front 30

Three disorders of arousal

Back 30

confusional arousals, sleep terrors, and sleepwalking

Front 31

Three conditions that are associated with chronic REM behavior disorder

Back 31

Parkinsons, dementia, and narcolepsy

Front 32

Primary parasomnias

Back 32

disorders of sleep states

Front 33

Secondary parasomnias

Back 33

Disorders of other organ systems that arise during sleep

Front 34

Nocturnal paroxysmal dystonia

Back 34

seizure like episodes during NREM

Front 35

Patients with fibromyalgia have _____ serotonin

Back 35

low

Front 36

What sets PLMD from RLS?

Back 36

PLMD happens at night while sleeping and movements are involuntary

Front 37

____patients with RLS have PLMD. ____patients with PLMD have RLS

Back 37

Most
None

Front 38

Diagnostic critera for PLMD

Back 38

5 PLMs per hour or more

Front 39

Food allergy insomnia

Back 39

Symptoms such as rash, SOB, and GI upset can cause comprimised sleep

Front 40

Limit setting sleep disorder

Back 40

Parent's inability to enforce a consistent bedtime, child sleeps adequately after falling asleep

Front 41

Altitude insomnia

Back 41

People who travel to high altitudes can experience acute insomnia

Front 42

Sleep onset assiciation disorder

Back 42

When a child (mostly) needs a set of cues to fall asleep..tv, rocking, pacifier

Front 43

Three disorders of arousal

Back 43

confusional arousals, sleep terrors, and sleepwalking

Front 44

Three conditions that are associated with chronic REM behavior disorder

Back 44

Parkinsons, dementia, and narcolepsy

Front 45

Primary parasomnias

Back 45

disorders of sleep states

Front 46

Secondary parasomnias

Back 46

Disorders of other organ systems that arise during sleep

Front 47

Nocturnal paroxysmal dystonia

Back 47

seizure like episodes during NREM

Front 48

Patients with fibromyalgia have _____ serotonin

Back 48

low

Front 49

Assessing Movement Disorders

Back 49

Assessing Movement Disorders

Front 50

Hypnagogia

Back 50

vivid dreams accompanied by sleep paralysis

Front 51

Microsleep

Back 51

episode of sleep lasting from a fraction of a second to seconds

Front 52

Causes of microsleep

Back 52

sleep deprivation, mental fatigue, sleep apnea, narcolepsy, hypersomnia

Front 53

Polyuria

Back 53

passage of large volumes of urine

Front 54

sleep intertia

Back 54

a physiological state characterized by a decline in motor activity and subjective feelings of grogginess immediately following awakening from deep sleep (desire to fall asleep)

Front 55

What is IED

Back 55

Interictal epileptiform discharge, common in drousiness and NREM sleep

Front 56

What stage and time of sleep do NREM disorders occur?

Back 56

Delta, first 1/3rd

Front 57

What stage and time of sleep do REM disorders occur?

Back 57

REM! last 1/3 of the night

Front 58

Seizures occur during...

Back 58

NREM

Front 59

Rhythmic movement disorders occur...

Back 59

during sleep/wake transitions

Front 60

Dissociative episodes occur...

Back 60

from wakefullness, can remember, can be awakened

Front 61

Nocturnal panic attacks happen during what stage?

Back 61

1st transition from stage 2 to stage 3

Front 62

What are two contraindications of light therapy?

Back 62

cataracts and gylcoma

Front 63

Side effects of evening light timed too late

Back 63

insomnia and hyperactivation

Front 64

Side effects of morning light timed too early

Back 64

awaken premature and cant fall back asleep

Front 65

Typical intensities and timing of light therapy

Back 65

10,000 lux 30 min
or
2,500 lux 2 hours

Front 66

Factors influencing light therapy

Back 66

Diffuse or focused

Indirect or direct

Angle of incidence to the eyes

Front 67

Delayed Sleep Phase Syndrome

Back 67

hard time initiating sleep before 1-3am and hard time awakening early

Front 68

How does a person with Delayed Sleep Phase Syndrome feel once awake?

Back 68

Alert and energized if schedule maintained

Front 69

What phase syndrome is comorbid with mood and personality disorders?

Back 69

Delayed Sleep Phase Syndrome

Front 70

Light Therapy for Delayed Sleep Phase Syndrome

Back 70

Start lights 8.5h after melatonin onset (morning)

Front 71

Advanced Sleep Phase Syndrome

Back 71

go to bed early evening and awaken too early

Front 72

Light Therapy for Advanced Sleep Phase Syndrome

Back 72

Treat with evening light, delays melatonin secretion and decrease of body temp

Front 73

Seasonal affective disorder characteristics

Back 73

increased appetite for carbs, weight gain, EDS, anxiety, hypersomnia

Front 74

Light therapy for Seasonal affective disorder

Back 74

bright light early morning 10,000lux for 30 min 75% remission

Front 75

Intrinsic dyssomnias

Back 75

originate within the body or from causes inside the body

Front 76

Extrinsic dyssomnias

Back 76

develop from causes outside of the body

Front 77

How much time do premature infants spend in REM?
term?
Age 1?
Age 5-adults?

Back 77

90%
50%
30%
20-25%

Front 78

When do sleep spindles become evident?

Back 78

3 months

Front 79

When do K complexes and delta waves appear?

Back 79

at 6 months

Front 80

What is an infants sleep latency?

Back 80

REM onset
(pass through wake to active sleep via drousy state)

Front 81

How long is an infants sleep cycle?

Back 81

1 hour

Front 82

How an infant central apnea is scored

Back 82

1. 20 sec of central
2. <20sec/2 missed breaths with a 4% desat

Front 83

How an infant mixed apnea is scored

Back 83

10 sec or longer begining with a central

Front 84

What does reflux do to infant respiration?

Back 84

Greater obstructive component

Front 85

How an infant obstructive apnea is scored

Back 85

2 missed breaths (6sec)
and
4% desat or <92% or CO2 increase by 10mm/Hg or CO2 above 53mm/Hg or bradycardia

Front 86

How an infant hypopnea is scored

Back 86

50% reduction in flow and 4% desat

Front 87

Cor Pulmonale

Back 87

Low oxygen when asleep

Front 88

Apnea of prematurity

Back 88

imcomplete development of respiratory control mechanisms, pathological periodic breathing

Front 89

Bruxism comes from what stage?

Back 89

Stage 2

Front 90

PLMDs appear, most frequent, reduced, and absent during what stages?

Back 90

stage 1, 2, sws, REM

Front 91

Sleep wake transition disorders (4)

Back 91

rhythmic movement, sleep starts, sleep talking, nocturnal leg cramps