NEW RPSGT EXAM- Latest 2022 Study
Guide and Practice Test Already Passed
The purpose of an intentional mask leak is to… ✔✔Wash out CO2 and prevent rebreathing
Recommended guidelines state that HSV can be considered when…. ✔✔Cheyne Stokes and
central Apneas have not been eliminated.
What is aerophagia? ✔✔The swallowing of air
What is maxillomandibular advancement? ✔✔Treatment that involves cutting and advancing the
upper and lower jaw bones; enlarging and stabilizing the posterior airway.
What is the PRIMARY function of the EPAP setting? ✔✔To eliminate desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing
pressure? ✔✔1
What are the AASM guidelines for supplemental O2 during PAP studies? ✔✔1lmp during PAP
titration when SPO2 is less than or equal to 88% for 5 or more minutes and in the absence of
obstructive events.
If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still occur at 16cm, what levels of
BiLevel should be used? ✔✔IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti
depressants. ✔✔Alcohol: impairs arousal response which can lead to longer than normal events
and severe desats. Inhibits upper airway activity
What syndrome would a pt with COPD and OSA have? ✔✔Overlap syndrome
What are hypoxemia and hypercapnia? ✔✔Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood.
What would a patient with both hypoxemia and hypercapnia most likely be diagnosed with?
✔✔Hypoventilation
What is an MWT’s MOST important use? ✔✔Measure patients ability to resist the urge to fall
asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been
known to trigger what? ✔✔REM sleep behavior disorder
Recommended impedance for eeg and eog ✔✔5k ohms
The amount of space needed to archive digitized data is MOST impacted by? ✔✔Sampling rate
Cortical activity is best described as ✔✔Spontaneous arousal
Calculate the AHI based on the following data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep ✔✔11
According to RECOMMENDED guidelines, the minimum duration of a significant leg movement
is ✔✔.5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an
adult polysomnogram is ✔✔Occurrence of hypoventilation during the diagnostic study in adult
The respiratory event that requires oxygen desaturation and/ or an arousal as part of the scoring
criteria is ✔✔Obstructive hypopnea
An ECG arrhythmia commonly seen when recording PSG’s, particularly in patients that have
obstructive sleep apnea and cardiac disease. It can be identified by the morphology of an irregularly
irregular ventricular rhythm associated with replacement of consistent P waves by rapid
oscillations that vary in size, shape, and timing ✔✔Atrial fibrillation
The stage that is the greatest portion of the epoch ✔✔The stage that is the greatest portion of the
epoch
What is the best response when a patient asks the technologist if they have sleep apnea and will
need to wear a CPAP mask? ✔✔Provide the patient with educational material about sleep apnea
Which of the following is the MOST LIKELY cause of a 35 minute REM latency ✔✔Untreated
depression
A breathing pattern characterized by at least three cycles of crescendo breathing with duration of
at least 10 minutes is ✔✔Cheyne Stokes respiration
An important responsibility of the scoring tech is to ✔✔Confirm accuracy of report components
Which type of calibration is based on a series of patient instructions intended to verify the signal
response and quality ✔✔Physiological
The most important reason for performing a MWT is to ✔✔Measure the patient’s ability to resist
the urge to fall asleep
The importance of selecting sampling rates according to RECOMMENDED guidelines is to
✔✔Minimize aliasing effect
The syndrome characterized by prolonged episodes of severe hypoxemia and associated PaCO2
elevation that worsens during sleep is ✔✔Obesity hypoventilation
The patient’s medical history indicates the patient has been taking tricyclic antidepressants for the
past 5 years. The technologist should anticipate that the patient may have an increased likelihood
of ✔✔REM Sleep Behavior Disorder
According to RECOMMENDED guidelines, the sampling rate to provide the optimal resolution
for recording EEG in a patient with suspected nocturnal seizure is ✔✔500Hz
The electrode located 30% above the left pre-a crease is ✔✔C3
According to RECOMMENDED guidelines, four nap opportunities on a MSLT would be
acceptable when the patient ✔✔Had REM on at least two nap opportunities
A patient’s history indicates a diagnosis of overlap syndrome. The tech can anticipate that the
patient has ✔✔COPD AND OSA
ACCORDING TO RECOMMENDED GUIDELINES, WHICH OF THE FOLLOWING
SHOULD BE INCLUDED WHEN RECORDING PEDIATRIC PATIENTS ✔✔END-TIDAL
CO2
RPSGT-exam 1 questions and answers
already passed
Which type of device uses selective absorption of light through blood vessels? ✔✔Oximeter
Which of the following substances is appropriate to use dor electrode disinfection? ✔✔Bleach
When a patient with OSA is treated with oxygen (without CPAP) it is: ✔✔not effective in reducing
apnea frequency.
