QUESTIONS AND 100 VERIFIED ANSWERS GRADED A

ABDSM FINAL EXAM TEST (Actual / ) LATEST

QUESTIONS AND 100% VERIFIED ANSWERS /GRADED A+

Which of the following statements is true regarding AASM guidelines for scoring Respiratory Effort Related Arousals, RERAs?

• CMS recognizes RERAs as hypopneas
• The clinical definition is precisely defined but the research

definition is not agreed upon

• Breaths with progressively decreasing effort for more than

10 seconds leading to a desaturation and arousal

• Breaths with increasing rate or flattening for more than 10

seconds leading to an arousal, not meeting criteria for apnea or hypopnea - <<>>>D. Breaths with increasing rate or flattening for more than 10 seconds leading to an arousal, not meeting criteria for apnea or hypopnea

A patient that presents with symptoms indicating a risk for moderate to severe OSA and a history of stroke and insomnia.

The AASM recommends:

• The patient submits for HST since it has high sensitivity and

specificity for detecting OSA

• The patient submits for HST since PSG is likely to aggravate

the insomnia

• The patient submits for PSG in conjunction with a sleep

evaluation 1 / 4

• All patients should have PSG if their insurance will cover it
• <<>>>C. The patient submits for PSG in conjunction

with a sleep evaluation

Which of the following is true regarding types of diagnostic studies for identification of sleep related breathing disorders?

• An in-lab polysomnogram may be either type I or type II
• A type IV study gathers more data than a type II study
• A type III study has a minimum of 4 parameters and at least
• channels of respiration
• A type II study has a minimum of 6 physiologic variables but

no scalp wires - <<>>>C. A type III study has a minimum of 4 parameters and at least 2 channels of respiration

The SCOPER classification system

• Is helpful in determining parameters for in-lab

polysomnogram testing

• Categorizes Sleep, Cardiovascular, Oximetry, Pulse, Effort

and Respiratory

• Classifies and evaluates sleep testing devices for out of

center applications

• Was named for its inventors, Drs Smythe, Carlson, Orace,

Peters, Edwards and Rafael - <<>>>C. Classifies and evaluates sleep testing devices for out of center applications 2 / 4

When looking at the co-occurrence of OSA and insomnia, which of the following statement are true?

• Co-occurrence is consistently found to be 65% between

groups seeking evaluation for sleep apnea and groups seeking evaluation for insomnia

• Those with a primary complaint of insomnia tend to be male
• Those with a primary complaint of OSA tend to be more

likely to use alcohol than people with OSA only

• There is a decreased morbidity and impairment than that

which is present with either disease alone - <<>>>B.Those with a primary complaint of insomnia tend to be male

Treatment strategies for insomnia in the presence of OSA

should make note of the following true statement:

• Hypnotics, such as benzodiazepines, can have adverse

effects on nocturnal respiration, thus exacerbating OSA

• The newer nonbenzodiazepine agents, such as zolpidem and

eszopiclone, appear to increase AHI

• Cognitive Behavioral Therapy, CBT, is non-pharmacologic

and therefore poses no risk

• CBT is reported to be more effective for insomnia in the

presence of OSA than when used for insomnia without comorbidities - <<>>>A. Hypnotics, such as benzodiazepines, can have adverse effects on nocturnal respiration, thus exacerbating OSA 3 / 4

Which of the following statements is true about sleep restriction?

• Approximately 30% of Americans sleep less than 7.5 hours

per night

• Partial sleep deprivation has been studied more extensively

than total sleep deprivation

• Sleep restriction does not impact sleep architecture
• Significant cognitive dysfunction can occur if sleep is

repeatedly restricted to less than 7 hours per night - <<>>>D. Significant cognitive dysfunction can occur if sleep is repeatedly restricted to less than 7 hours per night

Which of the following is true regarding the Muller's maneuver?

• It is used to distinguish between OSA and CSA
• After forced expiration, an attempt at inspiration is made

with closed mouth and nose

• After maximum inspiration, an attempt at expiration is made

with closed mouth and nose

• It helps to clear the Eustachian tubes during dramatic

altitude changes - <<>>>b. After forced expiration, an attempt at inspiration is made with closed mouth and nose

What can be concluded regarding nasal obstruction and OSA?

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