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29 Cards in this Set

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  • Back
largest sleep cycle and length?
circadian 24-25 hours
what is Rem sleep, whats happening in the dream, and how long does it last
Normal Rapid Eye Movement during sleep happens during visual dreams for 90-100 minutes and 4-5 cycles per night.
20% REM 80% NREM= normal sleep
what neurotransmitter is involved in REM sleep
Ach high
Noradrenergic low
5-HT (seratonin) low
REM or NREM?

high muscle tone
NREM
REM or NREM ?

variable heart rate and BP
REM
REM or NREM?

fast, mixed EEG
fast respiration
REM
difference between dyssomnias and parasomnias?
dyssomnias insomnia,narcolepsy,breathing prob.

parasomnias
nightmares,sleepwalk,night terrors
most commonly seen sleep disorders in primary care?
breathing related disorders
nocturnal myoclonus
predisposing conditions for obstructive sleep apnea?(4)

men or women have it more?
which races
BMI>30
neck circumference
high arched palate,large tonsils
hypertension
Men black>whites(under25)
sleep apnea puts you at risk for? (3)
hypertension
stroke
myocardial infarction
treatments for restless leg syndrome (RLS) and primary limb movement disorders (PMLD)?
benzos to rais wakening threshold

dopaminergics like ropinorole to reduce twitches
diagnostic triad of narcolepsy ?
sleep attacks
cataplexy (weakness of isolated muscles)
sleep paralysis
hypnogogic or hypnopompic hallucinations
onset and prevelance of narcolepsy?

treatments
age 15-25 .02%-.09%
Methylphenidate (ritalin)
amphetamine
pemoline (stimulant)
modafinil(elevates histamine)
cuases of narcolepsy?
reduced release of NE and/or seratonin fails to inhibit REM sleep
causes of insomnia?
pain, cardiorespiratory, GI upset, nocturia, anxiety, depression.
consistent EEG finding in pepression?
shortened REM cycle
onset to REM initiation is shorter
alcohols effect on REM and slow-wave sleep?
suppresses REM interferes with SWS
non-pharm tx for insomnia
no alcohol,caffein,heavymeals.
moderate daily exercise, bedtime routine.
bed only for sex and sleep, preferably in that order!
pharm tx for insomnia
use the ams
lorazepam
alprazolam
temazepam
triazolam
benzodiazepine receptor types are for ?
BZ1= sleep induction
BZ2= confusion,dependence
BZ3= muscle relaxation
atypical drugs that act on the BZ1 receptor
Zaleplon
zolplidem
eszopiclone
desired effects of benzos?
side effects of bensos?
1 muscle relax, lower anxiety, anticonvulsant
2 dependence, delerium, rebound insomnia, suppress REM sleep
OTC tx for insomnia

drug cominng out that mimics this?
melatonin pills

Ramelteon (rozerem)
sexual intent (sex print)
unique sexual preferrence of individual
dyspareunia
recurrent or persistent genital pain during sex in males or females.
definition of vaginismus
recurrent or persistent involuntary spasm of the musculature of the outer one-third of the vagina which interferes with sexual intercourse
whats masochism?
sadism?
masochism= wanting to be dominated

sadism= wanting to inflict suffering
drugs to treat paraphilias
tranquilizers
SSRI
anti-androgens
what is intersex
androgen insensitivity syndrome
or
congenital adrenal hyperplasia