AASM accredicted sleep disorders centers must have: ✔✔an accessible policies and procedures
manual.
In a standard polysomnographic hook-up, M1 and M2 are places over the: ✔✔mastoid process.
During physiologic calibrations, what is the minimum amount of recording time necessary for the
“awake, eyes open” command? ✔✔30 seconds.
Electrode impedances should be checked during the recording: ✔✔when an artifactual pattern
appears
The gold standard method for measuring effort for diagnosing cheyne-stokes respiration is:
✔✔esophageal ballon.
To evaluate the residual sleepiness occurring during work activities, the Maintenance of
Wakefulness Test (MWT) would be a procedure used: ✔✔to assess the ability to resist the urge to
fall asleep.
RPSGT PRACTICE EXAM QUESTIONS
AND ANSWERS 100% PASS
A PATIENTS OXIMETER READING DURING PATIENT CALIBRATION IS 88%. WHICH
OF THE FOLLOWING WOULD BE THE APPROPRIATE RESPONSE? ✔✔PLACE THE
PROBE ON THE PATIENTS EARLOBE
A PATIENT WITH ONDINES CURSE WOULD BE EXPECTED TO HAVE WHICH TYPE OF
RESPIRATORY IMPAIRMENT IN SLEEP ✔✔CENTRAL SLEEP APNEA
ACCORDING TO THE AASM, INTERCOSTAL EMG ACTIVITY IS AN ACCEPTABLE
ALTERNATIVE SESOR FOR RECORDING WHAT PARMETER ✔✔DETECTION OF
RESPIRATORY EFFORT
SLOW ROLLING EYE MOVEMENTS OCCURING DURING STAGE N1 SLEEP WILL BEST
BE SEEN AT LOW FILTER SETTING OF ✔✔0.3HZ
A 1.0 HZ EEG WAVE IS MEASURED AT 15MM PEAK TO PEAK. THE SENSITIVITY IS
5UV/MM. THE VOLTAGE OF THE WAVE IS ✔✔75UV
A CHEYNE STOKES BREATHING PATTERN IS OFTEN SEEN IN PATIENTS WITH
✔✔CONGESTIVE HEART FAILURE
CAPNOGRAPHY MEASURES ✔✔EXPIRED CO2
WHICH OF THE FOLLOWING HIGH FREQUENCY FILTER SETTINGS IS
RECOMMENDED FOR RECORDING SUBMENTAL EMG ✔✔100HZ
ENDOESOPHAGEAL PRESSURE MEASUREMENTS WOULD BE MOST HELPFUL IN
EVALUTATING WHICH SLEEP DISORDERS ✔✔SLEEP RELATED BREATHING
DISORDERS
A PATIENT BEING EVALUATED FOR OBSTRUCTIVE SLEEP DISORDERED
BREATHING HAS ATRIAL FIBRILLATION. WHAT SHOULD THE TECH DO
✔✔CONTINUE TO OBSERVE AND DOCUMENT RHYTHM
WHICH OF THE FOLLOWING IS THE MOST DANGEROUS CARDIAC RHYTHM
✔✔VENTRICULAR FIBRILLATION
HOW WOULD YOU COMPUTE SLEEP EFFICIENCY ✔✔TOTAL SLEEP TIME DIVIDED
BY TIME IN BED X 100
HOW DO YOU CALCULATE APNEA + HYPOPNEA INDEX ✔✔# APNEAS AND
HYPOPNEAS DIVIDED BY TST X60
WHICH HIGH PASS FILTER SETTING IS MOST APPROPRIATE FOR RECORDING
RESPIRATION ✔✔0.1HZ
THE PURPOSE OF AN EXHALATION PORT IN A CPAP CIRCUIT IS ✔✔TO VENT
EXHALED C02
WHICH OF THE FOLLOWING ARE CHARACTERISTIC OF A PVC ✔✔THE QRS IS WIDE
AND BIZARRE
A NORMAL VARIATION IN SINUS RHYTHM WHICH IS RELATED TO RESPIRATORY
RATE AND RESULTS FROM VAGAL TONE INHIBITION DESCRIBES ✔✔SINUS
ARRHYTHMIA
CPSGT AND RPSGT Exam Practice
Questions (Polysomnography) Already
Passed
Which filter would be used to adjust the rise time of a signal? ✔✔The HFF
What are some possible causes for secondary PLMS? ✔✔Blood iron deficiency
NPSG stands for_________________________. ✔✔Nocturnal polysomnogram.
Sleepwalking and night terrors are common in the ages of __. ✔✔3-12 yrs old
A study is used to look for seizure activity during sleep. ✔✔Nocturnal seizure
The 60-Hz notch filter is used to eliminate _____________. ✔✔Artifact generated
from electrical devices
On an EKG, the QRS complex represents . ✔✔ventricular depolorization
(contraction)
A premature P wave in the EKG is referred to as a ________ ✔✔PAC
During bilevel titration, the __ is sometimes used to treat central apneas. ✔✔Backup rate
What is it called when a person goes to bed early in the evening and wakes early in the morning?
✔✔Advanced sleep phase syndrome
What is the minimum recording time for a study?. ✔✔6 hrs
How many naps does an MSLT consist of? ✔✔4-5
In an ECG the T wave represents ________. ✔✔Ventricular repolarization
Antidepressants suppress which stage of sleep? ✔✔REM
A mixed apnea ______. ✔✔starts with a central component that has become
obstructive.
The technician should log which patient information into the computer before the study? ✔✔Study
ID #
Sweat artifact looks like________________ ✔✔Slow wave sleep
Nocturnal paroxysmal dystonia is characterized by________________ ✔✔Sudden, random,
violent movements during NREM sleep.
BiPAP S/T stands for________________ ✔✔Bilevel positive airway pressure spontaneous/timed
When a signal starts blocking and squaring off at the top it is caused by________________
✔✔The gain (sensitivity) being set too high
Theta waves are primarily associated with________________ ✔✔Stage 1 sleep
K-complexes are often seen________________ ✔✔Stage 2 sleep
Bright light therapy is used to treat________________ ✔✔Circadian rhythm disorders, insomnia
and depression.
RPSGT OR LICENSING EXAM LATEST
2022
AASM ✔✔American Academy of Sleep Medicine
A-STEP ✔✔Accredited Sleep Technology Education Program
BRPT ✔✔Board of Registered Polysomnographic Technologists
CAAHEP ✔✔Commission on Accreditation of Allied Health Education Programs
CoARC ✔✔Commission on Accreditation for Respiratory Care
CRT ✔✔Certified Respiratory Therapist
NBRC ✔✔National Board for Respiratory Care
Qualified medical director for polysomnography ✔✔The medical director of an inpatient or
outpatient polysomnography facility who is a physician licensed by the State of Oregon and has
special interest and knowledge in the diagnosis and treatment of sleep disorders and is actively
practicing in the field of sleep disorders.
Qualified medical director for respiratory care ✔✔The medical director of any inpatient or
outpatient respiratory care service, department or home care agency who is a physician licensed
by the State of Oregon and who has special interest and knowledge in the diagnosis and treatment
of respiratory problems.
sleep lab does not include ✔✔the home environment
RPSGT Practice Test #1 Questions and
Answers Already Passed
while reviewing the scoring report, the tech noticed that the lowest SpO2 is listed as 0% what
should the tech do next?
a. review the study, and lable bad data where the pluse oximeter falied.
b. do nothing as the report is accurate.
c. reschedule the pt for a repeat study becasue of corrupted data.
d. check the pulse ox before attempting to generate the report again. ✔✔A. Review the Study and
appropiately lable any bad data where the pulse oximeter failed. when generating a report the data
acquired will be plugged directly into the formula used to create the report summary. all data that
are a result of faulty equipment or patients removing items should be appropriately labeled so taht
the data do not throw off the accuracy of the scoring report.
During a multiple sleep latency test (mslt) how is sleep onset defined?
a. three or more epochs of stage N1 or a single epoch of the othere sleep stages
b. when spindles are seen
c. the first 30 second epoch in which alpha begins to supside.
d. the first 30 second epoch in which there is more than 15 sec. of cumulative sleep. ✔✔D. in a
MSLT, sleep onset is the first 30 second epoch in which there is more than 15 sec. of cumulative
sleep. for the purposes of determining how long the MSLt nap will last and sleep latency, sleep
onset is defined as the first spoch that has more than 50% of any stage of sleep in in. Arousals and
interruptions do on negate the possiblitity of sleep onset as long as the 15 sec. of total sleep is
reached within taht 30 second epoch.
where are the reference electrodes M1 and M2 placed on the head?
a. on the earlobes
b. on either side of the Cz elecrodes placement
c. in the preauricular area behind the ear
d. both A and C ✔✔D. both A and C. The most common placement is the preauricular location
behind the ears. for patients with and abundance of fat tissue or and exceptional EEG arifact, M1
and M2 can be attached to the earlobes instead. The itegrity of the entire EEG for the study relies
on the proper placement of these reference electrodes.
True statements about the process of biocalibrations include of the the flollowing EXCEPT
a. the pt should be supine and still throughtout biocalibrations
b. the tech’s notes should reflect the movements, made by the pt.
c. biocalibrations are done at the begining of the study only.
d. nasal and oreal breathing are done on the NPSGs only, ✔✔C. biocalibrations are done at the
begining and the end of every study. pts should be asked to lie supine and still during the process.
Each moements sohould e labeled xoeewxely in rhw study to reflect the movement the pt was
asked to perform. Nasal and oral breathing are only done on the NPSG as a means to confermthat
the thermistor and pressure transducer airflow cannula are functioning correctly.
Pts whol suffer form frequent sinus infections should be advied NOT to wear which of the
following masks?
a. Nasal masks
b. nasal-pillows
c. full face
d. all of the above. ✔✔B. nasal-pillow masks deliver the whole of PAP pressure into the nasal
passages and directly into the sinuses at the back ot the nose. For pts who have sasily irritated
sinuses and nasal passages, the nasal-pillow design causes them alot of discomfort. Pts should be
screened for sinus issues before determining the appropriate mask selection.
what is the recommended minimum/maximum differential for IPAP and EPAP settings during a
BiPAP titration?
a. 4-6 cm apart
b. 6-10 cm apart
c. 4-10 cm apart
NEW RPSGT EXAM- Study Guide and
Practice Test Latest 2022 Graded A+
The purpose of an intentional mask leak is to… ✔✔Wash out CO2 and prevent rebreathing
Recommended guidelines state that HSV can be considered when…. ✔✔Cheyne Stokes and
central Apneas have not been eliminated.
What is aerophagia? ✔✔The swallowing of air
What is maxillomandibular advancement? ✔✔Treatment that involves cutting and advancing the
upper and lower jaw bones; enlarging and stabilizing the posterior airway.
What is the PRIMARY function of the EPAP setting? ✔✔To eliminate desaturations and arousals.
According to guidelines, how many Hypopneas need to occur in peds pts prior to increasing
pressure? ✔✔1
What are the AASM guidelines for supplemental O2 during PAP studies? ✔✔1lmp during PAP
titration when SPO2 is less than or equal to 88% for 5 or more minutes and in the absence of
obstructive events.
If a pts Apneas are fixed at 10cm, but Hypopneas and snoring still occur at 16cm, what levels of
BiLevel should be used? ✔✔IPAP: 14
EPAP: 10
Which of the following can reduce the effectiveness of CPAP and why: Nasal spray, Alcohol, Anti
depressants. ✔✔Alcohol: impairs arousal response which can lead to longer than normal events
and severe desats. Inhibits upper airway activity
What syndrome would a pt with COPD and OSA have? ✔✔Overlap syndrome
What are hypoxemia and hypercapnia? ✔✔Hypoxemia: very low 02 in the blood
Hypercapnia: very high CO2 in the blood.
What would a patient with both hypoxemia and hypercapnia most likely be diagnosed with?
✔✔Hypoventilation
What is an MWT’s MOST important use? ✔✔Measure patients ability to resist the urge to fall
asleep
Tricyclic antidepressants, large amounts of caffeine and large amounts of chocolate have been
known to trigger what? ✔✔REM sleep behavior disorder
Recommended impedance for eeg and eog ✔✔5k ohms
The amount of space needed to archive digitized data is MOST impacted by? ✔✔Sampling rate
Cortical activity is best described as ✔✔Spontaneous arousal
Calculate the AHI based on the following data
25 obstructive apneas
5 central apneas
23 mixed apneas
15 hypopneas
48 RERAS
65 arousals
360 min of sleep ✔✔11
According to RECOMMENDED guidelines, the minimum duration of a significant leg movement
is ✔✔.5
According to RECOMMENDED guidelines, an optional parameter to include in the report for an
adult polysomnogram is ✔✔Occurrence of hypoventilation during the diagnostic study in adult
The respiratory event that requires oxygen desaturation and/ or an arousal as part of the scoring
criteria is ✔✔Obstructive hypopnea
An ECG arrhythmia commonly seen when recording PSG’s, particularly in patients that have
obstructive sleep apnea and cardiac disease. It can be identified by the morphology of an irregularly
irregular ventricular rhythm associated with replacement of consistent P waves by rapid
oscillations that vary in size, shape, and timing ✔✔Atrial fibrillation
The stage that is the greatest portion of the epoch ✔✔The stage that is the greatest portion of the
epoch
What is the best response when a patient asks the technologist if they have sleep apnea and will
need to wear a CPAP mask? ✔✔Provide the patient with educational material about sleep apnea
Which of the following is the MOST LIKELY cause of a 35 minute REM latency ✔✔Untreated
depression
A breathing pattern characterized by at least three cycles of crescendo breathing with duration of
at least 10 minutes is ✔✔Cheyne Stokes respiration
An important responsibility of the scoring tech is to ✔✔Confirm accuracy of report components